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Table 7 Communication and key messages by zone

From: Village malaria worker performance key to the elimination of artemisinin-resistant malaria: a Western Cambodia health system assessment

Communication

Overall N = 197

Zone 1 N = 71

Zone 2 N = 126

P value

n

(%)

n

(%)

n

(%)

In the past 1 month, VMW/MMW taught any messages or information about malaria

 Yes

189

95.9

70

98.6

119

94.4

0.157

 No

8

4.1

1

1.4

7

5.6

Messages or information related to malaria prevention were taught or explaineda

 Malaria is caused by mosquito bites

125

64.1

52

74.3

73

61.3

0.069

 Wear long sleeved clothes from dusk to dawn to prevent mosquito bites

120

63.5

39

55.7

81

68.1

0.088

 Sleep under a mosquito net every night

135

71.4

55

78.6

80

67.2

0.095

 Sleep under an insecticide-treated net

161

85.2

60

85.7

101

84.9

0.875

 Otherb

26

14.3

6

8.6

21

17.7

0.085

Messages related to malaria diagnosis and treatment that were taught or explained

 Seek treatment for malaria from a VMW or health facility

167

88.4

69

98.6

98

82.6

0.001

 Visit your village malaria worker for free malaria diagnosis and treatment

165

87.3

61

87.1

104

97.4

0.96

 Seek treatment for malaria promptly/within 24 h

39

20.6

9

12.9

30

25.2

0.043

 Get a blood test before taking anti-malarial drugs

60

31.8

20

28.6

40

33.6

0.472

 If you have fever, always seek a blood test for malaria at the nearest health facility

48

25.4

19

27.1

29

24.4

0.672

 Complete anti-malarial treatment

33

17.7

7

10.0

26

21.9

0.038

 Other

1

0.5

0

0.0

1

0.8

0.442

Messages related to using and caring for mosquito nets that were taught or explained

 Sleeping under an ITN is especially important for pregnant women

62

32.8

27

38.6

35

29.4

0.195

 Sleeping under an ITN is especially important for children under 5 years

56

29.6

21

30.0

35

29.4

0.932

 Carry and sleep under a mosquito net when travelling

94

49.7

40

57.1

54

45.4

0.118

 Carry and sleep under a mosquito net when visiting the forest

132

69.8

49

70.0

83

65.8

0.971

 The less you wash your treated net the longer it will retain its effectiveness

119

63.0

40

57.1

79

66.39

0.204

 Repair any holes in the net

36

20.0

9

12.9

27

22.7

0.096

 Otherc

62

32.8

22

31.4

40

33.6

0.757

Who did VMW/MMW communicated information about malaria

 Villagers

196

99.5

71

100.0

125

99.21

0.452

 Malaria patients

114

57.9

38

53.5

76

60.3

0.354

 Migrants/mobile population

158

80.2

60

84.5

98

77.8

0.255

 Friends/neighbours

95

48.2

29

40.9

66

52.4

0.12

 Family members

100

50.8

32

45.1

68

54.0

0.23

 Religious leaders/monks

5

2.5

1

1.41

4

3.2

0.449

 Other

3

1.5

1

1.41

2

1.6

0.922

VMW/MMW has distributed or displayed any information about malaria

 

 Yes

129

65.5

48

67.6

81

64.3

0.638

 No

68

34.5

23

32.4

45

35.7

Kind of information about malaria VMW/MMW displays or distributes

 Poster

90

69.8

34

70.8

56

69.1

0.839

 Leaflets/brochures

96

74.4

42

88.0

54

66.7

0.009

 Flip charts

27

20.9

5

10.4

22

27.2

0.024

 Otherd

6

4.7

0

0.0

6

7.4

0.053

The last time there was an event in the community that provided malaria-related health messages

 Yesterday

10

5.1

4

5.6

6

4.8

0.371

 Within this week

30

15.2

10

14.1

20

15.9

 In this month

105

53.3

43

60.6

62

49.2

 In this year

52

26.4

14

19.7

38

30.1

  1. aOut of the total number of VMW/MMW who have taught any messages or information about malaria
  2. bOther include: mosquito habitat elimination, blood testing, clean the surrounding, drink boiled water, eliminate mosquito habitat, fill up pond, light bonfire, know malaria symptoms, use malaria treatment, often clean water containment, use net in forest, weeding, weeding around house
  3. cOther include: avoid drying in sunlight, do not sleep close to net, do not use net for fishing, do not wash, do not wash too often, do not wash with detergent, dry net in shade, keep away from children, keep net clean after use, keep net safe, keep net safe after use, must retreat net, put in bag after use, retreat net every 3 months, retreat net every 6 months and wash net every 6 months
  4. dOther include: booklet, educating, malaria booklet, malaria prevention, picture calendar, pictures and videos