{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T15:20:04Z","timestamp":1783610404059,"version":"3.55.0"},"reference-count":56,"publisher":"PAGEPress Publications","issue":"1","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geospat Health"],"abstract":"<jats:p>This study presents the first Knowledge Attitudes, and Practices (KAP) survey on malaria in Djibouti City. It was conducted among 1,344 household heads across nine neighbourhoods in Djibouti City. Composite scores were calculated for each KAP dimension. Analysis of variance and multinomial logistic regression identified socio-demographic predictors and Local Indicators of Spatial Association (LISA) characterised the spatial clustering of the KAP scores. No significant association was found between sociodemographic or economic factors and malaria knowledge. Prevention practices varied notably across neighbourhoods, driven by place of residence, mother tongue, and education\u2013underlining the primacy of spatial determinants. Attitudes were found to be linked to gender and income. Despite high disease awareness, 60% of respondents misidentified transmission routes, nearly two-thirds of respondents failed to adopt effective preventive behaviours, while Long-Lasting Insecticidal Net (LLIN) ownership far exceeded correct use. The gap between awareness and practice suggests that information-deficit approaches have reached their limits; future interventions should target motivational norm-based determinants of behaviour, spatially concentrated in the highest-risk neighbourhoods. Language and cultural barriers require tailored communication strategies beyond standard broadcast campaigns. Strengthened vector control and active surveillance remain essential complements to any behavioural intervention.<\/jats:p>","DOI":"10.4081\/gh.2026.1451","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T08:54:24Z","timestamp":1781600064000},"source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of household knowledge, attitudes and practices concerning malaria in the city of Djibouti"],"prefix":"10.4081","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7897-0416","authenticated-orcid":false,"given":"Osman","family":"Abdillahi Guedi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yao T\u00e9lesphore","family":"Brou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Delmelle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e9bastien","family":"Briolant","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2549","published-online":{"date-parts":[[2026,6,16]]},"reference":[{"key":"37619","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-312"},{"key":"37620","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1258594"},{"key":"37621","doi-asserted-by":"publisher","DOI":"10.4314\/ahs.v23i1.26"},{"key":"37622","doi-asserted-by":"publisher","DOI":"10.1093\/trstmh\/trac112"},{"key":"37623","unstructured":"Bandura A. 1986. social foundations of thought and action: a social cognitive theory. 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[The CAP survey in medical research.] Health Sci Dis 14:183."},{"key":"37636","doi-asserted-by":"publisher","DOI":"10.4236\/health.2020.124027"},{"key":"37637","doi-asserted-by":"publisher","DOI":"10.1016\/j.actatropica.2014.06.016"},{"key":"37638","unstructured":"Gatrell AC, Elliott SJ. 2015. Geographies of Health: An Introduction. Third edition. Wiley Blackwell, 426 pp."},{"key":"37639","doi-asserted-by":"publisher","DOI":"10.4103\/2249-4863.184632"},{"key":"37640","doi-asserted-by":"publisher","DOI":"10.4314\/jema.v4i1.52117"},{"key":"37641","unstructured":"INSTAD. 2025. Communication sur les resultats provisoires du 3\u00e8me recensement g\u00e9n\u00e9ral de la population et de l\u2019habitat (rgph-3) de Djibouti - 25 juin 2024. [Announcement on the provisional results of Djibouti\u2019s 3rd General Population and Housing Census (RGPH-3) \u2013 25 June 2024] Available from: https:\/\/tinyurl.com\/2s4xjspd."},{"key":"37642","doi-asserted-by":"publisher","DOI":"10.1080\/22221751.2020.1815590"},{"key":"37643","doi-asserted-by":"publisher","DOI":"10.1177\/109019818401100101"},{"key":"37644","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-8235-6"},{"key":"37645","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiae373"},{"key":"37646","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph191912006"},{"key":"37647","doi-asserted-by":"publisher","DOI":"10.1186\/1475-2875-12-201"},{"key":"37648","doi-asserted-by":"publisher","DOI":"10.1525\/9780520340848"},{"key":"37649","doi-asserted-by":"publisher","DOI":"10.22582\/am.v11i1.31"},{"key":"37650","unstructured":"Louis JP, Albert JP, 1988. Malaria in the Republic of Djibouti. 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