Low practice of malaria prevention among migrants and seasonal farmworkers in Metema and west Armacheho districts, Northwest Ethiopia.
BACKGROUND
More than hundreds and thousands of migrants and seasonal farm workers move from the highlands (relatively low malaria endemicity areas) to the lowlands (higher malaria endemicity areas) for the development of the corridor of the Amhara region during planting, weeding, and harvesting seasons in each year. Seasonal migrant workers are at high risk of malaria infection. Therefore, evidence of their knowledge level and practice in the prevention of malaria during their stay would be important.


OBJECTIVE
The aims of this study was to assess the knowledge and practice of malaria prevention and associated factors among migrants and seasonal farm workers in Northwest Ethiopia.


METHOD
A cross-sectional study was conducted from October to November, 2018 in Metema and West Armacheho districts, northwest Ethiopia. A sample of about 950 migrants and seasonal farm workers were included using two stages of cluster sampling technique. Interview administered structured questionnaire was used. Both bi-variable and multivariable binary logistic regressions were applied to identify predictors of malaria prevention.


RESULT
The overall good knowledge of malaria (those participants who scored more than 60% of correct response for knowledge related questions) was 50.2% with 95% CI (47.0-53.0) and the overall good practice of malaria (those participants who practiced more than 60% for practice related questions) was 27.2% with 95% CI (244.3-29.9). Age (AOR = 0.51(95%CI; 0.33-0.80)), level of education (AOR = 0.55(95%CI; 0.32-0.94)), using mass media as a source of information (AOR = 2.25(95%CI; 1.52-3.32)) and length of stay at the farming site (AOR = 0.59(95%CI; 0.44-0.79)) were significantly associated with knowledge of malaria prevention. Knowledge (AOR = 6.62(95%CI; 4.46-9.83)), attitude (AOR = 2.17(95%CI1.40-3.37), use of mass media (AOR = 1.64(95%CI; 1.30-2.60)) and the length of stay (AOR = 1.93(95%CI; 1.35-2.77)) in the farming area were significantly associated with practice of malaria prevention.


CONCLUSION
The practice of malaria prevention among migrant and seasonal farm workers was low. The programmers and implementers should design tailored malaria intervention programs and strategies for these hard to reach population.
['Demissie|Getu Debalkie|GD|http://orcid.org/0000-0002-9936-8301', 'Ayele|Tadesse Awoke|TA|', 'Wami|Sintayehu Daba|SD|', 'Sisay|Malede Mequanent|MM|', 'Fetene|Destaw|D|', 'Wolde|Haileab Fekadu|HF|', 'Akalu|Temesgen Yihunie|TY|', 'Gelaye|Kassahun Alemu|KA|']
D000293:Adolescent D000328:Adult D000368:Aged D003430:Cross-Sectional Studies D005002:Ethiopia D000067565:Farmers D005260:Female D007722:Health Knowledge, Attitudes, Practice D006801:Humans D008288:Malaria D008297:Male D008875:Middle Aged D012621:Seasons D014171:Transients and Migrants D055815:Young Adult
Practice Malaria Migrant and seasonal farm workers Knowledge Attitude