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Introduction <p>Malaria continues to pose a substantial public health challenge in Ethiopia, particularly in endemic areas such as the East Gojjam Zone. This study aimed to assess household malaria prevention practices and identify associated individual- and community-level determinants.</p> Methods <p>A community-based cross-sectional study was conducted from April to June 2025 among 1,212 households selected using a multistage stratified cluster sampling technique across four districts. Data were collected using a pretested structured questionnaire comprising 13 Likert-scale items assessing malaria prevention practices. Total practice scores were calculated and categorized as good or poor based on the median value. Data were entered into SPSS version 24 and analyzed using STATA version 17. A multilevel mixed-effects binary logistic regression model was fitted to account for clustering of households within kebeles. Variables with p-values &lt; 0.25 in the bivariable analysis were included in the multivariable model.</p> Results <p>Overall, 51.6% of households demonstrated good malaria prevention practices. The intra-class correlation coefficient (ICC = 34.2%) indicated substantial variation between kebeles. In the adjusted analysis, participants aged 30–35 years had lower odds of good prevention practices compared with those aged ≥ 46 years (AOR = 0.487; 95% CI: 0.343–0.690). Households that did not use insecticide-treated nets were less likely to report good prevention practices (AOR = 0.601; 95% CI: 0.388–0.933).</p> Conclusion <p>Malaria prevention practices in the East Gojjam Zone remain suboptimal and are influenced by both age and insecticide-treated net utilization, with notable community-level variation. Targeted, cluster-based public health interventions are needed to improve household malaria prevention behaviors.</p>

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Malaria prevention practices and associated determinants among households in East Gojjam Zone Amhara Region Ethiopia a community based cross sectional study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月12日

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  • Asmamaw Habtamu,
  • Kebadu Tadesse,
  • Bekalu Endalew,
  • Adem Nega,
  • Seble Woldeohannis,
  • Agumas Lemlemu,
  • Ayele Emnetu,
  • Lamenew Fenta

摘要

Introduction

Malaria continues to pose a substantial public health challenge in Ethiopia, particularly in endemic areas such as the East Gojjam Zone. This study aimed to assess household malaria prevention practices and identify associated individual- and community-level determinants.

Methods

A community-based cross-sectional study was conducted from April to June 2025 among 1,212 households selected using a multistage stratified cluster sampling technique across four districts. Data were collected using a pretested structured questionnaire comprising 13 Likert-scale items assessing malaria prevention practices. Total practice scores were calculated and categorized as good or poor based on the median value. Data were entered into SPSS version 24 and analyzed using STATA version 17. A multilevel mixed-effects binary logistic regression model was fitted to account for clustering of households within kebeles. Variables with p-values < 0.25 in the bivariable analysis were included in the multivariable model.

Results

Overall, 51.6% of households demonstrated good malaria prevention practices. The intra-class correlation coefficient (ICC = 34.2%) indicated substantial variation between kebeles. In the adjusted analysis, participants aged 30–35 years had lower odds of good prevention practices compared with those aged ≥ 46 years (AOR = 0.487; 95% CI: 0.343–0.690). Households that did not use insecticide-treated nets were less likely to report good prevention practices (AOR = 0.601; 95% CI: 0.388–0.933).

Conclusion

Malaria prevention practices in the East Gojjam Zone remain suboptimal and are influenced by both age and insecticide-treated net utilization, with notable community-level variation. Targeted, cluster-based public health interventions are needed to improve household malaria prevention behaviors.