Knowledge, attitude, and adherence to malaria control guidelines and the prevalence of Plasmodium species infection in localities across transmission and ecological zones in Cameroon
BackgroundDespite a scale up of control interventions over the years, malaria remains a major public health and economic concern in Cameroon, contributing considerably to hospitalization and deaths. The effectiveness of control strategies depends on the extent of adherence by the population to natio...
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Frontiers Media S.A.
2023-04-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1060479/full |
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| author | Livinus N. Tangi Marcelus U. Ajonina Marcel N. Moyeh Marcel N. Moyeh Hanesh F. Chi Vincent N. Ntui Pilate N. Kwi Eric C. T. Toussi Mary Progress S. Fung FohTella Fah Joel M. Mayaba Franklin T. Formilack Veronica N. Ntasin Theobald M. Nji Emmanuel V. Yenshu Eric A. Achidi Alfred Amambua-Ngwa Tobias O. Apinjoh Tobias O. Apinjoh |
| author_facet | Livinus N. Tangi Marcelus U. Ajonina Marcel N. Moyeh Marcel N. Moyeh Hanesh F. Chi Vincent N. Ntui Pilate N. Kwi Eric C. T. Toussi Mary Progress S. Fung FohTella Fah Joel M. Mayaba Franklin T. Formilack Veronica N. Ntasin Theobald M. Nji Emmanuel V. Yenshu Eric A. Achidi Alfred Amambua-Ngwa Tobias O. Apinjoh Tobias O. Apinjoh |
| author_sort | Livinus N. Tangi |
| collection | DOAJ |
| description | BackgroundDespite a scale up of control interventions over the years, malaria remains a major public health and economic concern in Cameroon, contributing considerably to hospitalization and deaths. The effectiveness of control strategies depends on the extent of adherence by the population to national guidelines. This study assessed the influence of human knowledge, attitudes, and practices related to malaria and its control on the prevalence of malaria parasite infection, with implications for the elimination of the disease.MethodologyThis is a cross-sectional community and hospital-based study, covering the five ecological and three malaria transmission zones in Cameroon. A pre-tested semi-structured questionnaire was used to document socio-demographic and clinical parameters as well as knowledge, attitudes, and practices toward malaria control and management. Consenting participants were screened for malaria parasite with rapid diagnostic test (mRDT) of the peripheral blood. Association between qualitative variables was determined using the chi-square test and logistic regression analysis.ResultsA total of 3,360 participants were enrolled, 45.0% (1,513) of whom were mRDT positive, with 14.0% (451/3,216) and 29.6% (951/3,216) having asymptomatic parasitaemia and malaria, respectively. Although most participants knew the cause, symptoms, and control strategies, with 53.6% (1,000/1,867) expertly knowledgeable about malaria overall, only 0.1% (2/1,763) individuals were fully adherent to malaria control measures.ConclusionThe risk of malaria in Cameroon remains high, with the population considerably knowledgeable about the disease but poorly adherent to national malaria control guidelines. Concerted and more effective strategies aimed at improving knowledge about malaria and adherences to control interventions are necessary to ultimately eliminate the disease. |
| first_indexed | 2024-04-09T15:40:25Z |
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| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-09T15:40:25Z |
| publishDate | 2023-04-01 |
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| series | Frontiers in Public Health |
| spelling | doaj.art-fa9f2a4881304a9984d9fb3d8e4e06b72023-04-27T11:17:54ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-04-011110.3389/fpubh.2023.10604791060479Knowledge, attitude, and adherence to malaria control guidelines and the prevalence of Plasmodium species infection in localities across transmission and ecological zones in CameroonLivinus N. Tangi0Marcelus U. Ajonina1Marcel N. Moyeh2Marcel N. Moyeh3Hanesh F. Chi4Vincent N. Ntui5Pilate N. Kwi6Eric C. T. Toussi7Mary Progress S. Fung8FohTella Fah9Joel M. Mayaba10Franklin T. Formilack11Veronica N. Ntasin12Theobald M. Nji13Emmanuel V. Yenshu14Eric A. Achidi15Alfred Amambua-Ngwa16Tobias O. Apinjoh17Tobias O. Apinjoh18Department of Microbiology and Parasitology, University of Buea, Buea, CameroonDepartment of Microbiology and Parasitology, University of Buea, Buea, CameroonDepartment of Biochemistry and Molecular Biology, University of Buea, Buea, CameroonDepartment of Chemical and Biological Engineering, The University of Bamenda, Bambili, CameroonDepartment of Microbiology and Parasitology, University of Buea, Buea, CameroonDepartment of Biochemistry and Molecular Biology, University of Buea, Buea, CameroonDepartment of Biochemistry and Molecular Biology, University of Buea, Buea, CameroonDepartment of Biochemistry and Molecular Biology, University of Buea, Buea, CameroonDepartment of Sociology and Anthropology, University of Buea, Buea, CameroonDepartment of Accounting, The University of Bamenda, Bambili, CameroonDepartment of Biochemistry and Molecular Biology, University of Buea, Buea, CameroonDepartment of Biochemistry and Molecular Biology, University of Buea, Buea, CameroonDepartment of Biochemistry and Molecular Biology, University of Buea, Buea, CameroonDepartment of Sociology and Anthropology, University of Buea, Buea, CameroonDepartment of Sociology and Anthropology, University of Buea, Buea, CameroonDepartment of Biochemistry and Molecular Biology, University of Buea, Buea, CameroonMedical Research Council Unit, The Gambia at London School of Hygiene and Tropical Medicine, Fajara, GambiaDepartment of Biochemistry and Molecular Biology, University of Buea, Buea, CameroonDepartment of Chemical and Biological Engineering, The University of Bamenda, Bambili, CameroonBackgroundDespite a scale up of control interventions over the years, malaria remains a major public health and economic concern in Cameroon, contributing considerably to hospitalization and deaths. The effectiveness of control strategies depends on the extent of adherence by the population to national guidelines. This study assessed the influence of human knowledge, attitudes, and practices related to malaria and its control on the prevalence of malaria parasite infection, with implications for the elimination of the disease.MethodologyThis is a cross-sectional community and hospital-based study, covering the five ecological and three malaria transmission zones in Cameroon. A pre-tested semi-structured questionnaire was used to document socio-demographic and clinical parameters as well as knowledge, attitudes, and practices toward malaria control and management. Consenting participants were screened for malaria parasite with rapid diagnostic test (mRDT) of the peripheral blood. Association between qualitative variables was determined using the chi-square test and logistic regression analysis.ResultsA total of 3,360 participants were enrolled, 45.0% (1,513) of whom were mRDT positive, with 14.0% (451/3,216) and 29.6% (951/3,216) having asymptomatic parasitaemia and malaria, respectively. Although most participants knew the cause, symptoms, and control strategies, with 53.6% (1,000/1,867) expertly knowledgeable about malaria overall, only 0.1% (2/1,763) individuals were fully adherent to malaria control measures.ConclusionThe risk of malaria in Cameroon remains high, with the population considerably knowledgeable about the disease but poorly adherent to national malaria control guidelines. Concerted and more effective strategies aimed at improving knowledge about malaria and adherences to control interventions are necessary to ultimately eliminate the disease.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1060479/fullknowledgeattitudepracticeadherencePlasmodium infection |
| spellingShingle | Livinus N. Tangi Marcelus U. Ajonina Marcel N. Moyeh Marcel N. Moyeh Hanesh F. Chi Vincent N. Ntui Pilate N. Kwi Eric C. T. Toussi Mary Progress S. Fung FohTella Fah Joel M. Mayaba Franklin T. Formilack Veronica N. Ntasin Theobald M. Nji Emmanuel V. Yenshu Eric A. Achidi Alfred Amambua-Ngwa Tobias O. Apinjoh Tobias O. Apinjoh Knowledge, attitude, and adherence to malaria control guidelines and the prevalence of Plasmodium species infection in localities across transmission and ecological zones in Cameroon Frontiers in Public Health knowledge attitude practice adherence Plasmodium infection |
| title | Knowledge, attitude, and adherence to malaria control guidelines and the prevalence of Plasmodium species infection in localities across transmission and ecological zones in Cameroon |
| title_full | Knowledge, attitude, and adherence to malaria control guidelines and the prevalence of Plasmodium species infection in localities across transmission and ecological zones in Cameroon |
| title_fullStr | Knowledge, attitude, and adherence to malaria control guidelines and the prevalence of Plasmodium species infection in localities across transmission and ecological zones in Cameroon |
| title_full_unstemmed | Knowledge, attitude, and adherence to malaria control guidelines and the prevalence of Plasmodium species infection in localities across transmission and ecological zones in Cameroon |
| title_short | Knowledge, attitude, and adherence to malaria control guidelines and the prevalence of Plasmodium species infection in localities across transmission and ecological zones in Cameroon |
| title_sort | knowledge attitude and adherence to malaria control guidelines and the prevalence of plasmodium species infection in localities across transmission and ecological zones in cameroon |
| topic | knowledge attitude practice adherence Plasmodium infection |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1060479/full |
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