Assessment of individual and household malaria risk factors among women in a South African village

Mutegeki, Ezra; Chimbari, Moses John; Mukaratirwa, Samson

doi:10.1016/j.actatropica.2016.12.007

Cited by 23 publications

(24 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The current study results support this theory where women who had access to radio, television and had seen or heard malaria messages were more likely to be urban dwellers. This nding was also reported in prior studies done in Nigeria [18], Ethiopia [34], and Tanzania [19].…”

Section: Discussionsupporting

confidence: 89%

Levels of knowledge regarding malaria causes, symptoms, and prevention measures among Malawian women of reproductive age.

Sixpence

Nkoka

Chirwa

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Malawi is a malaria-endemic country and approximately 6 million cases are reported annually. Improving knowledge of malaria causes and symptoms, and the overall perception towards malaria and its preventive measures is vital for malaria control. The current study investigated the levels of knowledge of the causes, symptoms and prevention of malaria among Malawian women. Methods Data from the 2017 wave of the Malawi Malaria Indicator Survey (MMIS) were analysed. In total, 3,422 women of reproductive age (15-49 years) were sampled and analysed. The levels of women’s knowledge about: 1) causes of malaria; 2) symptoms of malaria; and, 3) preventive measures were assessed. The tertiles of the composite score were used as the cut-offs to categorize the levels of knowledge as ‘low’, ‘medium’ and ‘high’. Multinomial logistic regression models were constructed to assess the independent factors while taking into account the complex survey design. Results Approximately 50% of all respondents had high levels of knowledge of causes, symptoms and preventive measures. The high level of knowledge was 45% for rural women and 55% for urban dwellers. After adjusting for the a wide range of factors, women of age group 15-19 years adjusted odds ratio ((aOR): 2.58; 95% Confidence Interval (CI): 1.69-3.92), women with no formal education (aOR: 3.73; 95% CI: 2.20-6.33), women whose household had no television (aOR: 1.50; 95% CI: 1.02-2.22), women who had not seen/heard malaria message (aOR: 1.53; 95% CI: 1.20-1.95), women of Yao tribe (aOR: 1.95; 95% CI: 1.10-3.46), and women from rural areas had low levels of knowledge about the causes of malaria, symptoms of malaria and preventive measures. Additionally, the results also showed that women aged 15-19 years (beta [β] = -0.73, standard error [SE] = 0.12); P <.0001, women with no formal education (β = -1.17, SE = 0.15); P <.0001, women whose household had no radio (β = -0.15, SE = 0.0816); P =0.0715 and women who had not seen or heard malaria message (β = -0.41, SE = 0.07); P <.0001 were likely to have a lower knowledge score. Conclusions The levels of malaria knowledge were reported to be unsatisfactory among adult women, underscoring the need to scale up efforts on malaria education. Beside insecticide-treated bed nets (ITNs) and prompt diagnosis, malaria can be best managed in Malawi by increasing knowledge of malaria causes, and symptoms especially for younger women, women with no formal education, women whose households have no media, women from Yao tribes, and rural dwellers.

show abstract

Section: Discussionsupporting

confidence: 89%

Levels of knowledge regarding malaria causes, symptoms, and prevention measures among Malawian women of reproductive age.

Sixpence

Nkoka

Chirwa

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…In adults, behavioural factors including travel, leisure and social activities, and occupational activities such as agriculture or night-time work may have increased the risk of exposure outside the household as compared to children. Travel has been reported as a risk factor for P. falciparum infection in East and Southern Africa [43,44] and for cases of imported malaria being older than those not imported in Southern Africa [45]. Whereas occupational hazards were not evaluated in this study, considerable occupational risk of malaria has been documented among mobile male workers in Asia [46,47] and populations involved in agriculture in Africa [48,49].…”

Section: Discussionmentioning

confidence: 83%

Rapid shifts in the age-specific burden of malaria following successful control interventions in four regions of Uganda

Kigozi

Epstein

et al. 2020

Malar J

View full text Add to dashboard Cite

Background: Malaria control using long-lasting insecticidal nets (LLINs) and indoor residual spraying of insecticide (IRS) has been associated with reduced transmission throughout Africa. However, the impact of transmission reduction on the age distribution of malaria cases remains unclear. Methods: Over a 10-year period (January 2009 to July 2018), outpatient surveillance data from four health facilities in Uganda were used to estimate the impact of control interventions on temporal changes in the age distribution of malaria cases using multinomial regression. Interventions included mass distribution of LLINs at all sites and IRS at two sites. Results: Overall, 896,550 patient visits were included in the study; 211,632 aged < 5 years, 171,166 aged 5-15 years and 513,752 > 15 years. Over time, the age distribution of patients not suspected of malaria and those malaria negative either declined or remained the same across all sites. In contrast, the age distribution of suspected and confirmed malaria cases increased across all four sites. In the two LLINs-only sites, the proportion of malaria cases in < 5 years decreased from 31 to 16% and 35 to 25%, respectively. In the two sites receiving LLINs plus IRS, these proportions decreased from 58 to 30% and 64 to 47%, respectively. Similarly, in the LLINs-only sites, the proportion of malaria cases > 15 years increased from 40 to 61% and 29 to 39%, respectively. In the sites receiving LLINs plus IRS, these proportions increased from 19 to 44% and 18 to 31%, respectively. Conclusions: These findings demonstrate a shift in the burden of malaria from younger to older individuals following implementation of successful control interventions, which has important implications for malaria prevention, surveillance, case management and control strategies.

show abstract

“…Women in particular are vulnerable to the disease especially during pregnancy. They are also responsible for home-based management of malaria among children under 5 years of age, who are highly vulnerable to malaria [20,21]. Women also serve as role models for their families in raising awareness and participating in malaria prevention and control.…”

Section: Introductionmentioning

confidence: 99%

Knowledge of prevention, cause, symptom and practices of malaria among women in Burkina Faso

et al. 2017

View full text Add to dashboard Cite

BackgroundMalaria remains a major public health issue in most southern African countries as the disease remains hyper endemic. Burkina Faso continues to face challenges in the treatment of malaria, as the utilization of preventive measures remains low on a national scale. While it has been acknowledged that understanding women’s health-seeking behaviours, perception of malaria and its preventive measures will aid in the control of malaria, there is paucity of information on Knowledge, Attitudes and Practices among women in the reproductive age of 15–49 years in Burkina Faso. This study investigated women’s knowledge of malaria, attitudes towards malaria, and practices of malaria control in order to create a synergy between community efforts and governmental/non-governmental malaria control interventions in Burkina Faso.MethodsThe analysis used data from the 2014 Burkina Faso Malaria Indicator Survey (MIS). In total 8111 women aged between 15–49 years were included in the present study. We assessed women’s knowledge about 1) preventive measures, 2) causes and 3) symptoms of malaria, as well as malaria prevention practices for their children and during pregnancy. The socio-demographic characteristics were considered for Age, Religion, Education, Wealth index, Number of household members, Sex of household head, Household possession of radio, TV and Received antenatal care. Data were analyzed using STATA, version 14. Associations between variables were tested using a Chi-square and logistic regression, with the level of statistical significance set at 95%.ResultsA preponderant proportion of respondents were aged 15–29 years (mean age was 28.63±9.41). About three-quarters of the respondents had no formal education. An estimated two-third of the participants were of Islamic faith, while access to media and behavioural communication were generally poor. The level of knowledge was 53% for rural women and 68.2% for urban dwellers. In sum, there was 56.1% level of accurate knowledge of malaria among women in Burkina Faso. In the multivariable logistic regression, women in rural location had 40% reduction in the odds of having accurate knowledge of malaria when compared to urban women (aOR = 0.60; 95%CI: 0.52–0.68). The educational level was a key factor in the knowledge of malaria. The odds of having accurate knowledge of malaria increased as the educational level increased, hence, women with secondary and higher education had 29% and 93% increase in the odds of having accurate knowledge of malaria when compared to the women without formal education. Results indicate that antenatal care (ANC) services were major sources of information on malaria. Women who reportedly received ANC were 3.9 times more likely to have accurate knowledge of malaria when compared to those who did not utilize skilled ANC services (aOR = 3.90; 95%CI = 3.34–4.56).ConclusionThe overall knowledge of malaria prevention practices among a large proportion of women was found to be low, which implies that the knowledge about the prevention of malaria shou...

show abstract

Assessment of individual and household malaria risk factors among women in a South African village

Cited by 23 publications

References 29 publications

Levels of knowledge regarding malaria causes, symptoms, and prevention measures among Malawian women of reproductive age.

Levels of knowledge regarding malaria causes, symptoms, and prevention measures among Malawian women of reproductive age.

Rapid shifts in the age-specific burden of malaria following successful control interventions in four regions of Uganda

Knowledge of prevention, cause, symptom and practices of malaria among women in Burkina Faso

Contact Info

Product

Resources

About