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The aim of this study is to determine key factors affecting malaria interventions and control among communities in Ntambu Area of Mwinilunga District. An equal status sequential mixed methods design was adopted for this study. Three and fifty-eight respondents were enrolled from 109 villages as clusters using systematic sampling as well as purposeful sampling. Data was collected using a guided structured questionnaire and in-depth interviews. The findings are that social economic status, spray operator selection, and performance, negative experiences from previous IRS campaigns and political factors were negative factors whereas community solidarity was a positive factor for acceptance of IRS and ITNs. What can be inferred in this study is that the success of any malaria intervention in Ntambu area relies a lot on how the benefitting communities view and embrace the interventions. Individual factors like sex and level of education of household head are associated in varying ways with willingness to take up the interventions. This should be noted considering that level of education was associated with acceptance of IRS and yet not associated with repeat IRS as well as gender. The availability of antimalarial drugs, ITN, IRS acceptance and refusal in Ntambu, leave much to be desired. ITN use and availability appears to be the most accepted and easily available intervention though a few respondents appeared not to be aware or sure of what was happening in the area.

A Study to Determine Possible Key Factors Affecting Malaria Intervention and Control among Communities in Ntambu Area of Mwinilunga District