Factors affecting the effectiveness of the Malaria Control Programme: a case study of urban Malaria Control project in Ilala district, Dar es Salaam Tanzania

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University of Dar es Salaam
A cross-sectional study was carried out in Ilala District in Dar es Salaam, Tanzania to investigate factors affecting the effectiveness of malaria control programme to an extent that the community rejected residual house praying and they were unwilling to participate in source reduction work. The project combines insecticide residual house spraying, health education and source reduction with community participation as major control measures. The study combine 530 household interviews and eight focus group discussions with heads of household and there spouses from 14 and 4 randomly selected ten cell respectively. Furthermore 135 self-administered questionnaires were distributed to malaria field workers. Emphasis was placed an residents knowledge and perception of malaria, community organizational structure, involvement of local leaders, level of knowledge of malaria control, workers and their morale, conduct, operational practice and their attitude towards local community. This study has revealed that the factors which attributed to the community’s unco-operative behaviour towards insecticide residual house spraying and source reduction were community’s lack of knowledge about malaria, their belief that malaria is a less serious problem and their low perceived susceptibility. Furthermore, defects in the management and inadequate supervision of spray men and community's disbelief in the benefit of the insecticide appears to have contributed to their uncooperative behaviour. In addition, misconduct among spray men, poor morale and inadequately trained personnel, lack of health education effort during malaria control operations and poor communication between the project authority and the community contributed further to the community's unco-operative behaviour. The findings from this study might contribute to the understanding of the problem facing malaria control in Tanzania, and will enable the National malaria control programme to design appropriate measures to deal with them. It is therefore recommended that Health education has to be strengthened and reviewed critically as regards its contents, approach and methods. The project has to ensure that it has well trained, and responsible supervisors who can see that the teams they lead performs the work at the required standard and that discipline is maintained.
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Malaria, Prevention, Law and legislation
Kombe, N. E. A (1993) Factors affecting the effectiveness of the Malaria Control Programme: a case study of urban Malaria Control project in Ilala district, Dar es Salaam Tanzania, Masters dissertation, University of Dar es Salaam. Available at (