Department of Health, Behavior, and Society, Faculty of Public Health, Institute of Health, Jimma University, P.O.Box: 378, Jimma, Ethiopia.
Department of Public Health, Mizan-Tepi University, College of Medicine and Health Sciences, Mizan-Aman, Ethiopia.
BMC Public Health. 2021 Oct 21;21(1):1909. doi: 10.1186/s12889-021-11995-z.
BACKGROUND: Evidence on process outcomes such as acceptability, and feasibility of behavior change communication interventions are important in program evaluation to understand how, and why such a program works. However; documented evidence on the issue is not available as far as the social and behavior change communication (SBCC) on malaria is concerned. Enrolling the frontline providers this study measured the acceptability and feasibility of the school-engaged SBCC strategy on malaria prevention in malaria-endemic settings of Ethiopia. METHODS: A school-engaged SBCC strategy involving various communication and capacity-building interventions aimed to advance malaria preventive practices in primary schools in Jimma were implemented from 2017 to 2019. A cross-sectional study was conducted with 205 key stakeholders at the end of the intervention. Both acceptability and feasibility were measured using standardized tools. Data were collected using a structured questionnaire and filled by the study participants. The SPSS version 26 was used to analyze the data. Multivariate general linear modeling was performed to identify the predictors of acceptability and feasibility of the program. P-value < 5% was considered to decide statistical significance. RESULTS: The result showed the mean scores (M, range = R) of acceptability and feasibility of the program were (M = 25.63, R = 6 to 30) and (M = 19.35, R = 5 to 25) respectively. The multivariate linear modeling showed acceptability was affected by self-efficacy; (β = 0.438, P < 0.001), community support; (β = 0.417, P < 0.001), school climate; (β = - 0.16; P = 0.003), perceived malaria threat; (β = 0.40, P < 0.001) and knowledge; (β = 0.229, P = 0.013). Similarly, feasibility was influenced by self-efficacy; (β = 0.352, P < 0.001), community support; (β = 0.591, P < 0.001), school climate; (β = - 0.099, P-value < 0.030) and perceived malaria threat; (β = 0.172, P = 0.002). CONCLUSION: With a considerably high level of acceptability, the school-engaged SBCC strategy to enhance malaria preventive practices seems feasible. The SBCC strategy targeting personal factors such as malaria threat perceptions, knowledge and skills on the program, and contextual factors that include school social climate and community support would be fruitful to facilitate the implementation of the program. The result implicates the benefit of intensifying such a strategy to engage, empower, and retain the education sectors in malaria elimination efforts and beyond.
背景:在程序评估中,了解干预措施的可接受性和可行性等过程结果的证据对于理解程序如何以及为何有效非常重要。然而,就疟疾的社会和行为改变传播(SBCC)而言,目前没有关于这一问题的记录证据。本研究招募了一线服务提供者,衡量了在疟疾流行地区的学校参与的疟疾预防 SBCC 战略的可接受性和可行性。
方法:一项涉及各种沟通和能力建设干预措施的学校参与的 SBCC 战略旨在推进吉姆马小学的疟疾预防实践,该战略于 2017 年至 2019 年实施。在干预结束时,对 205 名利益攸关方进行了横断面研究。使用标准化工具衡量可接受性和可行性。数据通过结构化问卷收集,并由研究参与者填写。使用 SPSS 版本 26 分析数据。采用多元广义线性模型确定方案可接受性和可行性的预测因素。P 值<0.05 被认为具有统计学意义。
结果:结果显示,该方案的可接受性和可行性的平均得分(M,范围=R)分别为(M=25.63,R=6 至 30)和(M=19.35,R=5 至 25)。多元线性建模显示,可接受性受自我效能感(β=0.438,P<0.001)、社区支持(β=0.417,P<0.001)、学校氛围(β=-0.16;P=0.003)、感知疟疾威胁(β=0.40,P<0.001)和知识(β=0.229,P=0.013)的影响。同样,可行性受自我效能感(β=0.352,P<0.001)、社区支持(β=0.591,P<0.001)、学校氛围(β=-0.099,P 值<0.030)和感知疟疾威胁(β=0.172,P=0.002)的影响。
结论:该学校参与的 SBCC 战略提高了疟疾预防实践的可接受性水平相当高,似乎具有可行性。针对疟疾威胁认知、对项目的知识和技能等个人因素,以及包括学校社会氛围和社区支持在内的情境因素的 SBCC 战略,将有助于促进该项目的实施。结果表明,加强这种战略,让教育部门参与到消除疟疾的努力中,并在这一努力中发挥作用和保持积极性,将是有益的。
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