KNOWLEDGE, ATTITUDES, AND PRACTICES REGARDING MALARIA PREVENTION IN THE MBANDAKA HEALTH ZONE: A CASE STUDY OF THE BAKENGELEKE NEIGHBORHOOD, 2023-2024
Abstract
Background
Malaria remains a major public health challenge in the Democratic Republic of Congo, particularly in the Mbandaka Health Zone. Understanding population-level knowledge, attitudes, and practices (KAP) is essential for designing effective prevention interventions.
Objective
This study aimed to assess the knowledge, attitudes, and practices regarding malaria prevention among residents of the Bakengeleke neighborhood in the Mbandaka Health Zone.
Methods
A descriptive cross-sectional study was conducted from June to September 2024. A sample of 150 individuals aged 15 years and older, residing in the neighborhood for at least six months, was surveyed using a structured questionnaire. Data were analyzed using SPSS software, with descriptive statistics and chi-square tests.
Results
The mean age of respondents was 34.5 years; the majority were female (56.7%) and had secondary education (54.7%). Knowledge about malaria transmission (84.7% identified mosquito bites) and symptoms (80% cited fever) was satisfactory. However, only 73.3% reported using insecticide-treated nets (ITNs), with only 46.7% using them every night. Stagnant water treatment was performed regularly by only 34.7% of respondents, and 22.7% practiced self-medication for fever. Environmental unsanitary conditions (40%) and lack of ITNs (33.3%) were the main perceived barriers. Education level was significantly associated with regular ITN use (p=0.02) and healthcare-seeking behavior (p=0.01).
Conclusion
Despite relatively good knowledge and favorable attitudes, preventive practices remain insufficient. The gap between knowledge and practices is explained by material barriers, discomfort, and financial constraints. Strengthening targeted awareness campaigns, improving ITN availability and comfort, and promoting environmental sanitation are urgently needed.
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How to cite
Sungunanze Mbisanga, D. (2026). KNOWLEDGE, ATTITUDES, AND PRACTICES REGARDING MALARIA PREVENTION IN THE MBANDAKA HEALTH ZONE: A CASE STUDY OF THE BAKENGELEKE NEIGHBORHOOD, 2023-2024. SDF Journal of Public Health. https://sfoundation.one/articles/sdf-2026-0044-knowledge-attitudes-and-practices-regarding-malaria-prevention-in-the