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BMC Res Notes. 2015 Apr 19;8:162. doi: 10.1186/s13104-015-1124-x.

Knowledge and perceptions about malaria in communities in four districts of the Central African Republic.

Author information

1
University of Bangui, PO Box 1450, Bangui, Central African Republic. bobossi@yahoo.fr.
2
Complexe Pédiatrique de Bangui, Ministry of Public Health, Population and AIDS Control, PO Box 883, Bangui, Central African Republic. bobossi@yahoo.fr.
3
Malaria Programme Division, Ministry of Public Health, Population and AIDS Control, PO Box 883, Bangui, Central African Republic. methodemoyen@yahoo.fr.
4
Complexe Pédiatrique de Bangui, Ministry of Public Health, Population and AIDS Control, PO Box 883, Bangui, Central African Republic. fioboyrosine@yahoo.fr.
5
United Nations Population Fund, Bangui, PO Box 873, Bangui, Central African Republic. beynar6@yahoo.fr.
6
Complexe Pédiatrique de Bangui, Ministry of Public Health, Population and AIDS Control, PO Box 883, Bangui, Central African Republic. kango.cyriaque@yahoo.fr.
7
Complexe Pédiatrique de Bangui, Ministry of Public Health, Population and AIDS Control, PO Box 883, Bangui, Central African Republic. banguecolette@yahoo.fr.
8
Institut Pasteur of Bangui, PO Box 923, Bangui, Central African Republic. amanirak@yahoo.fr.

Abstract

BACKGROUND:

Implementation of malaria control strategies may face major social and cultural challenges. Hence, understanding local knowledge about malaria helps in designing sustainable community-based malaria control programmes. We designed a pilot survey in communities in the Central African Republic to evaluate recognition of malaria symptoms, perceptions of the causes of malaria and knowledge of key preventive measures.

METHODS:

This cross-sectional study was conducted in four districts. Households were selected by multi-stage cluster random sampling, with villages (in Lobaye, Ouham and Ouaka) and boroughs (in Bangui City) as first-stage units and households as second-stage units. A total of 2920 householders were interviewed.

RESULTS:

Most of the respondents attributed malaria to mosquito bites (65.5%), but less than 50% were familiar with the classical symptoms of malaria. Hygiene and sanitation were the most frequently mentioned methods for preventing malaria (81.1%). Despite the relatively high rate of ownership of insecticide-treated nets (72.1%), community perception of these nets as a preventive measure against mosquito bites was very low (6.5%).

CONCLUSIONS:

The correct perceptions that mosquitoes cause malaria transmission and of environmental management for prevention are encouraging; however, awareness about the usefulness of insecticide treated-nets for malaria prevention must be raised. This study provided the national malaria control programme with baseline data for planning appropriate health education in communities.

PMID:
25898111
PMCID:
PMC4405816
DOI:
10.1186/s13104-015-1124-x
[Indexed for MEDLINE]
Free PMC Article

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