Abstract
Malaria can be prevented at the individual level by taking personal protections. However, effective preventiveaction is a result of public health programs that adequately teach preventive measures to the population. Thisstudy was carried out in 2007 to evaluate the knowledge on malaria control and prevention and to evaluate theeffects of intervention for malaria control in rural community in China. An interventional study followed approximately 1971 randomly selected respondents over a period of fourmonths. According to the level of endemicity of the areas, this particular study was carried out in a ruralcommunity. Two surveys were performed for the study in point. Demographic and socioeconomic variableswere used as predictor variables in logistic regression analysis.Different patterns of malaria behavior were found in the closely situated households and at the school level.Gender, age, length of residence time in the areas, and health seeking behaviors was found to be statisticallysignificant predictors of health behaviors (P
Highlights
Malaria is a major parasitic disease in China with prevalence that gradually increases from the north to the south
The purpose of this study was to evaluate the effectiveness of health promotion in rural community by adopting intervention measures, to improve awareness and demand of the residents for effective malaria prevention and treatment, and to carry out a model that provides a scientific basis for the future evaluation of intervention
Educational attainment and knowledge of malaria both play a role in peoples’ perceptions and practice for controlling malaria [12]. This has been proved by similar studies in Tanzania where perceived symptoms was significantly associated with having primary education and above [13], and in Laos where school-based malaria education has been shown to be effective for improving the knowledge, attitudes, and practices of school children toward malaria control [14]
Summary
Malaria is a major parasitic disease in China with prevalence that gradually increases from the north to the south. The southern part of China used to be the hyper and meso-endemic regions where falciparum malaria was widely present [1, 2]. In some meso- and hypo-endemic areas, vivax malaria was predominant, though falciparum malaria existed and focal outbreaks often occurred. The epidemic situation in China is largely affected by the increase of national travel and immigration from endemics zones [3] and especially by that in the nearby Southeast countries [4]. The total number of malaria cases in 2003 increased to 40, 681 which is 15.3% higher than that in 2002 [8]. In 2005, the resurgence of malaria in central China was considerable [6], despite the very significant regional decline in the reported malaria cases and deaths during the 1990s, after two decades of malaria control efforts [9]. To alleviate the burden of malaria in this region, significant interventions should be carried out to enhance the population awareness on the disease and its degree of control
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