Evidence map›Paper›PMID 36732822›Full record

ArticleMalaria journal2023

Socio-demographic trends in malaria knowledge and implications for behaviour change interventions in Zanzibar.

Faiza Abbas, Emmanuel Kigadye, Fauzia Mohamed, Mwinyi Khamis, John Mbaraka, Naomi Serbantez, Abdul-Wahid Al-Mafazy, April Monroe, Samson Kiware

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

Faiza AbbasZanzibar Malaria Elimination Programme (ZAMEP), Ministry of Health, Zanzibar, United Republic of Tanzania. faizaabbas@yahoo.com.
Emmanuel KigadyeThe Open University of Tanzania, Dar es Salaam, United Republic of Tanzania.
Fauzia MohamedThe Open University of Tanzania, Dar es Salaam, United Republic of Tanzania.
Mwinyi KhamisZanzibar Malaria Elimination Programme (ZAMEP), Ministry of Health, Zanzibar, United Republic of Tanzania.
John MbarakaIfakara Health Institute, Dar es Salaam, United Republic of Tanzania.
Naomi SerbantezUS President's Malaria Initiative, U.S. Agency for International Development, Dar es Salaam, United Republic of Tanzania.
Abdul-Wahid Al-MafazyRTI International, Dar es Salaam, United Republic of Tanzania.
April MonroeJohns Hopkins Center for Communication Programs, Baltimore, MD, USA.
Samson KiwareIfakara Health Institute, Dar es Salaam, United Republic of Tanzania.
Ifakara Health Institute · TZOpen University of Tanzania · TZZanzibar University · TZJohns Hopkins University · USPlan International Tanzania · TZ

Funding

Gates Foundation INV-016807
6 · The paper itself

Abstract

backgroundZanzibar is among the few places within East Africa that have documented a significant reduction of malaria morbidity and mortality. Despite tremendous gains over the past decade, malaria transmission still persists in Zanzibar. This study aimed at understanding levels of malaria knowledge to provide recommendations that can be used to reinforce and scale up targeted malaria social and behaviour change interventions.

methodsA descriptive cross-sectional survey was conducted through an administered questionnaire to 431 households selected randomly. The interviewees were the heads of household or representative adults above 18 years. This study investigated the levels of knowledge about the causes, symptoms, and prevention of malaria in areas with high (> 1.9 per 1000) and low (< 1 per 1000) incidence of local malaria cases. The Principal Component Analysis (PCA) was used to compute the composite variable of each category. Descriptive statistics were calculated to understand variables of interest between low and high transmission areas. Multinomial logistic regression model was used to compare knowledge on malaria based on key variables.

resultsA total of 431 heads of households were interviewed. Respondent age, education level, and wealth status were significantly associated with variations in level of malaria knowledge. Old age was found to be significantly associated with low knowledge of malaria (P < 0.001). The majority of study participants who had secondary and higher education levels had good knowledge of malaria (P < 0.006). Participants characterized as middle-income had good knowledge compared to those characterized as low-income (P < 0.001).

conclusionThe study identified existing gaps in malaria knowledge in low and high transmission areas. Low levels of malaria knowledge were documented among elderly and populations with lower education and income levels. There is a need to extend mobilization, advocacy, and expand channels of communication to reach all community members. The reported gaps in knowledge are important to consider when designing strategies to engage communities in malaria elimination in Zanzibar. Tailored social and behavioural change interventions aiming to increase malaria knowledge could enhance the uptake of malaria prevention services in the community.

Indexed as

Health Knowledge, Attitudes, PracticeMalariaAdultAgedCross-Sectional StudiesFamily CharacteristicsHumansTanzaniaIncidenceInterventionKnowledge on malariaLocal malaria transmissionTailored SBCZanzibar

Identifiers

PMID36732822
PMCPMC9896669
OpenAlexW4318982863

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.