Social Behaviour Change Communication – Its Impact on Malaria Program - North Bank Regions as a Case Study in The Gambia

The Gambia Malaria Strategy Plan 2021 – 2025 places greater emphasis on strategies for malaria elimination. Hence, North Bank Regions (NBR) have been identified due to the relative low transmission to introduce case-based surveillance as a strategy for malaria elimination. Social Behaviour Change Communication (SBCC) is a critical component of the malaria program. SBCC study in NBR would provide evidence essential for malaria elimination. A three-stage cluster sampling design was used, and the NBR were purposely targeted due to their relative low malaria transmission. In total, 167 household heads and 192 caregivers of children under five years were interviewed. The findings showed that over 90% in NBR valued the use of Long-Lasting Insecticidal Nets (LLIN) in preventing malaria even if it differed in shape and texture from their taste. It is evident that use of health centre/hospital, radio and community health worker can engender wider coverage of messages on malaria in NBR. Malaria treatment was sought and received in a timely manner. Most respondents treated for malaria were tested for malaria prior to the treatment. Overall results are indicative of high levels of knowledge and practice in the prevention, control and treatment of malaria. Despite the existence of few misconceptions and resistance to change that limits the gains made through concerted efforts. The findings are indicative of room for improvement for the achievement of more effective malaria prevention and treatment. Additionally, affordability of LLINs featured prominently, whereas free net distribution could significantly increase access, the issue of sustainability remains pertinent.