Abstract
Background
Malaria remains a significant health issue in the WHO African region, accounting for 94% of global malaria cases in 2019. Efforts to increase LLIN distribution have faced challenges in achieving target uptake levels. The COVID-19 pandemic further strained malaria control resources, exacerbating gaps in LLIN access and utilization. Understanding local barriers and facilitators to LLIN uptake is critical for effective malaria prevention strategies, making this study imperative in addressing these gaps.
Methods
This cross-sectional study surveyed 311 households in three wards of Mazowe District, Zimbabwe, using a pre-tested questionnaire to explore determinants of continuous LLIN distribution. Data on socio-demographic factors, LLIN perceptions, and accessibility were analyzed quantitatively and qualitatively using SPSS version 25. The study examined the impact of socio-cultural influences, health system effectiveness, community engagement strategies, and logistical challenges on LLIN uptake.
Results
The study revealed that reduced malaria risk perception (60% of participants) and logistical challenges, such as stock-outs and long waiting times, significantly impeded LLIN uptake. Only 289 households reported receiving LLINs in the last distribution cycle. Education levels had minimal impact on LLIN usage, indicating personal beliefs and access barriers were more influential.
Conclusion
The research emphasises the importance of addressing community risk perceptions and improving logistical frameworks to enhance LLIN uptake. Continuous education and community engagement are crucial in combating complacency surrounding malaria prevention efforts. Findings carry significant implications for public health policy and malaria prevention strategies, highlighting the need for a relational understanding of LLIN accessibility and community engagement.