Evidence map›Paper›PMID 39686915›Full record

ArticleTropical medicine & international health : TM & IH2025

Knowledge of local snakes, first-aid and prevention of snakebites among community health workers and community members in rural Malawi: A cross-sectional study.

Moses Banda Aron, Fabien Munyaneza, Anat Rosenthal, Luckson Dullie, Ralf Krumkamp, Enoch Ndarama, Bright Mailosi, Jürgen May, Basimenye Nhlema, Clara Sambani and 5 more

Abstract read
In one paragraph

Article in Tropical medicine & international health : TM & IH, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

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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

15 authors.

Moses Banda AronNeglected Diseases and Envenoming, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID https://orcid.org/0000-0001-6625-217X
Fabien MunyanezaPartners In Health/Abwenzi Pa Za Umoyo, Neno, Malawi.ORCID https://orcid.org/0000-0002-8744-2113
Anat RosenthalDepartment of Health Policy and Management, Ben-Gurion University of the Negev, Beersheba, Israel.ORCID https://orcid.org/0000-0003-4641-6645
Luckson DulliePartners In Health/Abwenzi Pa Za Umoyo, Neno, Malawi.ORCID https://orcid.org/0000-0002-2883-2429
Ralf KrumkampDepartment of Infectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID https://orcid.org/0000-0003-3053-476X
Enoch NdaramaNeno District Health Office, Neno, Malawi.ORCID https://orcid.org/0000-0002-5361-604X
Bright MailosiPartners In Health/Abwenzi Pa Za Umoyo, Neno, Malawi.ORCID https://orcid.org/0000-0001-9089-0163
Jürgen MayDepartment of Infectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID https://orcid.org/0000-0001-7831-8420
Basimenye NhlemaPartners In Health/Abwenzi Pa Za Umoyo, Neno, Malawi.ORCID https://orcid.org/0009-0008-9838-0166
Clara SambaniDepartment of Research, Ministry of Health, Lilongwe, Malawi.ORCID https://orcid.org/0009-0008-5952-4454
Deborah HosemannNeglected Diseases and Envenoming, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID https://orcid.org/0009-0005-9573-895X
Jade RaeNeglected Diseases and Envenoming, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID https://orcid.org/0000-0001-7510-1795
Paul RahdenNeglected Diseases and Envenoming, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID https://orcid.org/0009-0003-9008-9335
Jörg BlessmannNeglected Diseases and Envenoming, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID https://orcid.org/0000-0002-8089-0546
Benno KreuelsNeglected Diseases and Envenoming, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID https://orcid.org/0000-0003-2315-8954

Funding

Royal Society of Tropical Medicine and Hygiene (RSTMH)Wellcome Trust
6 · The paper itself

Abstract

objectiveSnakebite envenoming remains a public health threat in many tropical countries. While community knowledge of local snakes and snakebite first-aid and prevention are needed to reduce snakebite incidence and improve the outcomes for snakebite patients, it is poor in many communities. We assessed community health workers and community members regarding their knowledge on local snakes, snakebite first-aid and prevention in Neno district, Malawi.

methodsIn November 2022, we conducted a cross-sectional survey among 312 community health workers and 379 community members in the Neno District of Malawi to assess their knowledge of snake identification, snakebite first-aid, and prevention. Different questions were asked in these sections and summarised as linear scores ranging from 0% to 100%. Scores of 0%-49%, 50%-70%, and >70% were considered inadequate, fairly adequate, and adequate, respectively. Along with data collected during knowledge assessments, the socio-demographic characteristics of participants were collected. To assess knowledge differences between community health workers and community members, Pearson's chi-square or Fisher's exact tests were used, and linear regression was calculated to investigate possible predictors of knowledge.

resultsOverall, 66.6% of participants were females with a median age of 39 (IQR = 30-48) years. Of the 89% (n = 615) who agreed to view snake pictures, only 1.3% had adequate snake identification knowledge. Less than 5% (n = 33) had adequate knowledge of first aid measures, and 14.3% (n = 99) had adequate knowledge of prevention practices. Overall, less than 1% (n = 3) had adequate knowledge across the three assessment sections, with no significant difference between community health workers (n = 1, 0.3%) and community members (n = 2, 0.5%) (p > 0.949).

conclusionBoth community health workers and community members had inadequate knowledge regarding local snake species, first aid for snakebites and prevention measures. The effect of awareness campaigns and other education initiatives could be explored to help improve these gaps.

Indexed as

Community Health WorkersFirst AidHealth Knowledge, Attitudes, PracticeSnake BitesSnakesAdultAnimalsCross-Sectional StudiesFemaleHumansMalawiMaleMiddle AgedRural PopulationYoung Adultcommunity membersfirst‐aidknowledgelocal snakespreventionsnakebite

Identifiers

PMID39686915
PMCPMC11791875

What OpenQuestion holds

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Registered trials

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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.