“We have this, with my husband, we live in harmony”: exploring the gendered decision-making matrix for malaria prevention and treatment in Nampula Province, Mozambique

Hildon, Zoe Jane Lara; Escorcio-Ymayo, Maria; Zulliger, Rose; Aramburú, Rosario Arias De; Lewicky, Nan; Harig, Hunter; Chidassicua, José Braz; Underwood, Carol; Pinto, Liliana; Figueroa, María Elena

doi:10.1186/s12936-020-03198-5

Cited by 13 publications

(8 citation statements)

References 25 publications

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“…Worship places (churches and mosques) are where respondents heard malaria preventive messages, and community dialogue sessions helped them better understand how to prevent malaria. Similarly, in a study conducted in Nampula Province, Mozambique, respondents affirmed that community dialogues helped communication and ultimately encouraged malaria-related behaviour [ 24 ]. These results indicate that the people implementing SBC interventions in Mozambique aid in dissemination of information and are accepted interlocutors by the beneficiaries.…”

Section: Discussionmentioning

confidence: 99%

Malaria prevention knowledge, attitudes, and practices in Zambezia Province, Mozambique

Pinto¹,

Arroz²,

Martins

et al. 2021

Malar J

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Background In Mozambique, socio-economic and cultural factors influence the wide adoption of disease preventive measures that are relevant for malaria control strategies to promote early recognition of disease, prompt seeking of medical care, sleeping under insecticide-treated nets (ITNs), and taking intermittent preventive treatment for pregnant women. However, there is a critical information gap regarding previous and ongoing malaria social and behavioural change (SBC) interventions. The aim of this study is to assess the knowledge, attitudes, practices of beneficiaries of SBC interventions. Methods A descriptive cross-sectional survey was undertaken in 2018 in two rural districts of Zambezia Province, Mozambique. A structured questionnaire was administered to 773 randomly selected households. Respondents were the adult heads of the households. Descriptive statistics were done. Results The main results show that 96.4% of respondents recalled hearing about malaria in the previous 6 months, 90.0% had knowledge of malaria prevention, and 70.0% of preventive measures. Of the 97.7% respondents that had received ITNs through a mass ITN distribution campaign, 81.7% had slept under an ITN the night before the survey. In terms of source of health information, 70.5% mentioned the role of community volunteers in dissemination of malaria prevention messages, 76.1% of respondents considered worship places (churches and mosques) to be the main places where they heard key malaria prevention messages, and 79.1% asserted that community dialogue sessions helped them better understand how to prevent malaria. Conclusions Results show that volunteers/activists/teachers played an important role in dissemination of key malaria prevention messages, which brought the following successes: community actors are recognized and people have knowledge of malaria transmission, signs and symptoms, preventive measures, and where to get treatment. There is, however, room for improvement on SBC messaging regarding some malaria symptoms (anaemia and convulsions) and operational research is needed to ascertain the drivers of malaria prevalence and inform the SBC approach.

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Section: Discussionmentioning

confidence: 99%

Malaria prevention knowledge, attitudes, and practices in Zambezia Province, Mozambique

Pinto¹,

Arroz²,

Martins

et al. 2021

Malar J

Self Cite

View full text Add to dashboard Cite

show abstract

“…Worship places (churches and mosques) are where respondents heard malaria preventive messages, and community dialogue sessions helped them better understand how to prevent malaria. Similarly, in a study conducted in Nampula Province, Mozambique, respondents a rmed that community dialogues helped communication and ultimately encouraged malaria-related behaviors [23]. These results indicate that the people implementing SBC interventions in Mozambique aid in the dissemination of the information and are accepted interlocutors by the bene ciaries.…”

Section: Discussionmentioning

confidence: 82%

Knowledge, Attitudes, Practices, and Behaviours on Malaria Prevention in Zambezia Province, Mozambique

Fonseca¹,

Arroz²,

Martins³

et al. 2020

Preprint

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Background: In Mozambique, the socio-economic and cultural factors influence the wide adoption of disease preventive measures, which is relevant for malaria control strategies that rely on early recognition of disease, prompt seeking of medical care, sleeping under mosquito nets, and taking intermittent preventive treatment for pregnant women. However, there is a critical information gap regarding to previous and ongoing malaria Social Behaviour Communication (SBC) interventions. The aim of this study is to assess the knowledge, attitudes, practices, and behaviours of the beneficiaries of SBC interventions. Methods: A descriptive cross-sectional survey was undertaken in 2018 in two rural districts of Zambezia province, Mozambique. A structured questionnaire was administered to 773 randomly selected households. Respondents are the heads of the households, adults above 18 years old. Descriptive statistics were done.Results: The main results show that around 96.4 % respondents recalled hearing about malaria in the previous 6 months and 90.0% had knowledge on malaria prevention and 70.0% on preventive measures ; from 97.7% respondents that received bed nets through the mass bed net distribution campaign, 81.7% slept under a bed net the night before the survey; 70.5 % recognized the role of community volunteers in the dissemination of malaria prevention messages; 76.1 % of respondents considered worship places (churches and mosques) to be the main places where they heard key messages on malaria prevention and 79.1 % asserted that community dialogue sessions helped them better understand how to prevent malaria.Conclusions: Results show that the volunteers/activists/teachers have played an important role in the dissemination of key malaria prevention messages which brought the following successes: community actors are recognized and people have knowledge on malaria transmission, signs and symptoms, preventive measures, and where to get treatment. There is room for improvement on the SBC messaging regarding some malaria symptoms (anaemia and convulsions); and operational research is needed to ascertain the drivers of malaria prevalence and social and behaviour communication approach.

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“…Likewise, studies conducted among community members have found low levels of knowledge of malaria treatment [ 42 ]. Although the wider community (men and older women inclusive) may not have been optimally engaged on IPTp in the past, they have been found to play key roles in promoting interventions aimed at reducing malaria in pregnancy [ 43 ]. Thus, it is important that community engagement and knowledge translation is integrated into programs to control and/or eliminate malaria in pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Community Malaria Knowledge, Experiences, Perceived Roles, and Acceptability of Community-Directed Distribution of Intermittent Preventive Therapy for Pregnancy in Rural Southeast Nigeria

Okedo‐Alex

Akamike

Nwafor

et al. 2022

Journal of Parasitology Research

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Background. The community plays key roles in protecting pregnant women in rural areas from malaria. This study assessed malaria experiences, knowledge, perceived roles in malaria prevention in pregnancy, and acceptability of community-directed distribution of intermittent preventive therapy (IPTp) for malaria in pregnancy in rural Southeast Nigeria. Methods. This study presents part of the baseline findings of a before-and-after study. Data was collected from 817 community members in Ebonyi State using interviewer-administered questionnaires and focus group discussions (FGDs). Data were analyzed using SPSS version 20 and thematic analysis. Results. The majority of the respondents were females (73.8%) with a mean age of 36.08 ± 15.4 . Most respondents (65.2%) had Insecticide-Treated Net (ITN) and fever in the past year (67.1%). Malaria (88.6%) was identified as the major health condition in the community. Majority (74.1%) knew infected mosquito bites as the cause of malaria while 61.1% and 71.5% were definitely sure that pregnant women and children were at risk for malaria. Sleeping under ITN (54.3%), clean environment (39.7%), and herbal medications (26.8%) were the main ways of malaria prevention cited. Only 18.4% of the participants rated their knowledge of IPTp as adequate, and only 9.3% knew the common drug names used for IPTp. The major perceived roles in malaria prevention in pregnancy were referral of pregnant women to the health facility, encouragement of household ITN use, and sustaining malaria-related projects. The majority of the participants (60.6%) strongly agreed that community-directed distribution of IPTp-SP will improve the prevention of malaria in pregnancy. Most (77.2%) considered community-directed distribution of IPTp acceptable, and 74.4% of the pregnant respondents preferred community to facility administration of IPTp. Conclusions. Malaria was recognized as a prevalent disease, but there was inadequate knowledge of malaria prevention in pregnancy notably intermittent preventive therapy. There was positive perception of roles in malaria prevention in pregnancy and high acceptability of community-directed distribution of IPTp. Community-level malaria control programs should utilize a whole-of–community approach to optimally engage and educate the community on malaria prevention in pregnancy as well as explore community distribution approach for IPTp.

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“We have this, with my husband, we live in harmony”: exploring the gendered decision-making matrix for malaria prevention and treatment in Nampula Province, Mozambique

Cited by 13 publications

References 25 publications

Malaria prevention knowledge, attitudes, and practices in Zambezia Province, Mozambique

Malaria prevention knowledge, attitudes, and practices in Zambezia Province, Mozambique

Knowledge, Attitudes, Practices, and Behaviours on Malaria Prevention in Zambezia Province, Mozambique

Community Malaria Knowledge, Experiences, Perceived Roles, and Acceptability of Community-Directed Distribution of Intermittent Preventive Therapy for Pregnancy in Rural Southeast Nigeria

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