Social Behaviour Change Communication – Its Impact on Malaria Program - North Bank Regions as a Case Study in The Gambia
Abstract:
The Gambia
Malaria Strategy Plan 2021 – 2025 places greater emphasis on strategies for
malaria elimination. Hence, North Bank Regions (NBR) have been identified due
to the relative low transmission to introduce case-based surveillance as a
strategy for malaria elimination. Social Behaviour Change Communication (SBCC)
is a critical component of the malaria program. SBCC study in NBR would provide
evidence essential for malaria elimination. A three-stage cluster sampling
design was used, and the NBR were purposely targeted due to their relative low
malaria transmission. In total, 167 household heads and 192 caregivers of
children under five years were interviewed. The findings showed that over 90%
in NBR valued the use of Long-Lasting Insecticidal Nets (LLIN) in preventing
malaria even if it differed in shape and texture from their taste. It is
evident that use of health centre/hospital, radio and community health worker
can engender wider coverage of messages on malaria in NBR. Malaria treatment
was sought and received in a timely manner. Most respondents treated for
malaria were tested for malaria prior to the treatment. Overall results are
indicative of high levels of knowledge and practice in the prevention, control
and treatment of malaria. Despite the existence of few misconceptions and
resistance to change that limits the gains made through concerted efforts. The
findings are indicative of room for improvement for the achievement of more
effective malaria prevention and treatment. Additionally, affordability of
LLINs featured prominently, whereas free net distribution could significantly
increase access, the issue of sustainability remains pertinent.
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