The Côte d’Ivoire Malaria Behavior Survey was fielded in September through November 2018. Survey results were analyzed in coordination with the National Malaria Control Program and released in 2019. The survey was carried out by the Breakthrough ACTION project in Côte d’Ivoire in collaboration with the National Malaria Control Program, the U.S. President’s Malaria Initiative, and several other local organizations.
Survey Zones and Respondents
Key Behavioral Determinants at a Glance
of febrile children under five were brought to a health facility or community health worker first, the same or next day
Social norm: The perception that immediate care seeking is the norm was associated with a 90% greater likelihood of seeking care at a health center or from a community health worker the same or next day
Positive attitude: Women with favorable attitudes towards prompt care seeking were 80% more likely to bring their febrile child to a health center or community health worker the same or next day
Spousal dialogue: Women who discussed malaria with their spouse were 54% more likely to bring their febrile child to a health facility or community health worker the same or next day
of available ITNs were reportedly used every night in the previous week
Self-efficacy: Those reporting high levels of self-efficacy to use ITNs were 6.6 times more likely to use them every night.
Positive attitude: Those who reported a positive attitude toward the use of ITNs were 2.7 times more likely to sleep under one every night.
Spousal dialogue and interpersonal communication: Spousal communication increased the odds of consistent net use by 29%. Similarly, the odds of consistent ITN use were higher by 26% among those who discussed malaria with others.
of pregnant women received 3 or more doses of IPTp
Knowledge: While knowledge of ANC is high, only 25% of women know a woman must receive SP at least three times during pregnancy. Only 9% of women believe SP can be taken on an empty stomach without any problems.
Age and gender: As many as 41% of women and 37% of men believe a pregnant woman must wait a few months before first consulting a health worker. Women aged 15-24 years had the lowest IPTp3+ uptake (47%).
Spousal dialogue: Women whose husband accompanied them to ANC were twice as likely to obtain at least four visits. Only 35% of men reported they accompany their wives for ANC. Only 34% of couples reported jointly deciding to attend ANC.