Assessing community knowledge, attitude and practices to strengthen communication strategy for Malaria Elimination Demonstration Project in Mandla

Rajvanshi, Harsh; Saha, Kallol; Sharma, Rimple; Bharti, Praveen K.; Nisar, Sekh; Jayswar, Himanshu; Mishra, A. K.; Shukla, Man Mohan; Das, Ashim; Kaur, Harpreet; Wattal, Suman L.; Lal, Altaf A.

doi:10.1186/s12936-021-03884-y

Cited by 19 publications

(23 citation statements)

References 11 publications

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“…The incidence of stagnant water collides with the advent of rains during the transmission season, hence, a similar pattern was captured during the monitoring visits. This issue has been documented by companion studies of MEDP [ 17 , 19 , 30 ] and others in the same district [ 31 ].…”

Section: Discussionmentioning

confidence: 73%

Monitoring of the Village Malaria Workers to conduct activities of Malaria Elimination Demonstration Project in Mandla, Madhya Pradesh

Rajvanshi¹,

Bharti

Sharma

et al. 2022

Malar J

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Background The capacity of the field staff to conduct activities related to disease surveillance, case management, and vector control has been one of the key components for successfully achieving malaria elimination. India has committed to eliminate malaria by 2030, and it has placed significance on monitoring and evaluation at the district level as one of the key strategies in its national framework. To support and guide the country’s malaria elimination objectives, the Malaria Elimination Demonstration Project was conducted in the tribal district of Mandla, Madhya Pradesh. Robust monitoring of human resources received special attention to help the national programme formulate a strategy to plug the gaps in its supply chain and monitoring and evaluation systems. Methods A monitoring tool was developed to test the capabilities of field workers to conduct activities related to malaria elimination work. Between November 2018 to February 2021, twenty-five Malaria Field Coordinators (MFCs) of the project utilized this tool everyday during the supervisory visits for their respective Village Malaria Workers (VMWs). The data was analysed and the scores were tested for variations against different blocks, educational status, duration of monitoring, and post-training scores. Results During the study period, the VMWs were monitored a total of 8974 times using the monitoring tool. Each VMW was supervised an average of 1.8 times each month. The critical monitoring indicators scored well in all seven quarters of the study as monitored by the MFCs. Monitoring by MFCs remained stable at 97.3% in all quarters. Contrary to expectations, the study observed longer diagnosis to treatment initiation time in urban areas of the district. Conclusion This study demonstrated the significance of a robust monitoring tool as an instrument to determine the capacity of the field workers in conducting surveillance, case management, and vector control related work for the malaria elimination programme. Similar tools can be replicated not only for malaria elimination, but other public health interventions as well.

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Section: Discussionmentioning

confidence: 73%

Monitoring of the Village Malaria Workers to conduct activities of Malaria Elimination Demonstration Project in Mandla, Madhya Pradesh

Rajvanshi¹,

Bharti

Sharma

et al. 2022

Malar J

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“…Another typical consequence of the decrease in malaria transmission in pre-elimination contexts is a decrease in malaria risk perception, knowledge about the disease, practice of the preventive measures [22][23][24][25] .…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, it is essential to raise and maintain awareness and a sustained level of information on malaria in the communities but also among health professionals working with communities 22,23,47,48,54,55 .…”

Section: Towards Malaria Elimination: Sustaining Efforts and Engaging...mentioning

confidence: 99%

Impact of Malakit intervention on perceptions, knowledge, attitudes, and practices related to malaria among workers in clandestine gold mines in French Guiana: results of multicentric cross-sectional surveys over time

Longchamps

Galindo

Lambert

et al. 2022

Preprint

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BackgroundClandestine gold miners remain key hosts for malaria in French Guiana (FG) who contribute to imported malaria cases in Suriname and Brazil. The Malakit intervention, implemented in FG borders with Suriname and Brazil, provided gold miners with training on malaria and kits for self-diagnosis and self-treatment. Having shown a likely impact on malaria transmission, Suriname has now implemented it in routine care for cross-border moving populations. However, a decrease in malaria transmission is frequently associated with a decrease in risk perception, knowledge, and good practices regarding malaria. This study aims to describe the evolution of the perceptions, knowledge, attitudes, and practices (KAP) related to malaria among clandestine gold miners between 2015 and 2019 and to estimate the impact of Malakit on the FG/Suriname border. MethodThe primary outcome was the overall KAP score over time and among participants and not participantsin the Malakit intervention. A propensity score matching analysis and an inverse probability of treatment weighing analysis were used to estimate the Average Treatment effect on the Treated and the Average Treatment Effect of Malakit respectively.ResultsPerception and knowledge scores were significantly lower in 2019 compared to 2015 ( -0.27 and -0.23 points respectively, p<0.001) while attitude and practice scores were higher (respectively +0.16 and +0.47 points, p<0.001). The overall KAP score was significantly higher among participants in Malakit with both propensity score matching (+0.72 points, 95%IC [0.29; 1.15]) and inverse probability of treatment weighting analysis (+0.70 points, 95%IC [0.34; 1.05]).ConclusionWe observed a decrease in perception and knowledge about malaria but an improvement of attitudes and practices as the incidence of malaria decreased. The Malakit intervention seems to have a significant positive impact on the overall KAP related to malaria.The integration of this strategy into malaria control programs could help to improve the KAP, even in areas where malaria is nearly eliminated, through optimal training and health empowerment. TRIAL REGISTRATIONClinicalTrials.gov registration number : NCT03695770

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“…The highly suitable climate makes Assam hyper-endemic for malaria, despite numerous intervention strategies that have been undertaken since the establishment of the National Malaria Control Programme in 1953 ( 15 ). Some of the critical intervention strategies adopted by the Programme are active surveillance of malaria cases, periodic administration of Indoor Residual Spray, distribution of Long-lasting insecticidal nets/ Insecticide-treated bed nets (LLINs/ITNs), distribution of anti-malarial drugs and improving the knowledge and practices of the community through Information Education Communication (IEC) and Behavioral Change Communication (BCC) activities ( 16 , 17 ).…”

Section: Introductionmentioning

confidence: 99%

Moderate Rainfall and High Humidity During the Monsoon Season, Negligence in Using Malaria Protection Methods and High Proportion of Mild Symptomatic Patients Were the Driving Forces for Upsurge of Malaria Cases in 2018 Among Tea Tribe Populations in Endemic Dolonibasti Health Sub-center, Udalguri District, Assam State, North-East India

et al. 2022

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Malaria elimination is a global priority, which India has also adopted as a target. Despite the malaria control efforts like long-lasting insecticidal nets distribution, rounds of indoor residual spray, the introduction of bi-valent rapid diagnostic tests and artemisinin combination therapy, malaria remained consistent in Dolonibasti sub-center of Orang block primary health center (BPHC) under the district Udalguri, Assam state followed by abrupt rise in cases in 2018. Therefore, we aimed to investigate the factors driving the malaria transmission in the outbreak area of Dolonibasti sub-center. Malaria epidemiological data (2008–2018) of Udalguri district and Orang BPHC was collected. The annual (2011-2018) and monthly (2013–2018) malaria and meteorological data of Dolonibasti sub-center was collected. An entomological survey, Knowledge, Attitude and Practices study among malaria cases (n = 120) from Dolonibasti was conducted. In 2018, 26.1 % (2136/ 8188) of the population of Dolonibasti were found to be malaria positive, of which 55% were adults (n = 1176). Majority of cases were from tea tribe populations (90%), either asymptomatic or with fever only, 67.5 % (81/120) had experienced malaria infection during past years. The outbreak was characterized by a strong increase in cases in June 2018, high proportion of slide falciparum rate of 26.1% (other years average, 15.8%) and high proportion of P. falciparum of 81.2 % (other years average, 84.3%). Anopheles minimus s.l. was the major vector with 28.6% positivity and high larval density in paddy fields/ drainage area. Annual relative humidity was associated with rise in malaria cases, annual parasite incidence (rs = 0.69, 90%CI; p = 0.06) and slide positivity rate (rs = 0.83, 95%CI; p = 0.01). Older people were less educated (rs = −0.66; p < 0.001), had lesser knowledge about malaria cause (rs = −0.42; χ2=21.80; p < 0.001) and prevention (rs = −0.18; p = 0.04). Malaria control practices were followed by those having knowledge about cause of malaria (rs = 0.36; χ2 = 13.50; p < 0.001) and prevention (rs = 0.40; χ2 = 17.71; p < 0.001). Altogether, 84.6% (44/52) of the respondents did not use protective measures. We described a sudden increase in malaria incidence in a rural, predominantly tea tribe population group with high illiteracy rate and ignorance on protective measures against malaria. More efforts that are concerted needed to educate the community about malaria control practices.

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Assessing community knowledge, attitude and practices to strengthen communication strategy for Malaria Elimination Demonstration Project in Mandla

Cited by 19 publications

References 11 publications

Monitoring of the Village Malaria Workers to conduct activities of Malaria Elimination Demonstration Project in Mandla, Madhya Pradesh

Monitoring of the Village Malaria Workers to conduct activities of Malaria Elimination Demonstration Project in Mandla, Madhya Pradesh

Impact of Malakit intervention on perceptions, knowledge, attitudes, and practices related to malaria among workers in clandestine gold mines in French Guiana: results of multicentric cross-sectional surveys over time

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