Evaluation of an educational strategy on malaria in rural areas of the Colombian Pacific
Keywords:
malaria, health education, program evaluation, impact evaluation
Abstract
Introduction. Health education interventions have proved effective in improving knowledge, preventing practices and decreasing occurrence of malaria.Objective. To evaluate the impact of the educational intervention "The World of Malaria: Let's Learn to Manage it in Community" developed in Colombian malarial areas, in terms of increasing knowledge, preventive practices, treatment-seeking, and decreasing malaria occurrence.
Materials and methods. A quasi-experimental post-test study with a non-equivalent control group was carried out. Four hundred and fifty people living in 20 rural villages were interviewed. These localities were randomly selected from 110 intervened localities. Paired "t" test was performed to evaluate the effect on malaria knowledge of the community health workers (n=243). The effect of the intervention on the effect variables was measured by using logistic regression and by comparing people who were exposed and non-exposed to the educational strategy.
Results. Knowledge on malaria in community health workers increased after the intervention (p<0.05). In the communities, 170/447 (38%) interviewed individuals had contact with the intervention in the communities. Those exposed to the intervention showed improvements in knowledge about breeding sites (OR: 2.53, 95%IC:1.7-3.76), bed-nets use (OR:1.81, 95%IC:1.10-2.97) and a decrease in self-medication with antimalarial drugs (OR:1.97, 95%IC: 1.04-3.73). Contact with the intervention reduced reported episodes of malaria (OR:0.58, 95%CI: 0.39-0.87).
Conclusion. Significant improvements in preventive practices may be achieved with educational interventions, which in turn may reduce malaria ocurrence.
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References
1. Sachs J, Manaley P. The economic and social burden of malaria. Nature 2002;415:680-5.
2. Bradley DJ. Malaria: Whence and whither?. En: Targett GA, editor. Malaria: waiting for the vaccine. England: John Wiley & Sons Ltd; 1991.
3. Lipowsky R, Kroeger A, Vázquez ML. Sociomedical aspects of malaria control in Colombia. Soc Sci Med 1992;34:625-37.
4. Carrasquilla G. An ecosystem approach to malaria control in an urban setting. Cad Saude Publica 2001;17:171-9.
5. Najera-Morrondo JA. A suggested approach to malaria control and to the methodology applicable in different epidemiologic situations, based on experience in the Americas. Bull Pan Am Health Organ 1979;13:223-34.
6. Rojas W, Peñaranda F, Echavarria M. Strategies for malaria control in Colombia. Parasitol Today 1992;8:141-4.
7. World Health Organization. Global malaria control. Bull World Health Organ 1993;27:280-3.
8. Mendez F, Carrasquilla G, Muñoz A. Risk factors associated with malaria infection in urban setting. Trans R Soc Trop Med Hyg 2000;94:367-71.
9. Alvarado BE. Conocimientos, actitudes y prácticas y su relación con la prevalencia de malaria en localidades rurales de la costa Pacífica colombiana. (Tesis). Cali: Universidad del Valle; 1997.
10. Nieto T, Mendez F, Carrasquilla JG. Knowledges, beliefs and practices relevant for malaria control in an endemic urban area of the Colombian Pacific. Soc Sci Med 1999;49:601-9.
11. Olano V, Cararasquilla G, Méndez F. Transmisión de la malaria urbana en Buenaventura, Colombia: aspectos entomológicos. Rev Panam Salud Publica 1997;1:287-94.
12. Sánchez MP. Uso de servicios de salud en la comuna 12 de Buenaventura: análisis de la prevalencia en un periodo de 1995 y sus factores determinantes. (Tesis). Cali: Universidad del Valle; 1997.
13. Carrasquilla G, Banguero M, Sanchez P, Barker RH, Algarin E, Serrano AR. Evaluation of the three methods for malaria diagnosis in Buenaventura, Colombia. Am J Trop Med Hyg 2000;62:132-7.
14. SPSS CORPORATION. SPSS for Windows. Statistical package for the social sciences. Release 9.0. Chicago: SPSS Inc; 1998.
15. Kroeger A, Meyer R, Manchedo M, Gonzalez M. Health education for community-based malaria control: an intervention study in Ecuador, Colombia and Nicaragua. Trop Med Int Health 1996;1:836-46.
16. Alaii JA, Hawley WA, Kolczak M, Ter Kuile FO, Gimnig JE, Vulule JM, et al. Factors affecting use of permethrin treated bed nets during a randomized controlled trial in Western Kenya. Am J Trop Med Hyg 2003;68:137-41.
17. Nganda RY, Drakeley C, Reyburn H, Marchant T. Knowledge of malaria influences the use of insecticide treated nets but not intermittent presumptive treatment by pregnant women in Tanzania. Malar J 2004;3:42.
18. Cropley L. The effect of health education interventions on child malaria treatment seeking practices among mothers in rural refugee villages in Belize, Central America. Health Promot Int 2004;19:445-52.
19. Mackinnon MJ, Hastings IM. The evolution of multiple drug resistance in malaria parasites. Trans R Soc Trop Med Hyg 1998;92:188-95.
20. Sharma AK, Aggarwal OP, Chaturvedi S, Bhasin SK. Is education a determinant of knowledge about malaria among Indian tribal population? J Commun Dis 2003;35:109-17.
21. Misrachi C. Estrategias y métodos para la promoción de la salud. Santiago de Chile: Red Chilena de Proyectos para el Desarrollo Social/ Fundación W:K:Kellogg; 1993.
22. Gómez M. Teoría y práctica para la promoción de la salud. Unidad de Salud Internacional. Québec: Universidad de Montreal. Biblioteca Nacional del Québec; 1998.
23. Avila GA, Martinez M, Sherman C, Cerna EF. Evaluación de un módulo escolar sobre dengue y Aedes aegypti dirigido a escolares en Honduras. Rev Panam Salud Publica 2004;16:84-94.
24. World Health Organization. Roll back malaria. Washington DC: OMS; 1998.
25. República de Colombia. Reforma al Sistema General de Seguridad Social en Salud: Ley 100 1993. Santafe de Bogotá: 1993.
26. República de Colombia. Acuerdo 117 del CNSS, Por el cual se establece el obligatorio cumplimiento de las actividades, procedimientos e intervenciones de demanda inducida y la atención de enfermedades de interés en salud pública, Bogotá: 1998.
2. Bradley DJ. Malaria: Whence and whither?. En: Targett GA, editor. Malaria: waiting for the vaccine. England: John Wiley & Sons Ltd; 1991.
3. Lipowsky R, Kroeger A, Vázquez ML. Sociomedical aspects of malaria control in Colombia. Soc Sci Med 1992;34:625-37.
4. Carrasquilla G. An ecosystem approach to malaria control in an urban setting. Cad Saude Publica 2001;17:171-9.
5. Najera-Morrondo JA. A suggested approach to malaria control and to the methodology applicable in different epidemiologic situations, based on experience in the Americas. Bull Pan Am Health Organ 1979;13:223-34.
6. Rojas W, Peñaranda F, Echavarria M. Strategies for malaria control in Colombia. Parasitol Today 1992;8:141-4.
7. World Health Organization. Global malaria control. Bull World Health Organ 1993;27:280-3.
8. Mendez F, Carrasquilla G, Muñoz A. Risk factors associated with malaria infection in urban setting. Trans R Soc Trop Med Hyg 2000;94:367-71.
9. Alvarado BE. Conocimientos, actitudes y prácticas y su relación con la prevalencia de malaria en localidades rurales de la costa Pacífica colombiana. (Tesis). Cali: Universidad del Valle; 1997.
10. Nieto T, Mendez F, Carrasquilla JG. Knowledges, beliefs and practices relevant for malaria control in an endemic urban area of the Colombian Pacific. Soc Sci Med 1999;49:601-9.
11. Olano V, Cararasquilla G, Méndez F. Transmisión de la malaria urbana en Buenaventura, Colombia: aspectos entomológicos. Rev Panam Salud Publica 1997;1:287-94.
12. Sánchez MP. Uso de servicios de salud en la comuna 12 de Buenaventura: análisis de la prevalencia en un periodo de 1995 y sus factores determinantes. (Tesis). Cali: Universidad del Valle; 1997.
13. Carrasquilla G, Banguero M, Sanchez P, Barker RH, Algarin E, Serrano AR. Evaluation of the three methods for malaria diagnosis in Buenaventura, Colombia. Am J Trop Med Hyg 2000;62:132-7.
14. SPSS CORPORATION. SPSS for Windows. Statistical package for the social sciences. Release 9.0. Chicago: SPSS Inc; 1998.
15. Kroeger A, Meyer R, Manchedo M, Gonzalez M. Health education for community-based malaria control: an intervention study in Ecuador, Colombia and Nicaragua. Trop Med Int Health 1996;1:836-46.
16. Alaii JA, Hawley WA, Kolczak M, Ter Kuile FO, Gimnig JE, Vulule JM, et al. Factors affecting use of permethrin treated bed nets during a randomized controlled trial in Western Kenya. Am J Trop Med Hyg 2003;68:137-41.
17. Nganda RY, Drakeley C, Reyburn H, Marchant T. Knowledge of malaria influences the use of insecticide treated nets but not intermittent presumptive treatment by pregnant women in Tanzania. Malar J 2004;3:42.
18. Cropley L. The effect of health education interventions on child malaria treatment seeking practices among mothers in rural refugee villages in Belize, Central America. Health Promot Int 2004;19:445-52.
19. Mackinnon MJ, Hastings IM. The evolution of multiple drug resistance in malaria parasites. Trans R Soc Trop Med Hyg 1998;92:188-95.
20. Sharma AK, Aggarwal OP, Chaturvedi S, Bhasin SK. Is education a determinant of knowledge about malaria among Indian tribal population? J Commun Dis 2003;35:109-17.
21. Misrachi C. Estrategias y métodos para la promoción de la salud. Santiago de Chile: Red Chilena de Proyectos para el Desarrollo Social/ Fundación W:K:Kellogg; 1993.
22. Gómez M. Teoría y práctica para la promoción de la salud. Unidad de Salud Internacional. Québec: Universidad de Montreal. Biblioteca Nacional del Québec; 1998.
23. Avila GA, Martinez M, Sherman C, Cerna EF. Evaluación de un módulo escolar sobre dengue y Aedes aegypti dirigido a escolares en Honduras. Rev Panam Salud Publica 2004;16:84-94.
24. World Health Organization. Roll back malaria. Washington DC: OMS; 1998.
25. República de Colombia. Reforma al Sistema General de Seguridad Social en Salud: Ley 100 1993. Santafe de Bogotá: 1993.
26. República de Colombia. Acuerdo 117 del CNSS, Por el cual se establece el obligatorio cumplimiento de las actividades, procedimientos e intervenciones de demanda inducida y la atención de enfermedades de interés en salud pública, Bogotá: 1998.
How to Cite
1.
Alvarado BE, Gómez E, Serra M, Carvajal R, Carrasquilla G. Evaluation of an educational strategy on malaria in rural areas of the Colombian Pacific. Biomed. [Internet]. 2006 Sep. 1 [cited 2026 Jan. 15];26(3):342-52. Available from: https://revistabiomedicaorg.biteca.online/index.php/biomedica/article/view/353
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