Online Program

Attitudes Beliefs and Practices Relevant to Malaria Prevention and Treatment in Madagascar and Liberia

Tuesday, November 3, 2015 : 5:15 p.m. - 5:30 p.m.

Stella Babalola, Associate Professor, Bloomberg School of Public Health, Johns Hopkins University, Center for Communication Programs, Baltimore, MD
Background: Monitoring and evaluation (M&E) of social and behavior change communication (SBCC) programs has been a long-standing challenge for not only implementing partners, but funders needing to identify how to best allocate their resources. This is especially the case for malaria, a field in which SBCC M&E skills are scarce and funds have competing needs. To best identify the attitudes and beliefs most strongly associated with malaria prevention and control behaviors (e.g. use of bed nets, receipt of malarial prophylaxis during antenatal care, use of health services in cases when children present with fever, and attitudes related to indoor spraying), the Health Communication Capacity Collaborative conducted a cross-sectional household survey of 3,203 caregivers in Madagascar and 1,560 caregivers in Liberia. The survey also assessed the extent to which the relationship between ideation and behaviors varies among locations with differing levels of endemicity for malaria. Methods: Researchers conducted a cross-sectional household survey in 2014. Participants were required to be heads of households with children under five years old. Data were collected using paper questionnaires and analyzed using STATA 13.0. Results: Data describe the relationship of socio-demographic variables, ideational factors, exposure to malaria messages, and household variables with prevention and treatment behavioral outcomes. Conclusions:  Findings from this study reveal associations that will help inform and improve malaria prevention and control SBCC programs. In addition, this survey tool can be easily adapted for varying locations and interventions, implemented by practitioners with limited training and supervision, and integrated into any SBCC programs.

Learning Areas:

Assessment of individual and community needs for health education
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
Identify attitudes and beliefs that are associated with four outcomes of malaria prevention and treatment: use of bed nets, receipt of malaria prophylaxis during antenatal care visits, use of health services when a child has an episode of fever and acceptance of indoor spraying.Examine the relationship of socio-¬≠‚Äźdemographic variables, ideational factors, exposure to malaria messages and household variables with prevention and treatment behavioral outcomes. Provide managers and implementers with guidance to inform and improve SBCC programs for malaria control.

Keyword(s): International Health, Health Promotion and Education

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have over 26 years of experience in international health, teaching, communication and research. Currently, I am an associate professor at a school of public health and advise health communications research. I have also provided assistance in establishing M&E systems, designing indicators, developing strategies, evaluating the impact of communication programs, and building local capacity in several countries.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.