Mosquito larval source management (LSM) is a key outdoor malaria vector control strategy in rural communities in sub-Saharan Africa. Knowledge of this strategy is important for optimal design and implementation of effective malaria control interventions in this region. This study assessed household knowledge, perceptions and practices of mosquito LSM methods (draining stagnant water, larviciding, clearing grass/bushes and clean environment).
A cross-sectional design was used whereby 479 households were selected using two-stage sampling in Mwanza district, Malawi. A household questionnaire was administered to the head of the house. Respondents were asked questions on knowledge, perceptions and practices of mosquito LSM methods. Multivariable logistic regression model was used to identify factors associated with high-level knowledge of mosquito LSM methods.
Majority of the respondents (64.3%) had high-level knowledge of mosquito LSM methods. Specifically, 63.7% (200/314) had positive-perceptions about draining stagnant water whereas 95.3% (223/234) practiced clean environment for malaria control and 5.2% had knowledge about larviciding. Compared to respondents with primary education, those with secondary education were 3.04 times more likely to have high-level knowledge of mosquito LSM methods (AOR = 3.04, 95% CI 1.30–7.14), whereas those with no education were 0.40 times less likely to have high-level knowledge of mosquito LSM methods (AOR = 0.40, 95% CI 0.24–0.67). Respondents living in mudwalled households were 0.54 times less likely to have high-level knowledge of mosquito LSM methods as compared with those living in brickwalled households (AOR = 0.54, 95% CI 0.32–0.92).
Larviciding was the least mentioned method whereas positive-perceptions for larviciding and clearing grass/bushes were low. Targeted health promotion interventions may improve knowledge, perceptions and practices of mosquito LSM methods in communities.

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Posted 21 Jul, 2020
On 06 Jan, 2021
Received 11 Dec, 2020
On 24 Nov, 2020
Invitations sent on 31 Jul, 2020
On 22 Jul, 2020
On 21 Jul, 2020
On 18 Jul, 2020
On 13 Jul, 2020
Posted 21 Jul, 2020
On 06 Jan, 2021
Received 11 Dec, 2020
On 24 Nov, 2020
Invitations sent on 31 Jul, 2020
On 22 Jul, 2020
On 21 Jul, 2020
On 18 Jul, 2020
On 13 Jul, 2020
Mosquito larval source management (LSM) is a key outdoor malaria vector control strategy in rural communities in sub-Saharan Africa. Knowledge of this strategy is important for optimal design and implementation of effective malaria control interventions in this region. This study assessed household knowledge, perceptions and practices of mosquito LSM methods (draining stagnant water, larviciding, clearing grass/bushes and clean environment).
A cross-sectional design was used whereby 479 households were selected using two-stage sampling in Mwanza district, Malawi. A household questionnaire was administered to the head of the house. Respondents were asked questions on knowledge, perceptions and practices of mosquito LSM methods. Multivariable logistic regression model was used to identify factors associated with high-level knowledge of mosquito LSM methods.
Majority of the respondents (64.3%) had high-level knowledge of mosquito LSM methods. Specifically, 63.7% (200/314) had positive-perceptions about draining stagnant water whereas 95.3% (223/234) practiced clean environment for malaria control and 5.2% had knowledge about larviciding. Compared to respondents with primary education, those with secondary education were 3.04 times more likely to have high-level knowledge of mosquito LSM methods (AOR = 3.04, 95% CI 1.30–7.14), whereas those with no education were 0.40 times less likely to have high-level knowledge of mosquito LSM methods (AOR = 0.40, 95% CI 0.24–0.67). Respondents living in mudwalled households were 0.54 times less likely to have high-level knowledge of mosquito LSM methods as compared with those living in brickwalled households (AOR = 0.54, 95% CI 0.32–0.92).
Larviciding was the least mentioned method whereas positive-perceptions for larviciding and clearing grass/bushes were low. Targeted health promotion interventions may improve knowledge, perceptions and practices of mosquito LSM methods in communities.

Figure 1
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