Assessment of knowledge, attitude and practice regarding malaria prevention toward internal migrant population in Kawthoung Township, Kawthoung district, Tanintharyi region, Myanmar: A cross sectional study
Purpose - This study aimed to assess and describe socio-demographic factors, knowledge, attitude and practice toward malaria prevention among internal migrants, Kawthoung Township, Kawthoung district, Myanmar.
Design/methodology/approach - A cross-sectional study with 316 respondents, age range from 18 to 65 years old, were interviewed face to face using structured questionnaires. Chi-square and logistic regression were used to analyze association between dependent and independent variables.
Findings - Of all the respondents, 65.5% had good knowledge; 17.4% had good attitude; and 49.1% had good practice for malaria prevention. Practice level was strongly associated with knowledge level and attitude level (p-value <0.001). Factors associated with good practice were respondents with age group of 45 to 54 years (p-value = 0.004, AOR = 7.478, 95% CI: 1.930-28.978, high school or higher education (p = 0.021, AOR = 11.363, 95% CI: 1.454- 88.814) income more than 200000 Kyats per month (p-value <0.001, AOR = 14.242, 95% CI: 3.240-62.608), less than 3 family members (p-value = 0.005, AOR = 4.670, 95% CI: 1.576- 13.834), accessibility to health facility with less than 30 minutes (p-value <0.001, AOR = 122.092, 95% CI: 20.339-732.915), source of information by government health staffs (p-value = 0.010, AOR = 8.293, 95% CI:1.669-41.211) and good attitude level (p-value = 0.017, AOR = 6.089, 95% CI:1.387-26.739).
Originality/value - Community mobilization activities through volunteer malaria workers and government health staff are necessary to improve knowledge, attitude and practice regarding malaria prevention practice.
2. World Health Organization [WHO]. World malaria report 2016. Geneva: WHO; 2016.
3. World Health Organization [WHO]. Population morbidity and malaria 2017. Geneva: WHO; 2017.
4. World Health Organization [WHO]. Strategic framework for artemisinin resistance containment in Myanmar (MARC) 2011‐2015. Geneva: WHO; 2011.
5. The Vector Borne Disease Control Programme [VBDC], Tanintharyi, Myanmar. Annual report 2015. Myanmar: The Vector Borne Disease Control Programme; 2015.
6. Myanmar, Ministry of Immigration and Population. The 2014 Myanmar population and housing census, Tanintharyi Region Report. Tanintharyi: Ministry; 2014.
7. Cochran WG. Sampling techniques. 3rd ed. New York: John Wiley & Sons; 1977.
8. Tun KD, Soe MW. Knowledge, attitude and practice on insecticide treated nets in Myanmar. [cited 2018 June]. Available from: https://www.researchgate.net/publication/268331226_KNOWLEDGE_ATTITUDE_AND_PRACTICE_ON_INSECTICIDE_TREATED_NETS_IN_MYANMAR
9. Paulander J, Olsson H, Lemma H, Getachew A, San Sebastian M. Knowledge, attitudes and practice about malaria in rural Tigray, Ethiopia. Glob Health Action. 2009 Jan; 2. doi: 10.3402/gha.v2i0.1839
10. Neinstein LS. The new adolescents: An analysis of health conditions, behaviors, risks, and access to services among emerging young adults. Los Angeles, CA: University of Southern California; 2013.
11. Thanabouasy C, Pumpaibool T, Kanchanakhan N. Assessment of knowledge, attitude and practice regarding malaria prevention towards population in Paksong district, Champasack province, Lao PDR. Journal of Health Research. 2009; 23(Suppl.): 11-5.
12. Umberson D. Gender, marital status and the social control of health behavior. Soc Sci Med. 1992 Apr; 34(8): 907-17.
13. Krezanoski PJ, Tsai AC, Hamer DH, Comfort AB, Bangsberg DR. Household malaria knowledge and its association with bednet ownership in settings without large-scale distribution programs: Evidence from rural Madagascar. J Glob Health. 2014 Jun; 4(1): 010401. doi: 10.7189/jogh.04.010401
14. Tusting LS, Willey B, Lucas H, Thompson J, Kafy HT, Smith R, et al. Socioeconomic development as an intervention against malaria: a systematic review and meta-analysis. Lancet. 2013 Sep; 382(9896): 963-72. doi: 10.1016/S0140-6736(13)60851-X
15. Yasuoka J, Poudel KC, Poudel-Tandukar K, Nguon C, Ly P, Socheat D, et al. Assessing the quality of service of village malaria workers to strengthen community-based malaria control in Cambodia. Malar J. 2010 Apr; 9(1): 109. doi: 10.1186/1475-2875-9-109
16. Girum T, Hailemikael G, Wondimu A. Factors affecting prevention and control of malaria among endemic areas of Gurage zone: an implication for malaria elimination in South Ethiopia, 2017. Trop Dis Travel Med Vaccines. 2017 Dec; 3(1): 17. doi: 10.1186/s40794-017-0060-2
17. O'Meara WP, Noor A, Gatakaa H, Tsofa B, McKenzie FE, Marsh K. The impact of primary health care on malaria morbidity--defining access by disease burden. Trop Med Int Health. 2009 Jan; 14(1): 29-35. doi: 10.1111/j.1365-3156.2008.02194.x
18. Mugisa M, Muzoora A. Behavioral change communication strategy vital in malaria prevention interventions in rural communities: Nakasongola district, Uganda. Pan Afr Med J. 2012; 13(Suppl 1): 2.
19. Linn K, Taneepanichskul N, Norkaew S. Knowledge, attitudes and practices regarding to malaria and home environment prevention among population in Palaw Township, Tanintharyi region of Myanmar. Journal of Health Research. 2017; 31(Suppl.1): s57-s63.