Factors influencing community involvement in prevention of the spread of malaria among residents of Ibulanku subcounty in Bugweri district. A cross-sectional study.

Abstract

Background: Community engagement is a critical component for effective malaria prevention and control. This study aimed to determine the factors that encourage or hinder community participation in malaria prevention in Ibulanku Subcounty, Bugweri District.

Methods: A descriptive cross-sectional study employing quantitative methods was conducted between July and August 2024. Using purposive sampling, 50 residents of Ibulanku Subcounty were selected. Data were analyzed with Microsoft Excel.

Results: The study revealed that 71% of respondents were male and 69% were single. Christians were about 55% then 21% Muslims. Education level varied with 61% having reached secondary. 19% ended in primary, 11% having reached tertiary and the 9% accounted for the others who never acquired any formal education. Participants had varying occupations with 46% involving in farming. A high proportion (89%) perceived malaria as a serious health problem, and 65% believed traditional practices contribute to its transmission. Economically, 44% had a monthly household income of 100,000-200,000 Ugandan Shillings, and 75% prioritized malaria prevention over other diseases. Environmentally, 71% lived in close proximity to mosquito breeding sites, and 81% reported using mosquito nets. However, 61% faced obstacles in their prevention efforts.

Conclusion: Community involvement is significantly influenced by socio-cultural awareness, economic capacity, and environmental factors. High awareness exists, but financial constraints and environmental challenges remain key barriers.

Recommendation: Interventions should focus on improving environmental sanitation through slashing and draining stagnant water, addressing socioeconomic barriers through financial support, and ensuring equitable access to healthcare services to enhance community engagement in malaria prevention.