Vanlalhriata C, Wankhar Phibahunlang T, Prakash Pooja T, Amarthaluri Christiana, Pautu Lalfakzuala, Lalmalsawma Pachuau, Kodali Prakash Babu, Balasubramani Karuppusamy, Balabaskaran Nina Praveen
Department of Public Health and Community Medicine, Central University of Kerala, Kasaragod, Kerala, India.
Department of Life Sciences, Pachhunga University College, Mizoram University, Mizoram, India.
Malar J. 2024 Aug 7;23(1):236. doi: 10.1186/s12936-024-05058-y.
The western districts of Mizoram (Lunglei, Mamit, and Lawngtlai) are malaria hotspots. Understanding the knowledge, attitude, and practices of the tribal communities in Mizoram's western districts will aid the development of specific interventions.
An explanatory sequential mixed-method study was conducted from April to November 2023 in the Lunglei district. In a community-based cross-sectional survey of 353 participants, the knowledge, attitude, practices, and care-seeking behaviour toward malaria were assessed using a semi-structured questionnaire. Data was analysed using SPSS version 29 software; univariate variables were presented in percentage, and bivariate and multivariate variables were analysed using the chi-square test and logistic regression, respectively. This was followed by in-depth telephonic interviews of twelve participants, and the data was analysed using NVivo.
Out of the 353 respondents, 77.9%, 82.7%, 55.5%, and 63.2% of the participants had good knowledge, attitude, practices, and care-seeking behaviour, respectively. The in-depth qualitative interviews highlighted the villagers' good knowledge of the various aspects of malaria transmission, treatment, and prevention practices (indoor residual spraying and use of insecticide-treated nets).
High disease endemicity, awareness programmes and vector control interventions might be contributing to the overall good knowledge, attitude, and practices toward malaria among the villagers. In addition to vector control measures, active parasite surveillance is key to malaria control in this region.
米佐拉姆邦的西部地区（隆莱、马米特和劳恩格特莱）是疟疾热点地区。了解米佐拉姆邦西部地区部落社区的知识、态度和行为，将有助于制定针对性的干预措施。
2023年4月至11月在隆莱地区开展了一项解释性序贯混合方法研究。在一项针对353名参与者的社区横断面调查中，使用半结构化问卷评估了对疟疾的知识、态度、行为和就医行为。使用SPSS 29版软件分析数据；单变量以百分比形式呈现，双变量和多变量分别使用卡方检验和逻辑回归进行分析。随后对12名参与者进行了深入电话访谈，并使用NVivo分析数据。
在353名受访者中，分别有77.9%、82.7%、55.5%和63.2%的参与者对疟疾有良好的知识、态度、行为和就医行为。深入的定性访谈突出了村民对疟疾传播、治疗和预防措施（室内滞留喷洒和使用经杀虫剂处理的蚊帐）各个方面的良好了解。
高疾病流行率、宣传项目和病媒控制干预措施可能是村民对疟疾总体具有良好知识、态度和行为的原因。除了病媒控制措施外，积极的寄生虫监测是该地区疟疾控制的关键。
