''Communication interventions and their role in malaria prevention and prevalence: A case study of Kaole''
Date
2014-02-07
Authors
Nyirongo, Terence
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Abstract
In 2007, 4.3 million cases of malaria (confirmed and unconfirmed) were reported by
the Ministry of Health countrywide with 6,149 deaths. The annual malaria incidence
was estimated at 358 cases per 1,000 population in 2007, a drop from 412 cases per
1,000 population in 2006, (Zambia Health Demographic survey 2010). The tow on the
country’s resources that the disease continues to have has led to a drain on both
human resource as well as health resources. Malaria has therefore been recognised as
a major cause of poverty and poverty exacerbates the malaria situation (UNICEF,
2000:1). The recognition that the fight to reduce on such statistics also falls on the
communities affected has resulted in communication campaigns and interventions
seeking to educate the masses on prevention measures. This report is an attempt to
investigating the role that communication campaigns and interventions play in malaria
prevention and prevalence.Malaria prevention efforts have so far been based on the provision of malaria prevention medication and educating the people on how to use prevention implements such as mosquito nets as well as what they should do for effective treatment.However, trends have shown that even where such implements and communication
campaigns have been disbursed, malaria incidence has not reduced to levels
envisioned by country and international projection such as the Millennium
Development Goals (MDGs).The study sought to investigate the role that communication campaigns and interventions play in the malaria prevention and prevalence in Kaole Ward of Mansa.Results from the study revealed that people of the sampled Chitakwa, and Kabwesha Villages, Spark Compound, and Zambia Compound and Farm Institute are aware of the malaria prevention measures and the importance of use of prevention implements
such as mosquito nets, Indoor Residual Spraying (IRS), Intermittent Preventive
Treatment in pregnancy (IPTp) and environmental management but do not use them
as required. The study revealed a high discrepancy between mosquito net ownership
and usage as well as consistency in usage calling into attention the need to change
people’s behaviour. It also revealed gaps in information which has also contributed to
misconceptions and perpetuation of locally held myths and beliefs while positive
indicators were seen in treatment seeking behaviour and Ante natal attendance
facilitating the receiving of Intermittent Preventive Treatment in pregnancy (IPTp). It
was revealed that whiles awareness levels were high, they did not correspond to
changes in behaviour which could interpret into adoption and adherence to the
messages in the communication campaigns. This was achieved using a triangulated
research design approach utilising research instruments on both qualitative and
quantitative methods from a randomly sampled 151 households in Kaole Ward of
Mansa.
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Keywords
Development Theories , Malaria prevention-Kaole, Zambia