Department of Epidemiology & Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi Province, 710061, China.
School of Public Health, Asmara College of Health Sciences, Asmara Eritrea.
Afr Health Sci. 2023 Mar;23(1):241-254. doi: 10.4314/ahs.v23i1.26.
Little is known about community knowledge and practice towards malaria prevention in Ghindae, Eritrea.
A community based cross-sectional study design was employed among 380 households. Participants were selected systematically.
More than eight-tenth (86.5%) of the respondents had heard information about malaria preceding the survey; health facilities (54.1%), television (23.7%). Majority (94.2%) mentioned mosquito bite as the main mode of malaria transmission. Fever was the predominantly (89.2%) identified sign/symptoms of malaria. ITN (84.4%) and environmental sanitation (67.3%) were well recognized preventive measures for malaria. Though most households (91%) possess bed nets, but only 37% were ragged on observation. Overall, 64% of the respondents have satisfactory knowledge and 57.3% had adequate practice towards malaria prevention. Malaria knowledge was significantly associated with increased age (p=0.001) and district areas (p=0.022). Malaria prevention practice was significantly associated with Tigrigna and Saho ethnic group (p=0.013), and districts (p=0.02). Districts showed significant difference with an OR=4.56 (95%CI, 1.29-16.09) on knowledge for district 04 and OR=1.98(95%-CI, 1.21-3.26) on practice for district 03 compared to district 01. Knowledge was associated with prevention (OR=1.99, 95%CI, 1.28-3.09).
Overall community knowledge and practice towards malaria prevention were satisfactory. Furthermore, comprehensive community interventions are paramount for effective sustainable control.
在厄立特里亚的甘代,人们对疟疾预防的社区知识和实践知之甚少。
采用基于社区的横断面研究设计,在 380 户家庭中进行了研究。参与者是通过系统选择的。
超过十分之八(86.5%)的受访者在调查前听说过有关疟疾的信息;信息来源主要是卫生机构(54.1%)和电视(23.7%)。大多数人(94.2%)认为蚊子叮咬是疟疾的主要传播方式。发烧是疟疾最主要(89.2%)的识别症状/体征。ITN(84.4%)和环境卫生(67.3%)是疟疾的有效预防措施。虽然大多数家庭(91%)拥有蚊帐,但只有 37%的蚊帐在观察时是破旧的。总的来说,64%的受访者对疟疾预防有较好的知识,57.3%的受访者有足够的实践。疟疾知识与年龄(p=0.001)和地区(p=0.022)显著相关。疟疾预防实践与提格雷和萨霍族(p=0.013)和地区(p=0.02)显著相关。与第 01 区相比,第 04 区的知识(OR=4.56,95%CI,1.29-16.09)和第 03 区的实践(OR=1.98,95%CI,1.21-3.26)差异显著。知识与预防有关(OR=1.99,95%CI,1.28-3.09)。
总体而言,社区对疟疾预防的知识和实践是令人满意的。此外,全面的社区干预对于有效和可持续的控制至关重要。