Malaria Elimination Demonstration Project, Mandla, Madhya Pradesh, India.
Indian Council of Medical Research - National Institute of Research in Tribal Health (ICMR-NIRTH), Jabalpur, Madhya Pradesh, India.
Malar J. 2021 Aug 28;20(1):354. doi: 10.1186/s12936-021-03884-y.
Changes in social, belief, and behavioural practices are essential for the success of any public health delivery programme. In the planning stages of the Malaria Elimination Demonstration Project (MEDP), priority was given to communication with a goal to develop capacity of health workers and to improve the knowledge, attitude and practices (KAP) of the people of Mandla. This paper describes the level of community knowledge on malaria, including its prevention, diagnosis, treatment-seeking behaviour, and the level of satisfaction with the services provided by the project.
A cross sectional survey was undertaken in 1233 villages of Mandla to study the KAP and self-assessed improvement in knowledge and satisfaction level of the community. The goal of the study was to understand whether there is need for strengthening communication strategy of MEDP for better impact. The survey was conducted amongst the head/eligible members of the 733 households located in the nine blocks of the district using clustered random sampling.
Though four-fifths of the respondents were able to correlate the transmission of malaria with mosquitoes, misconceptions existed among them. The types of malaria were not known to everyone. Only 39% were aware of the Indoor Residual Spray (IRS) and 41% understood the value of Long-Lasting Insecticidal Nets (LLIN). Around 71% of subjects surveyed were aware of the proper diagnostic tests for malaria. A total of 87% of the respondents knew about the MEDP staff working in their respective villages.
The study reported gaps in knowledge on malaria at community level. The self-assessment of the community revealed that the communication strategy established by MEDP in Mandla district has been useful to them as they are becoming better informed about the prevention and treatment aspects of disease. The lessons learned as revealed in the KAP survey will improve malaria elimination outcomes in a timely manner.
社会、信仰和行为实践的变化对于任何公共卫生服务项目的成功都至关重要。在疟疾消除示范项目（MEDP）的规划阶段，重点是进行沟通，目标是培养卫生工作者的能力，并提高 Mandla 人民的知识、态度和实践（KAP）。本文描述了社区对疟疾的了解程度，包括其预防、诊断、求医行为以及对项目提供服务的满意度。
在 Mandla 的 1233 个村庄进行了横断面调查，以研究 KAP 以及社区自我评估的知识和满意度水平的提高。该研究的目的是了解是否需要加强 MEDP 的沟通策略，以产生更好的影响。该调查是在该地区的九个街区的 733 户家庭中进行的，采用了聚类随机抽样。
尽管五分之四的受访者能够将疟疾的传播与蚊子联系起来，但他们之间存在误解。并非所有人都知道疟疾的类型。只有 39%的人知道室内滞留喷雾（IRS），41%的人了解长效杀虫蚊帐（LLIN）的价值。大约 71%的受访者知道正确的疟疾诊断测试。共有 87%的受访者知道在各自村庄工作的 MEDP 工作人员。
该研究报告了社区层面疟疾知识的差距。社区的自我评估表明，MEDP 在 Mandla 区建立的沟通策略对他们很有用，因为他们对疾病的预防和治疗方面有了更好的了解。KAP 调查中揭示的经验教训将及时改善疟疾消除的结果。
