Country Results<\/p><\/h2><\/div>
The Zambia Malaria Behavior Survey was fielded from April to May 2024, and the survey results were released in 2025. The survey was carried out by the Breakthrough ACTION project in Zambia in collaboration with the National Malaria Control Program, the U.S. President\u2019s Malaria Initiative (PMI), and several other local organizations.<\/span><\/h4><\/div><\/div><\/div><\/div>Study Zone<\/h2>\n<\/div>![](\"https:\/\/malariabehaviorsurvey.org\/wp-content\/uploads\/2025\/03\/Zambia-map-300x260.png\" "\\"Zambia")
<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div>Survey Zones and Respondents<\/h2><\/h2><\/div><\/div><\/div><\/div><\/i>0<\/span><\/div>Zone<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/i>0<\/span><\/div>Households<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/i>0<\/span><\/div>Individual respondents<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>Key behaviors at a glance<\/h2><\/h3><\/div><\/div><\/div><\/div>84%<\/div><\/div><\/div><\/div>of children under five with fever had prompt and appropriate care sought for them the same or next day of fever onset<\/h4>\n<\/div>- <\/i><\/span>\n
Knowledge:<\/strong> Respondents with a <\/span>comprehensive knowledge of care-seeking <\/span>were <\/span>3.8 times<\/strong> more likely<\/span> to <\/span>seek prompt and <\/span>appropriate care for their child with fever<\/span>.<\/span><\/p>\n<\/div><\/li>- <\/i><\/span>\n
Social<\/strong><\/span>\u00a0Norms:<\/strong> Respondents who believed that <\/span>people<\/span> in their community sought care <\/span>on the same day or the day after they <\/span>developed<\/span> a fever <\/span>were 2.3 times<\/strong> more likely to seek<\/span> pro<\/span>mpt<\/span> and <\/span>appropriate care<\/span>.<\/span><\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/div>86%<\/div><\/div><\/div><\/div>of respondents use a mosquito net every night of the week<\/h4>\n<\/div>- <\/i><\/span>\n
Attitudes: <\/span><\/span><\/b>Respondents with favorable attitudes toward the use of mosquito nets were 1.5 times<\/strong> more likely to report net care behaviors.<\/span><\/span><\/p>\n<\/div><\/li>- <\/i><\/span>\n
Message Exposure:<\/strong> Respondents who report<\/span>ed<\/span> hearing malaria messages from a health facility were 1.7 times<\/strong> more likely to use a net e<\/span>very night.<\/span><\/b><\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/div>87%<\/div><\/div><\/div><\/div>of pregnant women received three or more doses of\u00a0<\/span><\/span>IPTp during their last pregnancy<\/span><\/span><\/h4>\n<\/div>- <\/i><\/span>\n
Attitudes: <\/b>Women with favorable attitudes toward <\/span>IPTp were 3.9 times<\/strong> more likely to attend ANC at least four times in a future pregnancy.<\/span><\/p>\n<\/div><\/li>- <\/i><\/span>\n
Social Norms: <\/span><\/span><\/b>Women who believed that most women in their community start ANC in the first trimester were 2.2 times<\/strong> more likely to start ANC early.<\/span><\/span><\/p>\n<\/div><\/li>- <\/i><\/span>\n
Perceptions of healthcare workers: <\/span><\/span><\/b>Women who perceived that most ANC providers treat women with respect were 1.9 times<\/strong> more likely to intend to initiate early <\/span><\/span><\/span>ANC in a future pregnancy.<\/span><\/span><\/span><\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/div><\/div><\/div>
Study Zone<\/h2>\n<\/div><\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div>Survey Zones and Respondents<\/h2><\/h2><\/div><\/div><\/div><\/div><\/i>0<\/span><\/div>Zone<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/i>0<\/span><\/div>Households<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/i>0<\/span><\/div>Individual respondents<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>Key behaviors at a glance<\/h2><\/h3><\/div><\/div><\/div><\/div>84%<\/div><\/div><\/div><\/div>of children under five with fever had prompt and appropriate care sought for them the same or next day of fever onset<\/h4>\n<\/div>- <\/i><\/span>\n
Knowledge:<\/strong> Respondents with a <\/span>comprehensive knowledge of care-seeking <\/span>were <\/span>3.8 times<\/strong> more likely<\/span> to <\/span>seek prompt and <\/span>appropriate care for their child with fever<\/span>.<\/span><\/p>\n<\/div><\/li>- <\/i><\/span>\n
Social<\/strong><\/span>\u00a0Norms:<\/strong> Respondents who believed that <\/span>people<\/span> in their community sought care <\/span>on the same day or the day after they <\/span>developed<\/span> a fever <\/span>were 2.3 times<\/strong> more likely to seek<\/span> pro<\/span>mpt<\/span> and <\/span>appropriate care<\/span>.<\/span><\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/div>86%<\/div><\/div><\/div><\/div>of respondents use a mosquito net every night of the week<\/h4>\n<\/div>- <\/i><\/span>\n
Attitudes: <\/span><\/span><\/b>Respondents with favorable attitudes toward the use of mosquito nets were 1.5 times<\/strong> more likely to report net care behaviors.<\/span><\/span><\/p>\n<\/div><\/li>- <\/i><\/span>\n
Message Exposure:<\/strong> Respondents who report<\/span>ed<\/span> hearing malaria messages from a health facility were 1.7 times<\/strong> more likely to use a net e<\/span>very night.<\/span><\/b><\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/div>87%<\/div><\/div><\/div><\/div>of pregnant women received three or more doses of\u00a0<\/span><\/span>IPTp during their last pregnancy<\/span><\/span><\/h4>\n<\/div>- <\/i><\/span>\n
Attitudes: <\/b>Women with favorable attitudes toward <\/span>IPTp were 3.9 times<\/strong> more likely to attend ANC at least four times in a future pregnancy.<\/span><\/p>\n<\/div><\/li>- <\/i><\/span>\n
Social Norms: <\/span><\/span><\/b>Women who believed that most women in their community start ANC in the first trimester were 2.2 times<\/strong> more likely to start ANC early.<\/span><\/span><\/p>\n<\/div><\/li>- <\/i><\/span>\n
Perceptions of healthcare workers: <\/span><\/span><\/b>Women who perceived that most ANC providers treat women with respect were 1.9 times<\/strong> more likely to intend to initiate early <\/span><\/span><\/span>ANC in a future pregnancy.<\/span><\/span><\/span><\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/div><\/div><\/div>
<\/span><\/div><\/div>Survey Zones and Respondents<\/h2><\/h2><\/div><\/div><\/div><\/div><\/i>0<\/span><\/div>Zone<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/i>0<\/span><\/div>Households<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/i>0<\/span><\/div>Individual respondents<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>Key behaviors at a glance<\/h2><\/h3><\/div><\/div><\/div><\/div>84%<\/div><\/div><\/div><\/div>of children under five with fever had prompt and appropriate care sought for them the same or next day of fever onset<\/h4>\n<\/div>- <\/i><\/span>\n
Knowledge:<\/strong> Respondents with a <\/span>comprehensive knowledge of care-seeking <\/span>were <\/span>3.8 times<\/strong> more likely<\/span> to <\/span>seek prompt and <\/span>appropriate care for their child with fever<\/span>.<\/span><\/p>\n<\/div><\/li>- <\/i><\/span>\n
Social<\/strong><\/span>\u00a0Norms:<\/strong> Respondents who believed that <\/span>people<\/span> in their community sought care <\/span>on the same day or the day after they <\/span>developed<\/span> a fever <\/span>were 2.3 times<\/strong> more likely to seek<\/span> pro<\/span>mpt<\/span> and <\/span>appropriate care<\/span>.<\/span><\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/div>86%<\/div><\/div><\/div><\/div>of respondents use a mosquito net every night of the week<\/h4>\n<\/div>- <\/i><\/span>\n
Attitudes: <\/span><\/span><\/b>Respondents with favorable attitudes toward the use of mosquito nets were 1.5 times<\/strong> more likely to report net care behaviors.<\/span><\/span><\/p>\n<\/div><\/li>- <\/i><\/span>\n
Message Exposure:<\/strong> Respondents who report<\/span>ed<\/span> hearing malaria messages from a health facility were 1.7 times<\/strong> more likely to use a net e<\/span>very night.<\/span><\/b><\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/div>87%<\/div><\/div><\/div><\/div>of pregnant women received three or more doses of\u00a0<\/span><\/span>IPTp during their last pregnancy<\/span><\/span><\/h4>\n<\/div>- <\/i><\/span>\n
Attitudes: <\/b>Women with favorable attitudes toward <\/span>IPTp were 3.9 times<\/strong> more likely to attend ANC at least four times in a future pregnancy.<\/span><\/p>\n<\/div><\/li>- <\/i><\/span>\n
Social Norms: <\/span><\/span><\/b>Women who believed that most women in their community start ANC in the first trimester were 2.2 times<\/strong> more likely to start ANC early.<\/span><\/span><\/p>\n<\/div><\/li>- <\/i><\/span>\n
Perceptions of healthcare workers: <\/span><\/span><\/b>Women who perceived that most ANC providers treat women with respect were 1.9 times<\/strong> more likely to intend to initiate early <\/span><\/span><\/span>ANC in a future pregnancy.<\/span><\/span><\/span><\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/div><\/div><\/div>
Key behaviors at a glance<\/h2><\/h3><\/div><\/div><\/div><\/div>84%<\/div><\/div><\/div><\/div>of children under five with fever had prompt and appropriate care sought for them the same or next day of fever onset<\/h4>\n<\/div>- <\/i><\/span>\n
Knowledge:<\/strong> Respondents with a <\/span>comprehensive knowledge of care-seeking <\/span>were <\/span>3.8 times<\/strong> more likely<\/span> to <\/span>seek prompt and <\/span>appropriate care for their child with fever<\/span>.<\/span><\/p>\n<\/div><\/li>- <\/i><\/span>\n
Social<\/strong><\/span>\u00a0Norms:<\/strong> Respondents who believed that <\/span>people<\/span> in their community sought care <\/span>on the same day or the day after they <\/span>developed<\/span> a fever <\/span>were 2.3 times<\/strong> more likely to seek<\/span> pro<\/span>mpt<\/span> and <\/span>appropriate care<\/span>.<\/span><\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/div>86%<\/div><\/div><\/div><\/div>of respondents use a mosquito net every night of the week<\/h4>\n<\/div>- <\/i><\/span>\n
Attitudes: <\/span><\/span><\/b>Respondents with favorable attitudes toward the use of mosquito nets were 1.5 times<\/strong> more likely to report net care behaviors.<\/span><\/span><\/p>\n<\/div><\/li>- <\/i><\/span>\n
Message Exposure:<\/strong> Respondents who report<\/span>ed<\/span> hearing malaria messages from a health facility were 1.7 times<\/strong> more likely to use a net e<\/span>very night.<\/span><\/b><\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/div>87%<\/div><\/div><\/div><\/div>of pregnant women received three or more doses of\u00a0<\/span><\/span>IPTp during their last pregnancy<\/span><\/span><\/h4>\n<\/div>- <\/i><\/span>\n
Attitudes: <\/b>Women with favorable attitudes toward <\/span>IPTp were 3.9 times<\/strong> more likely to attend ANC at least four times in a future pregnancy.<\/span><\/p>\n<\/div><\/li>- <\/i><\/span>\n
Social Norms: <\/span><\/span><\/b>Women who believed that most women in their community start ANC in the first trimester were 2.2 times<\/strong> more likely to start ANC early.<\/span><\/span><\/p>\n<\/div><\/li>- <\/i><\/span>\n
Perceptions of healthcare workers: <\/span><\/span><\/b>Women who perceived that most ANC providers treat women with respect were 1.9 times<\/strong> more likely to intend to initiate early <\/span><\/span><\/span>ANC in a future pregnancy.<\/span><\/span><\/span><\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/div><\/div><\/div>
of children under five with fever had prompt and appropriate care sought for them the same or next day of fever onset<\/h4>\n<\/div>- <\/i><\/span>\n
Knowledge:<\/strong> Respondents with a <\/span>comprehensive knowledge of care-seeking <\/span>were <\/span>3.8 times<\/strong> more likely<\/span> to <\/span>seek prompt and <\/span>appropriate care for their child with fever<\/span>.<\/span><\/p>\n<\/div><\/li>- <\/i><\/span>\n
Social<\/strong><\/span>\u00a0Norms:<\/strong> Respondents who believed that <\/span>people<\/span> in their community sought care <\/span>on the same day or the day after they <\/span>developed<\/span> a fever <\/span>were 2.3 times<\/strong> more likely to seek<\/span> pro<\/span>mpt<\/span> and <\/span>appropriate care<\/span>.<\/span><\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/div>86%<\/div><\/div><\/div><\/div>of respondents use a mosquito net every night of the week<\/h4>\n<\/div>- <\/i><\/span>\n
Attitudes: <\/span><\/span><\/b>Respondents with favorable attitudes toward the use of mosquito nets were 1.5 times<\/strong> more likely to report net care behaviors.<\/span><\/span><\/p>\n<\/div><\/li>- <\/i><\/span>\n
Message Exposure:<\/strong> Respondents who report<\/span>ed<\/span> hearing malaria messages from a health facility were 1.7 times<\/strong> more likely to use a net e<\/span>very night.<\/span><\/b><\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/div>87%<\/div><\/div><\/div><\/div>of pregnant women received three or more doses of\u00a0<\/span><\/span>IPTp during their last pregnancy<\/span><\/span><\/h4>\n<\/div>- <\/i><\/span>\n
Attitudes: <\/b>Women with favorable attitudes toward <\/span>IPTp were 3.9 times<\/strong> more likely to attend ANC at least four times in a future pregnancy.<\/span><\/p>\n<\/div><\/li>- <\/i><\/span>\n
Social Norms: <\/span><\/span><\/b>Women who believed that most women in their community start ANC in the first trimester were 2.2 times<\/strong> more likely to start ANC early.<\/span><\/span><\/p>\n<\/div><\/li>- <\/i><\/span>\n
Perceptions of healthcare workers: <\/span><\/span><\/b>Women who perceived that most ANC providers treat women with respect were 1.9 times<\/strong> more likely to intend to initiate early <\/span><\/span><\/span>ANC in a future pregnancy.<\/span><\/span><\/span><\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/div><\/div><\/div>
Knowledge:<\/strong> Respondents with a <\/span>comprehensive knowledge of care-seeking <\/span>were <\/span>3.8 times<\/strong> more likely<\/span> to <\/span>seek prompt and <\/span>appropriate care for their child with fever<\/span>.<\/span><\/p>\n<\/div><\/li> Social<\/strong><\/span>\u00a0Norms:<\/strong> Respondents who believed that <\/span>people<\/span> in their community sought care <\/span>on the same day or the day after they <\/span>developed<\/span> a fever <\/span>were 2.3 times<\/strong> more likely to seek<\/span> pro<\/span>mpt<\/span> and <\/span>appropriate care<\/span>.<\/span><\/p>\n<\/div><\/li><\/ul> Attitudes: <\/span><\/span><\/b>Respondents with favorable attitudes toward the use of mosquito nets were 1.5 times<\/strong> more likely to report net care behaviors.<\/span><\/span><\/p>\n<\/div><\/li> Message Exposure:<\/strong> Respondents who report<\/span>ed<\/span> hearing malaria messages from a health facility were 1.7 times<\/strong> more likely to use a net e<\/span>very night.<\/span><\/b><\/p>\n<\/div><\/li><\/ul> Attitudes: <\/b>Women with favorable attitudes toward <\/span>IPTp were 3.9 times<\/strong> more likely to attend ANC at least four times in a future pregnancy.<\/span><\/p>\n<\/div><\/li> Social Norms: <\/span><\/span><\/b>Women who believed that most women in their community start ANC in the first trimester were 2.2 times<\/strong> more likely to start ANC early.<\/span><\/span><\/p>\n<\/div><\/li> Perceptions of healthcare workers: <\/span><\/span><\/b>Women who perceived that most ANC providers treat women with respect were 1.9 times<\/strong> more likely to intend to initiate early <\/span><\/span><\/span>ANC in a future pregnancy.<\/span><\/span><\/span><\/p>\n<\/div><\/li><\/ul>of respondents use a mosquito net every night of the week<\/h4>\n<\/div>
of pregnant women received three or more doses of\u00a0<\/span><\/span>IPTp during their last pregnancy<\/span><\/span><\/h4>\n<\/div>