Knowledge, Attitude, Perception and Practice Influencing the Occurrence of Malaria in Households of Peri-Urban Communities in Abuja

K. Eze, B. Olugasa
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Abstract

Malaria is unique among diseases because its roots lie so deep within human communities. Malaria is a threat to more than 40% of the world's population. The role of household residents and communities cannot be overemphasized. The study examined the knowledge, attitude and practice influencing the occurrence of malaria in households of Peri-Urban Communities in Abuja. The study adopted a cross-sectional survey research that is guided by the Health Belief Model using quantitative methods of data collection. The study employed a multi-staged sampling technique to select 414 households in Abaji and Kuje peri-urban communities in Abuja. However, 385 household residents of peri-urban communities participated in the study. Research questions and hypotheses were formulated and were tested using the SPSS version 27 to compute descriptive and inferential statistics which were tested at a 5% level of confidence. Majority of respondents 47.5% are above the age of 36years with the mean age of 47.1± 19.8. findings revealed that 59.9% of the residents had good level of knowledge of malaria among households residents in peri-urban communities in Abuja mean of 16.3 ± 4.07, 46.7% of the households residents had good level of attitude towards malaria prevention in the peri-urban communities in Abuja 21.9 ±Std. Dev = 2.96 more than forty percent of the participants had a good level of practice of malaria prevention among households residents of peri-urban communities in Abuja Mean 21.9±. .96. From the test of hypothesis, the first hypothesis showed there was a significant relationship between knowledge level of households and attitude towards occurrence of Malaria in Peri Urban Communities in Abuja (R=0.803, p< 0.000). The second hypothesis indicated that there was a significant relationship between demographic characteristics (Age, marital status, family type, level of education and religion) and attitude towards the occurrence of Malaria in Peri Urban Communities in Abuja (p< 0.000) The third hypothesis showed that both perceived susceptibility and perceived barriers was significant predictor of knowledge of malaria occurrence among household residents of Peri-Urban communities. The calculated R Square and p-value for perceived susceptibility and barriers is: 0.716 which signifies 71.6% contribution to knowledge of occurrence of malaria among household residents of Peri-Urban communities (p=0.000) In conclusion, the study established that there was a good level of knowledge and attitude about malaria while there was high perceived seriousness of malaria while there was low level of perceived barrier toward malaria. It is therefore important for a development of social, communication and behavior change on prevention of malaria occurrence among household residents in communities. Government should also provide malaria prevention tools like ITN, drugs and vaccination for residents of peri-urban communities.
阿布贾近郊社区家庭中影响疟疾发生的知识、态度、观念和行为
疟疾在各种疾病中是独一无二的,因为它深深扎根于人类社会。疟疾对世界40%以上的人口构成威胁。家庭居民和社区的作用怎么强调都不过分。该研究调查了阿布贾城郊社区家庭中影响疟疾发生的知识、态度和做法。本研究采用以健康信念模型为指导的横断面调查研究,采用数据收集的定量方法。该研究采用了多阶段抽样技术,在阿布贾的Abaji和Kuje城郊社区选择了414户家庭。然而,385名城市周边社区的家庭居民参与了这项研究。研究问题和假设被制定,并使用SPSS版本27进行测试,以计算描述性和推断性统计,在5%的置信度水平进行测试。年龄在36岁以上的占47.5%,平均年龄(47.1±19.8)岁。调查结果显示,阿布贾市城郊社区家庭居民对疟疾知识知晓程度较高的占59.9%,平均为16.3±4.07;阿布贾市城郊社区家庭居民对疟疾预防态度良好的占46.7%,平均为21.9±Std。在阿布贾市城郊社区家庭居民中,40%以上的参与者具有良好的疟疾预防实践水平(平均21.9±0.96)。从假设检验来看,第一个假设显示阿布贾周边城市社区家庭知识水平与对疟疾发生的态度存在显著关系(R=0.803, p< 0.000)。假设2表明人口统计学特征(年龄、婚姻状况、家庭类型、教育程度和宗教)与阿布贾城市周边社区居民对疟疾发生的态度存在显著相关(p< 0.000);假设3表明感知易感性和感知障碍都是城市周边社区居民疟疾发生知识的显著预测因子。感知易感性和感知障碍的R方和p值计算为:0.716,表明城市周边社区家庭居民对疟疾发生知识的贡献率为71.6% (p=0.000)。研究表明,城市周边社区家庭居民对疟疾的认知和态度水平较高,对疟疾严重程度的认知较高,对疟疾的感知障碍水平较低。因此,在社区家庭居民中发展预防疟疾的社会、沟通和行为改变是很重要的。政府还应向城郊社区的居民提供诸如ITN、药物和疫苗接种等疟疾预防工具。
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