Abstract
BackgroundLimited studies have compared determinants of household knowledge of split and grouped mosquito larval source management (LSM) methods. Thus, we compared determinants of household knowledge of split and grouped mosquito LSM methods for malaria control in Malawi. MethodsA cross-sectional study was conducted among 479 households in Nthache, Mwanza district, Malawi. Household knowledge of mosquito LSM methods; draining stagnant water, larviciding, clean environment and clearing grass/bushes were assessed by using a validated structured household questionnaire administered to an adult household member. Chi-square test was used to compare the distribution of household knowledge of each of the split and grouped mosquito LSM methods. Multivariable logistic regression was used to examine factors associated with household knowledge of each of the split and grouped mosquito LSM methods. ResultsHousehold knowledge of draining stagnant water was lower than high-level knowledge of grouped mosquito LSM methods (32.9% versus 83.5%, p=0.000). Household knowledge of clearing grass/bushes was lower than high-level knowledge of grouped mosquito LSM methods (8.2% versus 77.7%, p=0.000). Household knowledge of clean environment was lower than high-level knowledge of grouped mosquito LSM methods (21.8% versus 63.8%, p=0.000). No significant differences were observed between knowledge of larviciding and high-level knowledge of grouped mosquito LSM methods (4.1% versus 5.8%, p=0.421). Respondents without education had 57% less the odds of having knowledge of draining stagnant water than those with primary education (AOR=0.43, 95% CI 0.26-0.69). Those from iron-roofed households and the widowed had three and more than four times the odds of having knowledge of larviciding than those from grass-thatched households and the married (AOR=3.03, 95% CI 1.26-7.29 and AOR=4.73, 95% CI 1.34-16.73), respectively. ConclusionsExcept for larviciding, household knowledge of grouped mosquito LSM methods was significantly higher than split methods. Policy for integrated vector management should address determinants of split mosquito LSM methods to improve household knowledge.