ArticleBMC public health2020
An exploratory study of the acceptability of indoor residual spraying for malaria control in upper western Ghana.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Community-level barriers and facilitators of indoor residual spraying for malaria control: a systematic review of qualitative evidence from sub-Saharan Africa.Malaria journal · 2026Pooled it
- Strategic resource allocation for malaria elimination in endemic settings: a systematic review of cost-effectiveness evidence.Frontiers in public health · 2025Pooled it
- Initial community response to a novel spatial repellent for malaria prevention in Busia County, Kenya.Malaria journal · 2025Trial
- Community acceptance of a novel malaria intervention, Attractive Targeted Sugar Baits, in the Zambia phase III trial.Malaria journal · 2024Trial
- Linking health literacy to malaria prevention and treatment behaviours: evidence from a community-based study in Gabon.BMC health services research · 2026Article
- Acceptability of Integrated Vector Management ofTropical medicine and infectious disease · 2026Article
- Policy-practice gaps and barriers to the effective management of insecticide resistance in Tanzania.Malaria journal · 2026Article
- Household and community-based approaches to malaria and cholera prevention: A narrative review with case studies from Uganda and Mozambique.PLoS neglected tropical diseases · 2026Review
- Understanding perceptions of malaria control measures in Burundi: a qualitative descriptive study using a socio-ecological approach.Malaria journal · 2025Article
- Malaria control in Northern Ghana: a scoping review.Malaria journal · 2025Article
- Determinants of Malaria Vaccine Awareness Among Women in Ghana: Findings From the 2022 Ghana Malaria Indicator Survey.Public health challenges · 2025Article
- Approaches to Studying Religion and Public Health: A Narrative Review and Interdisciplinary Framework.Journal of religion and health · 2025Review
- Perceptions and practices of household heads toward malaria: a community based cross sectional study in Southwest Ethiopia.Malaria journal · 2025Article
- Effectiveness of family health education in malaria elimination programmes: a scoping review.Malaria journal · 2025Article
- Factors associated with vaccine default in Southern Ghana based on data from the RTSS malaria vaccine trial in Cape Coast.Scientific reports · 2025Article
- Risk factors for contracting malaria in six wards of Mudzi District, Zimbabwe: A case control-study.PloS one · 2025Article
- Knowledge and Practices of Women Regarding Malaria and Its Prevention: A Community-Based Study in an Area under Malaria Elimination Programme in Iran.Journal of arthropod-borne diseases · 2023Article
- Assessing national vector control micro-planning in Zambia using the 2021 malaria indicator survey.Malaria journal · 2023Article
- Altering of the sprayed wall after indoor residual spraying and associated factors among households in Boricha district, Sidama regional state, Ethiopia, 2019: community-based cross-sectional study.Malaria journal · 2023Article
- Prevalence of malaria infection and the impact of mosquito bed net distribution among children aged 6-59 months in Ghana: Evidence from the Ghana demographic health and malarial indicator surveys.Parasite epidemiology and control · 2023Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundDespite the implementation of the World Health Organisation's recommended indoor residual spraying (IRS) intervention in the upper west region of Ghana to reduce malaria morbidity and mortality, the uptake of this intervention remains low. This study explores the facilitators and barriers to the acceptability and community uptake of indoor residual spraying in a highly endemic region of Ghana.
methodsThe health belief model (HBM) and realist evaluation framework were used to inform the study. A qualitative enquiry was conducted between April to October 2016. Data were collected through focus group discussions and semi-structured interviews with program stakeholders including community members, AngloGold Ashanti malaria control (AGA Mal) spray operators, and AGA Mal officials.
resultsA total of 101 people participated in the study. Considerable barriers to community acceptance of indoor residual spraying (IRS) were found, including, dislike of spray insecticides, inadequate information, religious and cultural beliefs, perceived low efficacy of IRS, difficulties with packing, unprofessional conduct of IRS spray operators, and other operational barriers to spraying. Facilitators of IRS uptake included a perceived effectiveness of IRS in preventing malaria and reducing mosquito bites, incidental benefits, respect for authority, training and capacity building, and sensitization activities.
conclusionThe numerous barriers to indoor residual spraying acceptance and implications show that acceptance levels could be improved. However, measures are required to address householders' concerns and streamline operational barriers to increase community uptake of indoor residual spraying.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.