Journal of Epidemiology and Public Health

Factors Leading to Acceptability of Indoor Residual Spraying Coverage in Urban Areas of Luwingu District, Zambia

Abstract

Moses Mukosha

Introduction Indoor Residual Spraying (IRS) is a crucial intervention for malaria control, yet its acceptability in urban areas remains understudied, particularly in Luwingu District, Zambia. This research aimed to identify the factors influencing the acceptability of IRS coverage in Luwingu urban setting and to provide insights for improving malaria control strategies and elimination by 2030.

Methods A cross-sectional study was conducted using a structured questionnaire administered to 344 households in the urban area of Luwingu District. The questionnaire encompassed variables such as age, sex, religion, marital status, occupation, and IRS coverage status. Data was analysed using statistical package for the social sciences (SPSS. 28.0) included descriptive statistics and logistic regression to identify factors associated with IRS acceptability.

Results Among the surveyed households, 53.3% reported being sprayed with IRS, while 46.8% were not. The analysis revealed several key factors influencing IRS acceptability. Age was found to be significant, with younger individuals more likely to accept IRS. Gender also played a role, with females more likely to accept IRS compared to males. Additionally, marital status was associated with acceptability, with married individuals showing higher acceptance rates. Occupation and religious affiliation were not significant predictors of IRS acceptability in this context. The findings suggest that targeted strategies should be developed to address the diverse needs and preferences of different demographic groups within the urban population. These may include tailored communication campaigns, community engagement initiatives, and incentives to improve IRS uptake among specific demographics.

Conclusion The study underscores the importance of understanding local contexts and Socio-demographic factors in designing effective malaria control programs. Targeted interventions informed by the identified factors can enhance IRS acceptability and coverage in urban areas, contributing to the overall goal of malaria elimination in Luwingu District and similar settings

PDF