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Targeted community based interventions improved malaria management competencies in rural Ghana
Isabella A Quakyi1, George O Adjei2, David J Sullivan3
1Department of Biological, Environmental and Occupational Health Sciences, School of Public Health, College of Health Sciences, University of Ghana, P.O. Box LG 13, Legon, Accra, Ghana.
Targeted communication interventions significantly improved malaria knowledge and management practices in rural Ghana. The Affordable Medicine Facility-malaria initiative enhanced awareness and competence in artemisinin-based combination therapy use among caregivers and health providers.
Area of Science:
- Public Health
- Health Communication
- Malaria Control
Background:
- Malaria remains a significant public health challenge in developing nations.
- The Affordable Medicine Facility-malaria (AMFm) initiative employs communication strategies to improve malaria management.
- This study evaluates AMFm's effectiveness in rural Ghanaian communities.
Purpose of the Study:
- To assess the impact of AMFm communication interventions on malaria knowledge and practices.
- To evaluate the effectiveness of AMFm activities among caregivers, licensed chemical sellers, and prescribers.
Main Methods:
- A communication intervention study utilizing repeated cross-sectional pre- and post-surveys in two Ghanaian districts.
- Development and deployment of Information, Education, and Communication (IEC) tools, including posters and flipcharts.
- Community health workers and volunteers delivered malaria management education to caregivers and healthcare providers.
Main Results:
- Significantly higher exposure to malaria/artemisinin-based combination therapy (ACT) interventions in the intervention district (OR = 16.02).
- Improved malaria/ACT-related knowledge was observed in the intervention group (OR = 3.63).
- Participants in the intervention district demonstrated greater knowledge of correct dispersible drug administration for children under five.
Conclusions:
- Targeted communication interventions effectively enhance malaria-related competencies in rural settings.
- The AMFm initiative, supported by subsidized ACTs and intensive communication, increased awareness and improved malaria management practices.

