Implementation of a malaria prevention education intervention in Southern Ethiopia : a qualitative evaluation
(2022) In BMC Public Health 22(1).- Abstract
BACKGROUND: Though school-aged children (SAC) are at high risk of malaria, they are the ones that benefit the least from malaria prevention measures. A cluster randomized controlled trial was conducted to evaluate the effect of malaria prevention education (MPE) on insecticide-treated bed net (ITN) utilization and prompt diagnosis, reported incidence and treatment (PDAT) of malaria. Qualitative evaluation of the implementation of such interventions is vital to explain its effectiveness and will serve as guidance for future interventions. Therefore, this study aimed to evaluate the implementation of the MPE in southern Ethiopia. METHODS: The trial was registered in Pan African Clinical Trials Registry (PACTR202001837195738) on... (More)
BACKGROUND: Though school-aged children (SAC) are at high risk of malaria, they are the ones that benefit the least from malaria prevention measures. A cluster randomized controlled trial was conducted to evaluate the effect of malaria prevention education (MPE) on insecticide-treated bed net (ITN) utilization and prompt diagnosis, reported incidence and treatment (PDAT) of malaria. Qualitative evaluation of the implementation of such interventions is vital to explain its effectiveness and will serve as guidance for future interventions. Therefore, this study aimed to evaluate the implementation of the MPE in southern Ethiopia. METHODS: The trial was registered in Pan African Clinical Trials Registry (PACTR202001837195738) on 21/01/2020. A descriptive qualitative study using semi-structured interview with participants of the MPE was conducted in January 2020 and January 2021. The collected data were transcribed verbatim and analyzed thematically. The analysis of the data was supported by NVivo.
RESULTS: The four themes identified after evaluation of MPE training were the setup of the training, challenges for the success of the training, anticipated challenges for practice as per the protocol and experienced immediate influences of the training. Participants appreciated the training: content covered, way of delivery and the mix of the participants. The context specific facilitators to bed net use were the collateral benefits of ITN and perceived at high risk of malaria while its barriers were quality and quantity of the bed nets, bed net associated discomforts, malaria health literacy and housing condition. Severeness of malaria symptoms and malaria health literacy were reported as both barriers and facilitators of the PDAT of malaria. The identified facilitators of PDAT of malaria were health professionals' attitude and exposure to MPE while its barriers were poverty, use of traditional medicine, health facility problems and Coronavirus Disease 2019 (COVID-19) pandemic.
CONCLUSION: Low attendance of parents in the training was the major challenge for the success of MPE. National malaria program should ensure the access to malaria prevention measures; and future studies using increased frequency of the intervention embedded with monitoring adherence to the intervention protocol shall be conducted to improve the gains from existing malaria interventions.
(Less)
- author
- Zerdo, Zerihun ; Anthierens, Sibyl ; Van Geertruyden, Jean-Pierre ; Massebo, Fekadu ; Biresaw, Gelila ; Shewangizaw, Misgun ; Endashaw, Gesila ; Tunje, Abayneh LU ; Masne, Matewos and Bastiaens, Hilde
- publishing date
- 2022-09-23
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- COVID-19, Child, Ethiopia/epidemiology, Humans, Insecticide-Treated Bednets, Malaria/epidemiology, Mosquito Control/methods, Malaria prevention education, Qualitative, Context specific factors, School‑aged children, Ethiopia
- in
- BMC Public Health
- volume
- 22
- issue
- 1
- article number
- 1811
- pages
- 14 pages
- publisher
- BioMed Central (BMC)
- external identifiers
-
- scopus:85138459513
- pmid:36151537
- ISSN
- 1471-2458
- DOI
- 10.1186/s12889-022-14200-x
- language
- English
- LU publication?
- no
- additional info
- © 2022. The Author(s). ZZ, JP, HB, SA conceived the idea, designed the study; ZZ, MM, MS & GE participated in acquisition of data; ZZ, HB & SA analyzed and interpreted the data; ZZ, JP, HB, SA, FM, GE, GB & AT drafted the manuscript. The author(s) read and approved the final manuscript.
- id
- b6ee96a8-0e7c-4d78-9f85-404123564f2e
- date added to LUP
- 2022-11-09 10:42:36
- date last changed
- 2024-06-10 20:01:43
@article{b6ee96a8-0e7c-4d78-9f85-404123564f2e,
abstract = {{<p>BACKGROUND: Though school-aged children (SAC) are at high risk of malaria, they are the ones that benefit the least from malaria prevention measures. A cluster randomized controlled trial was conducted to evaluate the effect of malaria prevention education (MPE) on insecticide-treated bed net (ITN) utilization and prompt diagnosis, reported incidence and treatment (PDAT) of malaria. Qualitative evaluation of the implementation of such interventions is vital to explain its effectiveness and will serve as guidance for future interventions. Therefore, this study aimed to evaluate the implementation of the MPE in southern Ethiopia. METHODS: The trial was registered in Pan African Clinical Trials Registry (PACTR202001837195738) on 21/01/2020. A descriptive qualitative study using semi-structured interview with participants of the MPE was conducted in January 2020 and January 2021. The collected data were transcribed verbatim and analyzed thematically. The analysis of the data was supported by NVivo.</p><p>RESULTS: The four themes identified after evaluation of MPE training were the setup of the training, challenges for the success of the training, anticipated challenges for practice as per the protocol and experienced immediate influences of the training. Participants appreciated the training: content covered, way of delivery and the mix of the participants. The context specific facilitators to bed net use were the collateral benefits of ITN and perceived at high risk of malaria while its barriers were quality and quantity of the bed nets, bed net associated discomforts, malaria health literacy and housing condition. Severeness of malaria symptoms and malaria health literacy were reported as both barriers and facilitators of the PDAT of malaria. The identified facilitators of PDAT of malaria were health professionals' attitude and exposure to MPE while its barriers were poverty, use of traditional medicine, health facility problems and Coronavirus Disease 2019 (COVID-19) pandemic.</p><p>CONCLUSION: Low attendance of parents in the training was the major challenge for the success of MPE. National malaria program should ensure the access to malaria prevention measures; and future studies using increased frequency of the intervention embedded with monitoring adherence to the intervention protocol shall be conducted to improve the gains from existing malaria interventions.</p>}},
author = {{Zerdo, Zerihun and Anthierens, Sibyl and Van Geertruyden, Jean-Pierre and Massebo, Fekadu and Biresaw, Gelila and Shewangizaw, Misgun and Endashaw, Gesila and Tunje, Abayneh and Masne, Matewos and Bastiaens, Hilde}},
issn = {{1471-2458}},
keywords = {{COVID-19; Child; Ethiopia/epidemiology; Humans; Insecticide-Treated Bednets; Malaria/epidemiology; Mosquito Control/methods; Malaria prevention education; Qualitative; Context specific factors; School‑aged children; Ethiopia}},
language = {{eng}},
month = {{09}},
number = {{1}},
publisher = {{BioMed Central (BMC)}},
series = {{BMC Public Health}},
title = {{Implementation of a malaria prevention education intervention in Southern Ethiopia : a qualitative evaluation}},
url = {{http://dx.doi.org/10.1186/s12889-022-14200-x}},
doi = {{10.1186/s12889-022-14200-x}},
volume = {{22}},
year = {{2022}},
}