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Effects of behaviour change communication on knowledge and prevention of malaria among women in Ghana

Orkoh, Emmanuel, Efobi, Uchenna (2023) Effects of behaviour change communication on knowledge and prevention of malaria among women in Ghana. Evaluation Review, . ISSN 0193-841X. E-ISSN 1552-3926. (doi:10.1177/0193841X231194565) (Access to this publication is currently restricted. You may be able to access a copy if URLs are provided) (KAR id:104786)

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Behaviour change communication (BCC) remains a central component of the interventions used in the fight against malaria in Ghana. However, there is limited evidence of its effectiveness. This study evaluated the effects of BCC strategies on knowledge (symptoms, causes and prevention) and overall knowledge of malaria among Ghanaian women aged 15–49 years. The propensity score matching (PSM) approach and logistic regression were used to analyse data from the 2016 edition of the Malaria Indicator Survey (MIS). Women who participated in community-level education or heard/saw media messages on malaria, or both, had significantly more knowledge of the disease than women who lacked access to any of these mediums of communication. The effect of these strategies on women’s overall knowledge of malaria is about 2% to 4% and is higher on their knowledge of the symptoms (3% to 6%) and prevention (2% to 4%) than the causes (2%). The combined effects of both mediums of communication are relatively higher than the effect of either of them as a single medium of communication. Further analysis showed that improved knowledge of the disease is associated with higher preventive measures taken by women for themselves and for their children. The results are more significant in rural and poor households than in urban and non-poor households. These findings underscore the need for the Ministry of Health and its partner institutions to adopt an innovative approach which combines the two strategies in intensively educating Ghanaians, and women in particular, on the symptoms and prevention of malaria, giving due cognisance to households’ socioeconomic status and geographical location.

Item Type: Article
DOI/Identification number: 10.1177/0193841X231194565
Uncontrolled keywords: behaviour change communication; malaria; propensity score matching; multidimensional index; Ghana
Subjects: H Social Sciences > H Social Sciences (General)
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Personal Social Services Research Unit
Funders: University of Kent (
Depositing User: Uchenna Efobi
Date Deposited: 29 Jan 2024 10:18 UTC
Last Modified: 30 Jan 2024 12:22 UTC
Resource URI: (The current URI for this page, for reference purposes)

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