Knowledge, attitudes, and practices regarding malaria in rural Uganda: a cross-sectional study.

MalariaWorld journal Pub Date : 2025-06-30 eCollection Date: 2025-01-01 DOI:10.5281/zenodo.15776707
Michelle L Cathorall, Andrew Peachey, Saidah Najjuma
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Abstract

Background: Malaria is endemic in 96% of Uganda, making targeted malaria prevention programming critical to malaria elimination. In areas with low transmission rates prevention resources are limited to mass distribution of bednets every three years. Mosquito nets remain one of the most efficient and affordable malaria prevention strategies. While net distributions have increased net ownership, that has not translated to a comparable increase in net use. The Luwero District is one of two areas with increased rates of severe malaria between 2017-2021. Findings from previous studies indicate that there are a variety of factors associated with individuals choosing not to use a net even when available.

Materials and methods: This study examined community members' knowledge about malaria, their prevention methods, net ownership, net characteristics, and net use. Using a convenience sample of 106 adults, quantitative data were collected using a structured, in-person survey in four villages in central rural Uganda. Questions and response categories were read aloud; the researcher documented each response electronically. Descriptive statistics were used to characterise the sample populations. Theoretical constructs were compared between those with and without a recent diagnosis of malaria with the household. Logistic regression was used to determine the association between the theoretical constructs and recent malaria diagnosis after controlling for demographic characteristics.

Results: Findings from this study indicate high rates of net ownership and self-reported use within the rural areas. Perceived susceptibility and barriers were greater among those with a recent diagnosis of malaria within the household. The positive association remained significant after controlling for household size.

Conclusion: Understanding the specific factors related to individuals' knowledge and use of bednets is key to reducing rates of severe malaria.

乌干达农村地区关于疟疾的知识、态度和做法:一项横断面研究。
背景:疟疾在乌干达96%的地区流行,因此有针对性的疟疾预防规划对消除疟疾至关重要。在传播率低的地区,预防资源仅限于每三年大规模分发一次蚊帐。蚊帐仍然是最有效和负担得起的疟疾预防战略之一。虽然净分配增加了净拥有量,但这并没有转化为净使用量的相应增加。卢韦罗区是2017-2021年期间严重疟疾发病率上升的两个地区之一。先前的研究结果表明,有多种因素与个人选择不使用蚊帐有关,即使有蚊帐。材料和方法:本研究调查了社区成员关于疟疾的知识、预防方法、蚊帐所有权、蚊帐特征和蚊帐使用情况。在乌干达中部农村的四个村庄,利用106名成年人的方便样本,通过结构化的面对面调查收集了定量数据。大声朗读问题和回答类别;研究人员以电子方式记录了每个回答。使用描述性统计来描述样本群体的特征。理论结构比较了最近有和没有疟疾诊断的家庭。在控制人口统计学特征后,使用逻辑回归来确定理论结构与近期疟疾诊断之间的关联。结果:本研究的结果表明,农村地区的净拥有率和自我报告使用率很高。在家庭内最近诊断出疟疾的人中,感知到的易感性和障碍更大。在控制家庭规模后,正相关仍然显著。结论:了解与个人蚊帐知识和使用相关的具体因素是降低重症疟疾发病率的关键。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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