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All Journal Health Dynamics
Babucarr Jassey
Department of Public Health Services, Ministry of Health, The Gambia Department of Public Health, Faculty of Public Health, Airlangga University, Surabaya
Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Risk Factors of Malaria Transmission Dynamics Among Sand Mining Workers in the Kombos West Coast Region, The Gambia Babucarr Jassey; Ririh Yudhastuti; Khuliyah Candraning Diyanah; Hourunisa Hourunisa; Muhammad Rasyid Ridha; Reny Indrayani; Musfirah Musfirah; Eka Nur Sejati; Buba Manjang
Health Dynamics Vol 1, No 4 (2024): April 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10403

Abstract

Background: Malaria eradication by 2030 is the UN's third Sustainable Development Goal (SDG). However, malaria still poses a severe threat to public health, especially in Sub-Saharan Africa, which includes The Gambia. The present study explores the factors that impact malaria transmission among artisanal small-scale miners (ASSM) in three districts in the West Coast Region of The Gambia: Kombo East, Kombo Central, and Kombo South. Methods: The researchers carried out a cross-sectional study using one hundred participants from the study area. Using a logistic regression model, the researchers looked at risk variables linked to malaria incidence in the Kombos. Results: Age (Adjusted Prevalence Ratio (APR) = 7.989 with 95% Confidence Interval (CI 1.724–37.002) and the existence of mosquito breeding places (APR = 7.685 with 95% Confidence Interval (CI 1.502–39.309) were shown to be risk variables for malaria in the multivariable analysis. On the other hand, protective factors included higher education level (APR = 0.104 with 95% CI 0.027-0.403), using insect repellents (APR = 0.138 with 95% CI 0.035-0.549), and the state of inside home walls (APR = 0.145 with 95% CI 0.0414-0.511). Conclusions: According to this study's findings, the Gambia's malaria risk variables include age and the presence of mosquito breeding grounds. In addition, having greater knowledge, using insect repellents, and having well-maintained interior walls are all protective factors against malaria. In order to eradicate malaria in Gambia's mining regions, it is strongly advised to decrease risk factors and increase prevention measures through effective communication, information, and education.
Community Compliance and Usage of Insecticide-Treated Nets (ITNs) for Malaria Prevention in the Upper River Region of The Gambia Babucarr Jassey; Ririh Yudhastuti; Heny Arwati; Lamin Ceesay; Ebrima Jatta; Yankuba Fabureh; Baba Ceesay; Omar Jallow; Samuel S Gomez; Ousman F Bojang; Alfusainey Manneh; Khuliyah Chandraning Diyannah
Health Dynamics Vol 3, No 8 (2026): August 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30805

Abstract

Background: Insecticide-treated nets (ITNs) are an important malaria prevention measure, but household ownership does not always translate into consistent use. Understanding community compliance and barriers to ITN utilization is essential for effective malaria control. This study assessed ITN utilization usage patterns and community compliance in the Upper River Region (URR) of The Gambia to better understand the gap between possessing a net and using it correctly. Methods: A community-based study was conducted across seven districts in the URR: Sandu, Jimara, Wulli East, Wulli West, Basse (Fulladu East), Tumana, and Kantora. Data were collected from 1,000 households through interviewer-administered questionnaires and direct environmental observations. The Community Compliance Index (CCI) framework was used to assess nightly ITN use, knowledge of ITN benefits, barriers to use, and the physical condition and hanging of nets. Results:  ITN ownership was high, with 94.2% of respondents reporting sufficient nets for household members, while 78.5% reported sleeping under a net every night. Knowledge of ITN benefits was high, but consistent use was affected by nighttime heat, overcrowded sleeping areas, and inadequate net maintenance. Direct observations showed that 68.3% of nets were properly hanging over sleeping areas, indicating a gap between reported use and observed readiness for use. Conclusion: Despite high ITN ownership and awareness, environmental discomfort and household structural constraints remain important barriers to consistent utilization in the URR. Malaria control programs should complement ITN distribution with behavior-change interventions addressing proper net hanging, maintenance, and heat-related discomfort.
Co-Authors Alfusainey Manneh Baba Ceesay Buba Manjang Ebrima Jatta Eka Nur Sejati Heny Arwati Hourunisa Hourunisa Khuliyah Candraning Diyanah Khuliyah Chandraning Diyannah Lamin Ceesay Muhammad Rasyid Ridha Musfirah Musfirah Omar Jallow Ousman F Bojang Reny Indrayani Ririh Yudhastuti Ririh Yudhastuti Samuel S Gomez Yankuba Fabureh