Knowledge, Attitude and Practice (KAP) of Malaria Vector Control in Maiduguri, Northeastern Nigeria: A Household-based Cross-sectional Survey

Muhammad M. Ibrahim, Musa Ibn Abbas, Askira M. Umoru, Isyaka M. Tom, Adamu Idris, Abubakar Shettima, Deborah Markus


Background: Malaria is a tropical disease that is a major public health problem in Nigeria, with an estimated 100 million cases and over 300 thousand deaths per year. Herein, we conducted a cross sectional phenomenological household survey to determine the knowledge, attitude and practice (KAP) of Malaria vector control in Maiduguri, Northeastern Nigeria.

Methods: A close-ended structured questionnaire was administered to participants from June 2019 to September 2019. A total of 90 consented participants (MeanAge±S.D=26.17±16.09; S2=259.14; C/var=61.51%; male:female=1:2), comprising of household heads or their spouses, were sampled at random for this study.

Results: 51.1% (46/90) of the participants had tertiary education, 75.6% (68/90) have a monthly household income of 25 USD or less, 40.0% (36/90) of the households comprise of one shared bedroom while 53.3% (48/90) of the households have a population of 8 or more. 96.7% (87/90) of respondents have heard of malaria, where 68.9% (62/90) learned about it from experience and 15.6% (14/90) from radio programs. Only 17.8% (16/90) of respondents mentioned Plasmodium spp as the etiologic agent of malaria. 93.3% (84/90) of respondents attributed malaria transmission to the bites of mosquitoes. Most respondents (67.8%) mentioned stagnant water bodies as the breeding site for mosquitoes. 66.7% (60/90) of respondents use insecticide treated nets (ITNs) to prevent mosquito bites, 13.3% (12/90) use coil incense while 5.6% (5/90) use indoor residual spray (IRS).

Conclusion: The use of ITNs was observed to be predominant in this study. This choice can largely be attributed to its affordability and long term usage.  


Malaria; Awareness; Vector control; Malaria Transmission; ITN; IRS


World Health Organization. (2018). World Malaria Report. World Health Organization Publication. Pp 210. ISBN 978-92-4-156565-3.

World Health Organization. (2019). Guidelines for malaria vector control. World Health Organization Publication. Pp 161. ISBN 978-92-4-155049-9.

NPC/NMCP/ICF. National Population Commission, National Malaria Control Programme, and ICF International; Abuja, Nigeria: 2012. Nigeria Malaria Indicator Survey 2010.

Hemingway, J. The role of vector control in stopping the transmission of malaria: threats and opportunities. Philosophical transactions of the Royal Society of London. Series B, Biological sciences, 2014;369:1645.

Phillips-Howard, P. A., Nahlen, B. L., Kolczak, M. S., et al. Efficacy of permethrin-treated bed nets in the prevention of mortality in young children in an area of high perennial malaria transmission in western Kenya. American Journal of Tropical Medicine and Hygiene. 2003; 68(4): 23–9. PMID:12749482.

Jimme M.A., Bukar W.M., Monguno A.K. Contamination levels of domestic water sources in Maiduguri metropolis, Borno state, Northeast Nigeria. Ethiop. J. Environ. Stud. Manag. 2016;9(6):760–768.

Mukhtar A., Akpan J.C. Assessment of challenges facing solid waste management in Maisandari neighbourhood of Maiduguri Metropolis, Borno State, Nigeria. Int. J. Res. Innov. Soc. Sci. 2018;2(7):170–177.

Balogun ST, Sandabe UK, Okon KO, Akanmu AO, Fehintola FA. Malaria burden and pre-hospital medication among subjects with malaria in Maiduguri, Northeast Nigeria. Heliyon. 2019;5(8):e02280. https://doi:10.1016/j.heliyon.2019.e02280.

Bhatt, S., Weiss, D., Cameron, E. et al. The effect of malaria control on Plasmodium falciparum in Africa between 2000 and 2015. Nature, 2015;526:207–211.

Foumane, V., Besnard, P., Le Mire, J., et al. First Knowledge, Attitude and Practices (KAP) Survey of Mosquitoes and Malaria Vector Control at Household Level in Lobito Town (Angola). Journal of Infectious Disease and Therapy, 2015;3:230. https://doi:10.4172/2332-0877.1000230.

Obol, J., David, K. L., and Garimoi, O. C. Knowledge andMisconceptions aboutMalaria among Pregnant Women in a Post-Conflict Internally Displaced Persons’ Camps in Gulu District, Northern Uganda. Malaria Research and Treatment, 2011:1-7. https://doi:10.4061/2011/107987.

Maiduguri. Encyclopædia Britannica 2019. (accessed on October 18, 2020)

Udo, R. K. A Comprehensive Geography of West Africa. Heinemann Educational Books Ltd., Abuja. 1978.

National Population Commission (NPC). The Nigeria Population Census, Census Priority Tables Vol.1.” 2006. Retrieved from http,// (verified on 12 December, 2011).

Charan, J. and Biswas, T. How to Calculate Sample Size for Different Study Designs in Medical Research? Indian Journal of Psychological Medicine, 2013;35:121-126.

Michael, G. C., Ibrahim, A., Bukar, A. G. Knowledge of malaria and adherence to its preventive measures among adults attending out-patient clinics of a Nigerian tertiary hospital: Has anything changed? African Journal of Medicine and Health Sciences, 2017;16(1):43-51. https://doi:10.4103/ajmhs.ajmhs_81_16.

Deressa, W., Ali, A., Enquoselassie, F. Knowledge, attitude and practice about Malaria, the Mosquito and Antimalarial Drugs in a rural community. Ethiopian Journal of Health Development. 2003;17(2):99-104.

Singh, R., Musa, J., Singh, S., & Ebere, U. V. Knowledge, attitude and practices on malaria among the rural communities in Aliero, Northern Nigeria. Journal of family medicine and primary care, 2014:3(1):39–44.

Iriemenam, N. C., Dosunmu, A. O., Oyibo, W. A., and Fagbenro-Beyioku, A. F. Knowledge, attitude, perception of malaria and evaluation of malaria parasitaemia among pregnant women attending antenatal care clinic in metropolitan Lagos, Nigeria. Journal of Vector Borne Diseases, 2011;48:12–17.

Mazigo, H. D., Obasy, E., Mauka, W. et al. Knowledge, Attitudes, and Practices about Malaria and Its Control in Rural Northwest Tanzania. Malaria research and Treatment. 2010;1-9.

World Health Organization (WHO). World Malaria Report 2015. Geneva. pp81-181. ISBN 978 92 4 156515 8.

Adedotun, A. A., Morenikeji, O. A., Odaibo, A. B. Knowledge, attitudes and practices about malaria in an urban community in South-western Nigeria. Journal of Vector Borne Diseases. 2010;47(3):155‐159.

Hlongwana, K. W., Mabaso, M. L., Kunene, S., Govender, D., Maharaj, R. Community knowledge, attitudes and practices (KAP) on malaria in Swaziland: a country earmarked for malaria elimination. Malaria Journal. 2009;8:29. https://doi:10.1186/1475-2875-8-29.

Asale, A., Kussa, D., Girma, M., Mbogo, C., & Mutero, C. M. Community based integrated vector management for malaria control: lessons from three years' experience (2016-2018) in Botor-Tolay district, Southwestern Ethiopia. BMC Public Health, 2019;19(1):1318.

Yukich, J. O., Lengeler, C., Tediosi, F. et al. Costs and consequences of large-scale vector control for malaria. Malaria Journal, 2008;7:258.

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