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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 (In Progress)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Malaria remains a major public health threat in sub-Saharan Africa, and the consistent use of insecticide-treated nets (ITNs) is a proven strategy for reducing transmission by reducing human-vector or physical contact. While distribution efforts have increased access and coverage, actual household utilization often lags behind ownership. This study evaluated ITN 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. A community-based study was conducted across several districts in the URR, including Sandu, Jimara, Wulli East, Wulli West, Basse (Fulladu East), Tumana, and Kantora. Using a Community Compliance Index (CCI) framework, data were collected from 1,000 households through interviewer-administered questionnaires and direct environmental observations. The study assessed self-reported nightly net use, knowledge of ITN benefits, and observed physical conditions of nets, such as whether they were properly hung and tucked. Survey data revealed high levels of net ownership, with many respondents reporting that their households have enough nets for everyone. While a strong majority of participants acknowledged that sleeping under a net helps prevent malaria, barriers to consistent use remain. Common challenges identified by the community include discomfort due to nighttime heat and overcrowded sleeping areas. Direct observations in several households also highlighted a need for better net maintenance, as some nets were found to be in poor condition or not properly mounted over sleeping areas. Despite successful distribution and high community awareness of ITN benefits in the URR, actual nightly utilization is influenced by environmental discomfort and household structural limitations. To move toward malaria pre-elimination, MoH/NMCP Gambia should go beyond simple distribution and focus on behavioral change interventions. Strategies should include local demonstrations on proper net hanging and repair, as well as community-led initiatives to address seasonal discomfort during the peak transmission period
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