Abstract
INTRODUCTION: Malaria continues to be a significant public health issue, particularly in tropical and subtropical regions. Despite extensive efforts to reduce its burden through various control programs, malaria remains a major cause of morbidity and mortality. This study aims to assess the burden of malaria in a community and evaluate the community's response to malaria control and management programs. OBJECTIVE: This study aimed to assess the prevalence of malaria and evaluate the community's awareness, participation, and response to malaria control and management programs. METHODOLOGY: This cross-sectional study included 550 participants from a community-based population. Data were collected through interviews, surveys, and medical records to determine malaria prevalence, treatment-seeking behavior, and knowledge of malaria control measures such as insecticide-treated nets (ITNs), indoor residual spraying (IRS), and antimalarial treatments. RESULTS: The study found a malaria prevalence of 32% (176 participants), with higher rates in females at 35% (96 out of 275) compared to males at 30% (81 out of 275). A total of 85% (468 participants) recognized malaria symptoms. Awareness of prevention methods was reported by 72% (396 participants) for ITNs and 58% (319 participants) for IRS. Regarding treatment-seeking behavior, 60% (330 participants) visited health facilities, while 25% (138 participants) relied on traditional healers. Participation in malaria control programs was moderate: 62% (341 participants) reported using ITNs, and 50% (275 participants) had participated in IRS activities. Identified barriers included a lack of awareness in 30% (165 participants) and high costs in 20% (110 participants). Socioeconomic status influenced program engagement, with higher participation observed among individuals from wealthier households. CONCLUSION: Although malaria control and management programs have had a positive impact, only 62% (341 participants) used ITNs and 50% (275 participants) engaged in IRS, indicating a gap in community adherence. Despite 85% (468 participants) being aware of malaria symptoms, knowledge and practical application of preventive measures remain suboptimal. Improving public education, enhancing access to malaria control tools, and addressing socioeconomic barriers are essential to effectively reduce the malaria burden in the community.