ArticleBMJ public health2026
Knowledge, attitudes and practices towards uncomplicated malaria management and LLIN use in Kumba and Muyuka, Cameroon: a cross-sectional study.
Article in BMJ public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Uncomplicated malaria (UM) remains a major public health concern in Cameroon. This study assessed knowledge, attitudes, prevention practices and care-seeking behaviours related to UM in Kumba and Muyuka, Southwest Region. Methods: A cross-sectional survey was conducted between March and June 2025 among adults (≥18 years), residing in the area for at least 3 months. Multistage sampling yielded 638 valid responses in Kumba and 606 in Muyuka. Data were collected using structured interviewer-administered questionnaires. Descriptive statistics, Pearson correlation (r), Pearson χ Results: Comprehensive knowledge was poor: only 13.0% in Kumba and 14.9% in Muyuka demonstrated good knowledge although fever was widely recognised (86.1%). Long-lasting insecticidal net ownership was significantly higher in Kumba (81.7%) than in Muyuka (57.1%). Correlation analysis revealed that while knowledge and attitudes were independently associated with practices, knowledge did not significantly correlate with attitudes (r=0.045, p=0.114). In multivariate analysis, younger age, male gender, good knowledge, positive attitudes and good access to malaria information emerged as significant independent predictors of good preventive practices, with specific drivers varying between municipalities. Conclusion: Despite high recognition of fever as a symptom, comprehensive malaria knowledge remains low. The weak association between knowledge and attitudes suggests that information alone does not drive behaviour change. Malaria control requires integrated, culturally sensitive strategies that address sociodemographic variations and contextual barriers rather than relying solely on information campaigns. Clinical trial registration: Not applicable.
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