The Influence of Community Health Workers on Malaria Transmission Reduction in Urban Rwandan Villages: An Epidemiological Investigation

Urban areas in Rwanda have faced challenges in controlling malaria transmission due to various socio-economic factors. A mixed-methods approach was employed, including surveys and focus group discussions with CHWs and community members. Data were analysed using descriptive statistics and thematic analysis. CHWs reported a 25% reduction in malaria cases compared to pre-intervention levels (95% CI: 18-32%), with significant improvements noted in knowledge dissemination about prevention measures. The findings suggest that CHWs can play a pivotal role in malaria control, though further research is needed to validate these preliminary results and explore long-term effects. Continued support for CHW training and community engagement programmes should be prioritised to sustain the observed benefits of their work. Community Health Workers, Malaria Control, Urban Rwanda, Epidemiological Study Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.