
Once the Massachusetts Bay Colony was chartered in 1628, many English settlers flocked to the new world. The Virginia Colony in Jamestown, settled in 1607, was the first permanent English colony in the New World. The Spanish began to establish colonies in Florida and throughout the Southwest and Mexico, followed by the French, and finally the English. Juan Ponce de Leon followed shortly after that, arriving in what is now Florida,as the first known European to reach the main continent. These indigenous people of the Americas lived in tribes, and were typically nomadic throughout most of their history.European explorers arrived in the late 1400s, most famously Christopher Columbus, who reached the Caribbean islands in 1492. Native Americans probably migrated to the region from Asia up to 40,000 years ago. Major rivers in the United States include the Mississippi River that traverses the country, and combined with the Missouri River, form a the fourth longest river system in the world. Southeastern United States sits along the Gulf of Mexico, and Alaska is located next to the Arctic Ocean and Bering Sea.įrom its many miles of coastlines with their sandy beaches, the tropical Hawaiian Islands, to its mountain ranges like the Rockies and the Appalachians, the United States has a wide variety of terrains. The United States borders the Pacific Ocean along its western coast, and the Atlantic Ocean along its eastern coast. The United States is situated in North America, between Canada and Mexico. Above all, the US is the world's oldest surviving federation. US constitution is the supreme legal document of the country.

Furthermore, the US government is regulated by a system of checks and balances administered by the US Constitution. The government type of the US is a constitutional republic and representative democracy featured with two party systems. Other highly advanced cities are Los Angeles, Chicago, Houston, Philadelphia, Phoenix, San Diego etc. The capital city of the US is Washington DC, however, the largest city is New York. Alaska lies in the north-west of Canada which is separated by Bering Strait from Russian Federation and second one is Hawaii – it is a group of islands located in the mid-Pacific Ocean. The Map of US shows that 48 states of the US are the part of mainland and rest two i.e. Besides, Pacific Ocean lies in the west, Atlantic Ocean lies in the east and Mexico Gulf in the south. US map also shows that it shares its international boundaries with Canada in the north and Mexico in the south. The article presents issues that need to be critically assessed and taken into account when planning a KAP survey.The United States of America map shows that the United States is located in the central part of North America Continent.

Practical examples are drawn from a medical anthropology study on socio-cultural factors affecting treatment and prevention of malaria in pregnancy in rural Malawi, southern Africa. The aim of this article is two-fold: to discuss the appropriateness of KAP surveys in understanding and exploring health-related knowledge, attitudes, and practices, and to describe some of the major challenges encountered in planning and conducting a KAP survey in a specific setting. However, there is rarely any discussion about the usefulness of KAP surveys in providing appropriate data for project planning, and about the various challenges of conducting surveys in different settings.

Knowledge, attitude, and practice (KAP) surveys are widely used to gather information for planning public health programmes in countries in the South. University of Tampere and University of Kuopio, Finland
