Keywords
endemicity
malaria
partners support
Tshopo province
How to Cite
Abstract
This study aims to identify the determinants of the persistence of the malaria endemic in the city of Kisangani, despite sustained support from disease control partners. Kisangani's unique geographic and hydrographic context, characterized by an equatorial climate and dense hydrography, favors the proliferation of malaria vectors. The main objective is to understand the socioeconomic, environmental, and behavioral factors that maintain this endemic state. The study design is quantitative, descriptive, and cross-sectional, conducted in the city of Kisangani, DRC. The target population of the study includes households in Kisangani. The sample consists of 300 households, randomly selected from neighborhoods affected by malaria. The data collection technique is a structured questionnaire. The data were analyzed using SPSS and Excel software. The results show that the persistence of malaria is linked to multiple factors: socioeconomic insecurity, poor access to healthcare, risky behaviors, and an environment conducive to mosquito breeding. It highlights the importance of an integrated approach that takes these contextual determinants into account to optimize control strategies. The study's limitations are discussed, particularly those related to logistical constraints and participation. In conclusion, malaria control in Kisangani requires not only financial and technical support, but also a community-based and multisectoral approach that addresses socioeconomic and environmental challenges.
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