Perception of malaria infection in two rural communities in Nigeria.

This investigation was concerned with how and when parents and other members of two rural communities (Awi and Ikot Edem Odo) in Cross River State, Nigeria, recognized malaria infection, what they do to prevent the disease, and what triggers their treatment seeking behaviour (cue to action). The psychological and sociocultural contexts of these complex factors were considered. Focus group discussion (FGD) techniques were employed. A total of eight groups selected using theoretical sampling matrix method were categorized. A thirty-three-item FGD battery of guide questions was used. Information and data on knowledge, attitude, and practice (KAP) and the perception of malaria infection were generated. Analysis showed that both communities recognized the symptoms, morbidity and mortality of malaria infection in both adults and children. The mosquito vector was identified among numerous other causes of malaria. The pervasive role of ethnomedical sociocultural, and belief systems on KAP and perception of malaria were revealed. Both communities will likely benefit from health education interventions which recognize the belief systems of the two communities.