Firdaus Misra Helma, Wan Puteh Sharifa Ezat, Sutan Rosnah, Abdul Manaf Mohd Rizal
Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000, Cheras Kuala Lumpur, Malaysia.
Malar J. 2025 May 7;24(1):144. doi: 10.1186/s12936-025-05371-0.
Malaria remains a significant global health issue, with vector control strategies likes indoor residual spraying (IRS) and insecticide-treated nets (ITNs) show promise, socio-cultural and structural challenges often hinder their success. Family and community involvement, including individual adherence, household leadership, and participation by community leaders, are crucial in enhancing intervention outcomes. This review evaluates family health education's effectiveness in improving public health impact on malaria elimination programmes.
A systematic review was conducted using Scopus, Web of Science, and PubMed, yielding 1,121 records through a predefined Population, Exposure, Outcome (PEO)-based search strategy. The review focused on studies published between 2019 and 2024 examining malaria elimination programmes and family health education. The Population consisted of families in malaria-endemic regions, particularly rural and urban areas of sub-Saharan Africa and Southeast Asia, including households with young children and pregnant women. The Exposure was participation in malaria elimination programmes, and the Outcome was the effectiveness of family health education in enhancing awareness, knowledge, and public health outcomes. Review articles, editorials, conference papers, and proceedings were excluded. Data extraction adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, and studies were appraised using the Mixed Methods Appraisal Tool (MMAT).
This study examines the effectiveness of malaria health education programmes using a socio-ecological framework, focusing on individual, family, and community-level influences. Twelve studies met the inclusion criteria, exploring interventions likes IRS and ITN across diverse populations. At the individual level, educational programmes significantly enhanced malaria knowledge and prevention behaviours. Within families, health education strengthened decision-making and reinforced preventive measures. At the community level, engagement in malaria-related initiatives improved collective action, though policy barriers limited widespread implementation. The review employed various research designs, underscore the role of multi-stakeholder involvement in ensuring the effectiveness of malaria elimination programmes.
This study highlights the important of family structure in malaria elimination emphasizing maternal leadership in decision-making and health-seeking behaviours. Integrating family health education into public health strategies can enhance intervention effectiveness, improve adherence and promote long-term sustainability. Future programmes should leverage maternal influence and community engagement to strengthen malaria elimination programmes' efforts.
疟疾仍然是一个重大的全球健康问题，诸如室内滞留喷洒（IRS）和经杀虫剂处理的蚊帐（ITNs）等病媒控制策略显示出前景，但社会文化和结构方面的挑战常常阻碍其成功。家庭和社区的参与，包括个人的依从性、家庭的主导作用以及社区领袖的参与，对于提高干预效果至关重要。本综述评估家庭健康教育在改善对疟疾消除计划的公共卫生影响方面的有效性。
使用Scopus、Web of Science和PubMed进行系统综述，通过基于预定义的人群、暴露、结局（PEO）的检索策略获得1121条记录。该综述聚焦于2019年至2024年间发表的研究疟疾消除计划和家庭健康教育的文献。人群包括疟疾流行地区的家庭，特别是撒哈拉以南非洲和东南亚的农村和城市地区的家庭，包括有幼儿和孕妇的家庭。暴露因素是参与疟疾消除计划，结局是家庭健康教育在提高意识、知识和公共卫生结局方面的有效性。综述文章、社论、会议论文和会议记录被排除。数据提取遵循系统评价和Meta分析的首选报告项目（PRISMA）2020指南，并使用混合方法评价工具（MMAT）对研究进行评价。
本研究使用社会生态框架检验疟疾健康教育计划的有效性，重点关注个人、家庭和社区层面的影响。十二项研究符合纳入标准，探讨了针对不同人群的IRS和ITN等干预措施。在个人层面，教育计划显著提高了疟疾知识和预防行为。在家庭内部，健康教育加强了决策制定并强化了预防措施。在社区层面，参与疟疾相关倡议改善了集体行动，尽管政策障碍限制了广泛实施。该综述采用了各种研究设计，强调了多利益相关方参与在确保疟疾消除计划有效性方面的作用。
本研究强调了家庭结构在疟疾消除中的重要性，强调了母亲在决策和寻求健康行为方面的主导作用。将家庭健康教育纳入公共卫生策略可以提高干预效果，改善依从性并促进长期可持续性。未来的计划应利用母亲的影响力和社区参与来加强疟疾消除计划的工作。
