Department of Zoology, University of Ilorin, Ilorin, Nigeria.
Department of Public Health and Epidemiology, Nigeria Institute of Medical Research, Yaba, Lagos, Nigeria.
J Med Entomol. 2021 May 15;58(3):1280-1286. doi: 10.1093/jme/tjaa278.
Malaria is a leading public health challenge causing mortality and morbidity in sub-Saharan Africa. Prominent malaria vector control methods employed in sub-Saharan Africa include Long Lasting Insecticide Nets (LLINs) and Indoor Residual spraying (IRS). This study investigated knowledge, attitude and practices (KAP) of malaria vector control methods in Lagos, South-West Nigeria. Structured questionnaires were employed for the cross-sectional survey which was carried out between May and August 2018. Multi-stage sampling technique was used to select Lagos Mainland, Kosofe, and Ojo local government areas (LGAs). Five hundred and twenty questionnaires were used for the study. Data were analyzed for descriptive statistics, whereas χ 2 was used to determine influence of respondents' LGA, level of education and type of dwelling on respondents' attitude and practice. Respondents' LGAs have no significant impact on attitude and practice to malaria vector control methods. However, 'level of education' as well as 'type of dwelling structure' impacted significantly on some practices and attitude. Basically, IRS is the major tool employed in malaria vector control, but sometimes it is used in combination with other methods. A good number of residents also use LLINs. 'Choice of method' employed is mainly based on the effectiveness of method. General perception about LLINs and IRS is that they are effective, cheap and safer. Considering the widespread use of IRS and LLINs for malaria vector control in Lagos, implementation of malaria control programs should consider KAP to these two strategies.
疟疾是撒哈拉以南非洲地区导致死亡和发病的主要公共卫生挑战。在撒哈拉以南非洲地区，使用的主要疟疾媒介控制方法包括长效驱虫蚊帐（LLIN）和室内滞留喷洒（IRS）。本研究调查了尼日利亚西南部拉各斯的疟疾媒介控制方法的知识、态度和实践（KAP）。这项横断面调查采用了结构化问卷，于 2018 年 5 月至 8 月进行。采用多阶段抽样技术选择拉各斯大陆、科索夫和奥约地方政府区（LGA）。本研究使用了 520 份问卷。数据进行了描述性统计分析，而 χ²用于确定受访者的 LGA、教育水平和居住类型对其态度和实践的影响。受访者的 LGA 对疟疾媒介控制方法的态度和实践没有显著影响。然而，“教育水平”以及“居住结构类型”对某些实践和态度有重大影响。基本上，IRS 是疟疾媒介控制中使用的主要工具，但有时也与其他方法结合使用。相当多的居民还使用 LLIN。所采用的“方法选择”主要基于方法的有效性。关于 LLIN 和 IRS 的一般看法是，它们有效、廉价且更安全。考虑到 IRS 和 LLIN 在拉各斯被广泛用于疟疾媒介控制，实施疟疾控制计划应考虑到这两种策略的 KAP。
