The Effectiveness of Community Health Worker Programmes in Promoting Malaria Prevention Practices Among Urban Kenyans: A Behaviour Change and Utilization Analysis

Malaria remains a significant public health issue in urban Kenya despite interventions aimed at reducing its prevalence. A mixed-methods approach comprising surveys, interviews, and focus groups was employed. Data were collected from a stratified random sample of 500 urban residents across five districts in Kenya. CHW programmes significantly increased awareness about malaria prevention practices (82% reported improved knowledge) and led to higher utilization of preventive measures such as bed nets (75% used regularly). Community health worker interventions showed promise in enhancing both behaviour change and healthcare utilization for malaria prevention. CHW programmes should be scaled up with additional training and support to sustain their impact. Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.