Acceptability of the RTS, S malaria vaccine and associated factors among caregivers of children under 25 months in Soa Health District, Cameroon: a community-based cross-sectional study
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This community-based cross-sectional study in Soa Health District, Cameroon assessed caregiver acceptability of the RTS,S/AS01 malaria vaccine among 541 parents/caregivers of children under 25 months, using a pre-tested structured questionnaire and convenience sampling with face-to-face interviews (Aug–Sep 2024). Overall, 73.4% of caregivers reported willingness to vaccinate, and multivariable logistic regression found higher acceptability associated with specific geographic locations (e.g., Ngali II, Koulou, Soa, Ebang), female sex, Catholic religion, prior awareness of the malaria vaccine, and health-seeking behaviors such as seeking treatment in hospitals or using street medicine. The paper explicitly relies on non-probability convenience sampling and thus may limit generalizability beyond the surveyed households. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.
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Abstract Background Malaria remains a major cause of morbidity and mortality in sub-Saharan Africa. In Cameroon, malaria accounts for 48% of all hospital admissions, 30% of morbidity and 67% of childhood mortality per year, despite ongoing control strategies. However, data on community acceptability of this vaccine remain limited. This study aimed to assess the acceptability of the malaria vaccine and identify factors associated among caregivers of children under 25 months in the Soa Health District, Cameroon. Methods A community-based cross-sectional descriptive and analytical study was conducted between March and November 2024. Caregivers of children under 25 months residing in the Soa Health District were recruited using a non-probability convenience sampling method. Data were collected using a structured, pre-tested questionnaire and analysed using R software. Associations between independent variables and vaccine acceptability were assessed using Pearson’s chi-square or Fisher’s exact tests. Multivariable logistic regression model was used to estimate adjusted odd ratio (aOR) at a 95% confidence level. A p-value < 0.05 was considered statistically significant. Results A total of 541 caregivers participated in the study. Overall, 73.4% of caregivers expressed willingness to vaccinate their children against malaria. Higher odds of vaccine acceptability were observed among caregivers residing in Ngali II (aOR = 12.20; 95% CI: 3.23-46.02; p <0.001 ), Koulou (aOR = 5.66; 95% CI: 1.74-18.35; p= 0.004 ), Soa (aOR = 4.23; 95% CI: 1.59-11.25; p= 0.004 ), and Ebang (aOR = 2.66; 95% CI: 1.16-6.14; p= 0.021 ), Female caregivers (aOR = 1.85; 95% CI: 1.06-3.22; p= 0.031 ), Catholics (aOR = 3.85; 95% CI: 1.18-12.51; p =0.025 ), caregivers who had prior awareness of the malaria vaccine (aOR = 2.06; 95% CI: 1.28-3.30; p=0.003 ), caregivers who sought treatment in hospitals (aOR = 2.02; 95% CI: 1.15-3.55; p =0.015 ) or used street medicine (aOR = 2.46; 95% CI: 1.09-5.55; p=0.03 ). Conclusion Acceptability of the malaria vaccine among caregivers in the Soa Health District was relatively high and was significantly influenced by geographic location, sex, religion, health-seeking behaviour, and awareness of the vaccine. Targeted health education and culturally sensitive community engagement strategies are essential to improve vaccine acceptability and support the successful scale-up of malaria vaccination programmes in Cameroon and other endemic settings.
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Acceptability of the RTS, S malaria vaccine and associated factors among caregivers of children under 25 months in Soa Health District, Cameroon: a community-based cross-sectional study | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Acceptability of the RTS, S malaria vaccine and associated factors among caregivers of children under 25 months in Soa Health District, Cameroon: a community-based cross-sectional study Ludrique Dang, Fabien Fouda Ombogo, Brenda Bime Burinyuy, Gilles Tounsi Kamdem, and 1 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-8299076/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Background Malaria remains a major cause of morbidity and mortality in sub-Saharan Africa. In Cameroon, malaria accounts for 48% of all hospital admissions, 30% of morbidity and 67% of childhood mortality per year, despite ongoing control strategies. However, data on community acceptability of this vaccine remain limited. This study aimed to assess the acceptability of the malaria vaccine and identify factors associated among caregivers of children under 25 months in the Soa Health District, Cameroon. Methods A community-based cross-sectional descriptive and analytical study was conducted between March and November 2024. Caregivers of children under 25 months residing in the Soa Health District were recruited using a non-probability convenience sampling method. Data were collected using a structured, pre-tested questionnaire and analysed using R software. Associations between independent variables and vaccine acceptability were assessed using Pearson’s chi-square or Fisher’s exact tests. Multivariable logistic regression model was used to estimate adjusted odd ratio (aOR) at a 95% confidence level. A p-value < 0.05 was considered statistically significant. Results A total of 541 caregivers participated in the study. Overall, 73.4% of caregivers expressed willingness to vaccinate their children against malaria. Higher odds of vaccine acceptability were observed among caregivers residing in Ngali II (aOR = 12.20; 95% CI: 3.23-46.02; p <0.001 ), Koulou (aOR = 5.66; 95% CI: 1.74-18.35; p= 0.004 ), Soa (aOR = 4.23; 95% CI: 1.59-11.25; p= 0.004 ), and Ebang (aOR = 2.66; 95% CI: 1.16-6.14; p= 0.021 ), Female caregivers (aOR = 1.85; 95% CI: 1.06-3.22; p= 0.031 ), Catholics (aOR = 3.85; 95% CI: 1.18-12.51; p =0.025 ), caregivers who had prior awareness of the malaria vaccine (aOR = 2.06; 95% CI: 1.28-3.30; p=0.003 ), caregivers who sought treatment in hospitals (aOR = 2.02; 95% CI: 1.15-3.55; p =0.015 ) or used street medicine (aOR = 2.46; 95% CI: 1.09-5.55; p=0.03 ). Conclusion Acceptability of the malaria vaccine among caregivers in the Soa Health District was relatively high and was significantly influenced by geographic location, sex, religion, health-seeking behaviour, and awareness of the vaccine. Targeted health education and culturally sensitive community engagement strategies are essential to improve vaccine acceptability and support the successful scale-up of malaria vaccination programmes in Cameroon and other endemic settings. Malaria RTS S vaccine Vaccine acceptability Caregivers Cameroon Immunisation Child health Figures Figure 1 Figure 2 Background Malaria remains a major cause of morbidity and mortality worldwide, particularly in sub-Saharan Africa, where the disease continues to impose a significant public health and socio-economic burden despite substantial progress in control efforts[1–3]. According to the World Health Organization (WHO), there were an estimated 249 million cases of malaria and 608,000 malaria-related deaths globally in 2022, with approximately 95% of cases and 96% of deaths occurring in the African Region [4]. Children under five years of age remain the most vulnerable group, accounting for about 80% of all malaria deaths in the region [5]. Malaria is a mosquito-borne parasitic disease that is largely preventable and treatable through a combination of interventions, including the use of insecticide-treated nets (ITNs), indoor residual spraying (IRS), seasonal chemoprevention, prompt diagnosis, and effective case management [6]. However, the effectiveness of some of these strategies has been threatened by increasing insecticide resistance among malaria vectors, parasite resistance to antimalarial drugs, and inadequate funding in many endemic countries [7, 8]. These challenges, coupled with weak health systems in low-resource settings, have contributed to persistent malaria transmission and recurrent outbreaks[9]. In Cameroon, malaria remains one of the leading causes of outpatient consultations, hospital admissions, and mortality, especially among children under five years of age[10]. It is estimated that malaria accounts for 48% of all hospital admissions, 30% of morbidity and 67% of childhood mortality per year[11]. Children under five years contribute significantly to malaria-related hospitalisations and deaths, making malaria control a national public health priority [10]. The persistent high burden of malaria has serious consequences on household income, productivity, and national economic growth. In response to the high burden of malaria and following successful pilot implementation in Ghana, Kenya, and Malawi, Cameroon adopted the WHO recommendation for the introduction of the RTS, S/AS01 malaria vaccine as a complementary tool for malaria prevention. With technical and financial support from partners, including the Global Alliance for Vaccines and Immunization (GAVI), Cameroon received its first shipment of the RTS, S vaccine in November 2023[12]. The vaccine was introduced into the Expanded Programme on Immunization (EPI) targeting children at 6, 7, 9, and 24 months of age in selected high-burden health districts across the country, including Soa Health District[12]. Despite the scientific advances represented by the introduction of the malaria vaccine, experiences with previous vaccination programmes in Cameroon, such as the Human Papillomavirus (HPV) and COVID-19 vaccines, have demonstrated that vaccine hesitancy, low awareness, misinformation, and mistrust may significantly affect uptake[13]. Evidence from other malaria-endemic settings suggests that, although general perceptions of the malaria vaccine may be positive, concerns about safety, side effects, effectiveness, and cultural beliefs can influence its acceptability [14–16]. In addition, health system-related barriers, including limited access to services, inadequate communication from health workers, and inconsistent vaccine availability, may further hinder successful implementation [14, 17]. The success of malaria vaccination programmes therefore depends not only on vaccine availability and efficacy but also on the acceptability and willingness of caregivers to vaccinate their children[18]. In semi-rural settings such as Soa Health District, where malaria transmission remains high and access to health information may be limited, understanding community perceptions is essential to guide effective implementation strategies. Therefore, this study aimed to assess the acceptability of the RTS, S malaria vaccine and its associated factors among caregivers of children under 25 months in Soa Health District, Cameroon. The findings are expected to inform policymakers, programme managers, and public health stakeholders in designing targeted interventions to improve vaccine uptake and strengthen malaria control efforts in Cameroon and similar malaria-endemic settings. Methods Study design and setting A community-based, descriptive and analytical cross-sectional study was conducted over a five-month period, from 22 March to 22 November 2024, with data collection carried out between August and September 2024 in the Soa Health District (HD). Soa HD is located approximately 17 km from Yaoundé, the political capital of Cameroon, and is composed of six health area (HA) which are: Ebang, Soa, Ngali II, Ntsouessong, Koulou, and Ting melen; of which are 4 rural areas and 2 urban areas. Study population and eligibility criteria The study population consisted of parents or caregivers of children under 25 months of age residing in the Soa HD. Inclusion and Exclusion criteria Were included in this study participants who were: Aged 18 years and above, parent or caregiver of at least one child under 25 months, resided in Soa Health District for at least six months prior to the study, provided informed consent, able and willing to respond to the questionnaire. Were excluded in this study participants who where: Unable to give informed consent; unable to understand or respond to the questionnaire; temporary visitors or individuals residing in the district for less than six months; absence at the time of the survey and participants who had 50% of the questionnaire unfilled. Sampling technique and sample size A non-probability convenience sampling technique was used to recruit eligible participants during household visits. This method was chosen due to the absence of an updated sampling frame and the community-based nature of the study. The minimum sample size required for the study was calculated using the Cochran formula for single proportions[19]: $$\:\varvec{n}=\frac{{\varvec{z}}^{2}\times\:\varvec{P}\left(1-\varvec{P}\right)}{{\varvec{m}}^{2}}$$ Where: P = 52.6% (estimated acceptability of malaria vaccine from a previous study in the Democratic Republic of Congo) [20]; Z = 1.96, (95% confidence level) and m = 0.05 (margin of error)[19]. This yielded a minimum required sample size of approximately 384 participants. Recruitment and data collection procedures Households were approached using a door-to-door strategy, modeled on the Supplementary Immunization Activities (SIAs) of the Expanded Programme on Immunization (EPI). This approach has historically been used for the distribution of oral polio vaccines and vitamin A supplementation. Data were collected through face-to-face interviews using a structured questionnaire adapted from similar studies and administered in either English or French, and where necessary, translated into local languages. Prior to data collection, the questionnaire was pre-tested on a small sample of 20 caregivers in a neighboring community to assess clarity and validity. The questionnaire captured information on: Socio-demographic characteristics (sex, age, marital status, religion, education, occupation, region of origin, health area, household size, number of children under 25 months); Child health history, including reported malaria episodes in the past 12 months; Previous vaccination experiences; Awareness, acceptability and perceptions regarding the malaria vaccine. Data collection was fully digitalized. The questionnaire was designed and uploaded to KoboToolBox, and responses were collected using the KoboCollect mobile application installed on Android devices. Interviewers were Master’s students in public health who received a two-day training on malaria, malaria vaccination, research ethics, and data collection techniques before the start of data collection. Study variables Dependent variable The primary outcome variable was acceptability of the malaria vaccine, operationally defined as the caregiver’s willingness to have their child vaccinated against malaria. This was assessed by asking: “Are you willing to vaccinate your child(ren) against malaria or, if your child has already been vaccinated, would you accept to do it again?”. Responses were coded as:1 = Yes (willingness); 0 = No (unwillingness) Independent variables The independent variables included: Socio-demographic factors: sex, age, marital status, religion, region of origin, health area, household size, number of children under 25 months, locality, level of education and occupation; Health-related factors: Prior knowledge of malaria, Perceived mode of malaria transmission, History of malaria in the child within the previous 12 months, Preferred treatment method (traditional medicine, street medicine, hospital care); Vaccine awareness: Prior awareness of the malaria vaccine, Source of information about the malaria vaccine Data management and statistical analysis Data were exported from KoboToolBox and cleaned using SPSS version 27 and Stata 17. All statistical analyses were conducted using R software. Descriptive statistics were used to summarize the data: Categorical variables were presented as frequencies and percentages; Continuous variables were summarized using means ± standard deviations or medians (interquartile range), where appropriate. Bivariate associations between independent variables and the dependent variable were assessed using Pearson’s chi-square test or Fisher’s exact test when expected cell counts were less than 5. Variables with a p-value < 0.25 in the bivariate analysis were included in the multivariable logistic regression model to estimate adjusted odds ratios (aOR) and 95% confidence intervals (CI). A p-value < 0.05 was considered statistically significant. Results Socio-demographic characteristics of caregivers A total of 541 caregivers, with 597 children, participated in the study. The majority of participants (72.6%) resided in rural areas. Most were female (79.1%), giving a female-to-male ratio of approximately 3.8:1; the highest participation was recorded in Ebang HA (32.9%), while Ntsouessong (6.7%) had the lowest participation; the mean age of caregivers was 30.9 ± 9.2 years, with 42.5% of participants aged between 28 and 37 years; Catholicism was the most frequently reported religion (56.0%). More than two-thirds of participants (67.7%) originated from the North-West, South-West, West and Littoral regions of Cameroon. (Table 1 ) Regarding occupation, 26.6% of participants were unemployed or retired, 24.6% were retailers, 19.2% worked in the private sector, and 17.6% were farmers; almost two-fifth (40.3%) were in cohabitation; the mean household size was 6.3 ± 3.1 persons, and the average number of children under 25 months per household was 1.1±0.3 (Table 1 ). Table 1 Socio-demographic characteristics of caregivers of children under 25 months in Soa Health District Variables and modalities Count(n) Percentage (%) 1 Health area Ebang 178 32.9 Koulou 78 14.4 Ngali2 61 11.2 Ntsouessong 36 6.7 Soa 129 23.9 Ting melen 59 10.9 Locality Rural 393 72.6 Urban 148 27.4 Sex Male 113 20.9 Female 428 79.1 Age (years) 30.88 ± 9.17 Age category 18–25 152 28.1 26–35 263 48.6 36–45 88 16.3 46 and over 38 7 Religion Catholic 303 56 Protestant 92 17.1 Other christians 97 17.9 Muslim 31 5.7 Animist and none 18 3.3 Region of origine Far north, North and Adamawa 36 6.6 Centre, East and South 139 25.7 North-west, South-west, West and Littoral 366 67.7 Level of education No formal 36 6.6 Primary 95 17.6 Secondary 338 62.5 University 72 13.3 Occupation Public sector 25 4.6 Private sector 104 19.2 Retailer 133 24.6 Farmer 95 17.6 Unemployed and retired 144 26.6 Others (Student and housewives) 40 7.4 Marital status Single 141 26.1 Cohabitation 218 40.3 Maried 170 31.4 Widow 12 2.2 Household size (people) 6.29 ± 3.07 Category of household size 5 281 51.9 Number of children under 25 months 1.10 ± 0.33 Category of children under 25 months 1 490 90.6 2 and plus 51 9.4 1 Mean ± SD Table 2 Health and malaria-related information among caregivers of children under 25 months in Soa District Variables and modalities Count(n) Percentage (%) Heard about malaria No 13 2.4 Yes 528 97.6 Child had malaria in the past 12 months No 217 40.1 Yes 324 59.9 Knowledge about malaria transmission Disease transmitted by mosquitoes 476 88 Disease caused by an unclean environment 51 9.4 I don’t know 14 2.6 Malaria treatment method Traditional medicine 88 16.3 Street medicine 78 14.4 Medicine prescribed by a health professional 375 69.3 Health- and malaria-related information Almost all participants (97.6%) reported having heard of malaria. More than half (59.9%) indicated that at least one child in their household had suffered from malaria during the previous 12 months ( Table 2 ). Regarding malaria transmission, 88.0% correctly identified mosquito bites as the main mode of transmission, while 9.4% believed that malaria was caused by a dirty environment ( Table 2 ). With respect to treatment-seeking behaviour, the majority of caregivers (69.3%) reported seeking treatment for malaria at a health facility, while 16.3% used traditional remedies and 14.4% practiced self-medication or used street drugs ( Table 2 ). Previous experience with childhood vaccination Previous experience with vaccines from the EPI was generally high. The most familiar vaccine was BCG (95.0%), whereas vaccination against chickenpox had the lowest familiarity (40.5%) among caregivers of under 25 months old children (Table 3 ). Table 3 Previous vaccination experiences among caregivers of children under 25 months in Soa Health District Vaccine experience* Count(n) Percentage (%) BCG 514 95 Polio oral (VPO) 486 89.8 Vaccine pentavalent (PENTA) 476 88 Vitamin A 476 88 Measles 410 75.8 Hepatitis B 316 58.4 Rotavirus 316 58.4 Conjugated pneumococcal Vaccine 238 44 Yellow fever 225 41.6 Meningitis 221 40.8 Chicken pox 219 40.5 *Multiple response Awareness of the malaria vaccine Overall, 68.6% of caregivers reported having heard about the malaria vaccine, while 31.4% had not ( Table 4 ). Among those who had heard about the vaccine, the main sources of information were healthcare workers (85.6%), followed by television and radio (25.1%), family or friends (15.8%) and social media (12.8%) (Table 4 ). Among participants who were aware of the vaccine, 69.8% did not know the specific eligibility criteria for vaccination ( Table 4 ). Among the 170 caregivers who had not heard about the malaria vaccine, 77.6% expressed interest in receiving more information ( Table 4 ). More than half of participants (52%) considered the malaria vaccine to be very important, while 33.4% considered it important. Only 6.2% stated that the vaccine was not important at all (Figure 1 ). Table 4 Malaria vaccine awareness and information sources among caregivers of children under 25 months in Soa District *Multiple response Variables and modalities Count(n) Percentage (%) Heard about malaria vaccine Yes 371 68.6 No 170 31.4 If yes, know eligibility age Yes 112 69.8 No 259 30.2 If no, will to know more Yes 132 77.6 No 38 22.4 Means* Health personnel 314 84.6 Media (radio, tv) 92 24.8 Relatives 58 15.6 Social medias 47 12.7 Government agencies 5 1.3 Willingness to accept the malaria vaccine Among the 541 participants, 397 (73.4%) expressed willingness to vaccinate their children against malaria ( Figure 2 ). The most commonly cited reasons for acceptance were protection of the child (77.6%), routine acceptance of childhood vaccines (13.6%), general acceptability (5.8%), and trust in vaccines (3%) ( Table 5 ). Among the 144 caregivers (26.6%) who were unwilling to accept the malaria vaccine, the main reasons were fear of side effects (45.9%), lack of interest (24.3%), and insufficient information on the vaccine (11.1%) (Table 5 ). When asked what might change their decision, 33.3% reported that nothing would change their mind, 24.3% mentioned improved sensitization, 13.2% requested proof of vaccine efficacy, and 11.1% indicated the need for approval from their spouse ( Table 5) . Table 5 Reasons for willingness and unwillingness to accept malaria vaccine among caregivers in Soa District Variables Count (n) Percentage (%) If yes, reason To protect the child 308 77.6 Out of habit of vaccinating children 54 13.6 General acceptability 23 5.8 Trust in vaccines 12 3 If no, reason Fear of side effects 66 45.9 Lack of interest 35 24.3 Lack of information 16 11.1 Partner’s refusal 12 8.3 Cultural beliefs 12 8.3 Religious beliefs 3 2.1 If no, what can change your mind? Nothing at all 48 33.3 More sensitization 35 24.3 Evidence supporting vaccine effectiveness 19 13.2 Spouse’s approval / Partner’s consent 16 11.1 Local vaccine production in Africa 11 7.6 I don’t know 9 6.3 If the child gets sick 6 4.2 Factors associated with acceptability of the malaria vaccine Univariate analysis Univariate analysis demonstrated a significant association between willingness to accept the malaria vaccine and the following variables: HA ( p < 0.001 ), locality ( p < 0.001 ), sex ( p = 0.020 ), age group ( p = 0.043 ), religion ( p < 0.001 ), region of origin ( p < 0.001 ), occupation ( p = 0.022 ), history of malaria ( p = 0.035 ), malaria treatment method ( p < 0.001 ), and awareness of the malaria vaccine ( p < 0.001 ) (Table 6 ). On the other hand, no statistically significant associations were found with level of education (p = 0.637), household size (p = 0.351), number of children under 25 months (p = 0.848), child’s history of malaria in the past 12 months (p = 0.806), perceived mode of malaria transmission (p = 0.344), or marital status (p = 0.052) ( Table 6 ). Table 6 Univariate analysis of factors associated with malaria vaccine acceptability among caregivers in Soa District Variables and modalities Overall N = 541 1 Acceptability OR(95% CI) p-value 2 No N = 144 1 Yes N = 397 1 Health area < 0.001 Ebang 178 (100) 53 (29.8) 125 (70.2) 2.11(1.01–4.39) Koulou 78 (100) 6 (7.7) 72 (92.3) 3.90(3.90–33.3) Ngali2 61 (100) 4 (6.6) 57 (93.4) 4.14(4.14–48.7) Ntsouessong 36 (100) 17 (47.2) 19 (52.8) 1 Soa 129 (100) 34 (26.4) 95 (73.6) 2.5(1.16–5.38) Ting melen 59 (100) 30 (50.8) 29 (49.2) 0.86(0.37–1.98) Locality < 0.001 Rural 393 (100) 87 (22.1) 306 (77.9) 2.2(1.46–3.31) Urban 148 (100) 57 (38.5) 91 (61.5) 1 Sex 0.02 Male 113 (100) 40 (35.4) 73 (64.6) 1 Female 428 (100) 104 (24.3) 324 (75.7) 1.71(1.09–2.65) Age category 0.043 18–25 152 (100) 31 (20.4) 121 (79.6) 2.84(1.32, 6.04) 26–35 263 (100) 70 (26.6) 193 (73.4) 2.01(0.98–4.02) 36–45 88 (100) 27 (30.7) 61 (69.3) 1.64(0.74–3.61) 46 and over 38 (100) 16 (42.1) 22 (57.9) 1 Religion < 0.001 Catholic 303 (100) 58 (19.1) 245 (80.9) 3.38(1.24–8.94) Protestant 92 (100) 35 (38) 57 (62) 1.3(0.46–3.62) Other christians 97 (100) 28 (28.9) 69 (71.1) 1.97(0.69–5.52) Muslim 31 (100) 15 (48.4) 16 (51.6) 0.85(0.26–2.74) Animist et none 18 (100) 8 (44.4) 10 (55.6) 1 Region of origin < 0.001 Far north, North, and Adamawa 36 (100) 13 (36.1) 23 (63.9) 1.19(0.56–2.61) Centre, East, and South 139 (100) 56 (40.3) 83 (59.7) 1 North-west, South-west, West, and Littoral 366 (100) 75 (20.5) 291 (79.5) 2.62(1.71-4.00) Level of education 0.637 No formal 36 (100) 13 (36.1) 23 (63.9) 1 Primary 95 (100) 25 (26.3) 70 (73.7) 1.58(0.69–3.57) Secondary 338 (100) 87 (25.7) 251 (74.3) 1.63(0.77–3.32) University 72 (100) 19 (26.4) 53 (73.6) 1.58(0.66–3.72) Occupation 0.022 Public sector 25 (100) 10 (40) 15 (60) 1 Private sector 104 (100) 32 (30.8) 72 (69.2) 1.5(0.59–3.67) Retailer 133 (100) 44 (33.1) 89 (66.9) 1.35(0.55–3.22) Farmer 95 (100) 15 (15.8) 80 (84.2) 3.56(1.33–9.44) Unemployed and retired 144 (100) 33 (22.9) 111 (77.1) 2.24(0.90–5.42) Others (Student and housewives) 40 (100) 10 (25) 30 (75) 2(0.68–5.94) Marital status 0.052 Single 141 (100) 35 (24.8) 106 (75.2) 4.24(1.27–15.1) Cohabitation 218 (100) 51 (23.4) 167 (76.6) 4.58(1.40–16.1) Maried 170 (100) 51 (30) 119 (70) 3.27(1-11.5) Widow 12 (100) 7 (58.3) 5 (41.7) 1 Household size 0.351 5 281 (100) 70 (24.9) 211 (75.1) 1.2(0.82–1.76) N o of children under 25 months 0.848 1 490 (100) 131 (26.7) 359 (73.3) 1 2 and over 51 (100) 13 (25.5) 38 (74.5) 1.07(0.56–2.14) Heard about malaria 0.035 No 13 (100) 7 (53.8) 6 (46.2) 1 Yes 528 (100) 137 (25.9) 391 (74.1) 3.33(1.09–10.5) Child had malaria in the past 12 months 0.806 No 217 (100) 59 (27.2) 158 (72.8) 1 Yes 324 (100) 85 (26.2) 239 (73.8) 1.05(0.71–1.55) Knowledge about malaria transmission 0.344 Disease transmitted by mosquitoes 476 (100) 131 (27.5) 345 (72.5) 1 Disease caused by an unclean environment 51 (100) 11 (21.6) 40 (78.4) 1.38(0.71–2.90) I don’t know 14 (100) 2 (14.3) 12 (85.7) 2.28(0.61–14.8) Malaria treatment method < 0.001 Traditional medicine 88 (100) 40 (45.5) 48 (54.5) 1 Street medicine 78 (100) 18(23.1) 60(76.9) 2.78(1.43–5.54) Medicine prescribed by a health professional 375 (100) 86(22.9) 289(77.1) 2.8(1.72–4.54) Awareness of malaria vaccine < 0.001 No 170 (100) 68 (40) 102 (60) 1 Yes 371 (100) 76 (20.5) 295 (79.5) 2.59(1.74–3.85) 1 n (%) 2 Pearson's Chi-squared test; Fisher's exact test Abbreviations: CI = Confidence Interval, OR = Odds Ratio Table 7 Multivariate analysis of factors associated with malaria vaccine acceptability among caregivers in Soa District Variables and modalities Overall N = 541 1 Acceptability aOR (IC 95%) p-value No N = 144 1 Yes N = 397 1 Health area Ebang 178 (100) 53 (29.8) 125 (70.2) 2.66(1.15–6.14) 0.021 Koulou 78 (100) 6 (7.7) 72 (92.3) 5.66(1.78–19.8) 0.004 Ngali2 61 (100) 4 (6.6) 57 (93.4) 12.2(3.48, 51.7) < 0.001 Ntsouessong 36 (100) 17 (47.2) 19 (52.8) 1 Soa 129 (100) 34 (26.4) 95 (73.6) 4.23(1.59–11.5) 0.004 Ting melen 59 (100) 30 (50.8) 29 (49.2) 1.18(0.37–3.75) 0.778 Locality Rural 393 (100) 87 (22.1) 306 (77.9) 1.53(0.74–3.25) 0.257 Urban 148 (100) 57 (38.5) 91 (61.5) 1 Sex Male 113 (100) 40 (35.4) 73 (64.6) 1 Female 428 (100) 104 (24.3) 324 (75.7) 1.85(1.05–3.25) 0.031 Age category 18–25 152 (100) 31 (20.4) 121 (79.6) 2.06(0.63–6.42) 0.218 26–35 263 (100) 70 (26.6) 193 (73.4) 1.6(0.54–4.48) 0.384 36–45 88 (100) 27 (30.7) 61 (69.3) 1.51(0.49–4.45) 0.464 46 and over 38 (100) 16 (42.1) 22 (57.9) 1 Religion Catholic 303 (100) 58 (19.1) 245 (80.9) 3.85(1.16–12.5) 0.025 Protestant 92 (100) 35 (38) 57 (62) 2.44(0.69–8.49) 0.159 Other christians 97 (100) 28 (28.9) 69 (71.1) 3.07(0.87–10.8) 0.078 Muslim 31 (100) 15 (48.4) 16 (51.6) 0.68(0.15–2.95) 0.607 Animist and none 18 (100) 8 (44.4) 10 (55.6) 1 Region of origine Far north, North, and Adamawa 36 (100) 13 (36.1) 23 (63.9) 2.87(1.09–7.99) 0.037 Centre, East, and South 139 (100) 56 (40.3) 83 (59.7) 1 North-west, South-west, West and Littoral 366 (100) 75 (20.5) 291 (79.5) 2.29(1.36–3.89) 0.002 Occupation Public sector 25 (100) 10 (40) 15 (60) 1 Private sector 104 (100) 32 (30.8) 72 (69.2) 1.58(0.56–4.35) 0.376 Retailer 133 (100) 44 (33.1) 89 (66.9) 1.46(0.53–3.94) 0.459 Farmer 95 (100) 15 (15.8) 80 (84.2) 1.38(0.43–4.40) 0.580 Unemployed and retired 144 (100) 33 (22.9) 111 (77.1) 1.79(0.62–5.08) 0.272 Others (Student and housewives) 40 (100) 10 (25) 30 (75) 1.32(0.37–4.78) 0.671 Marital status Single 141 (100) 35 (24.8) 106 (75.2) 1.96(0.30–13.8) 0.490 Cohabitation 218 (100) 51 (23.4) 167 (76.6) 1.96(0.31–13.2) 0.480 Maried 170 (100) 51 (30) 119 (70) 2.30(0.38–14.7) 0.366 Widow 12 (100) 7 (58.3) 5 (41.7) 1 Heard about malaria No 13 (100) 7 (53.8) 6 (46.2) 1 Yes 528 (100) 137 (25.9) 391 (74.1) 3.28(0.84–12.6) 0.082 Malaria treatment method Traditional medicine 88 (100) 40 (45.5) 48 (54.5) 1 Street medicine 78 (100) 18(23.1) 60(76.9) 2.46(1.10–5.64) 0.03 Medicine prescribed by a health professional 375 (100) 86(22.9) 289(77.1) 2.02(1.14–3.56) 0.015 Awareness of malaria vaccine No 170 (100) 68 (40) 102 (60) 1 Yes 371 (100) 76 (20.5) 295 (79.5) 2.06(1.28–3.33) 0.003 1 n (%) Abbreviations: CI = Confidence Interval, aOR = Adjusted Odds Ratio Multivariate analysis After adjustment for potential confounders, several factors remained significantly associated with willingness to accept the malaria vaccine ( Table 7 ). Compared with caregivers living in Ntsouessong health area, those living in Ngali II (aOR = 12.20; 95% CI: 3.48-51.70; p < 0.001), Koulou (aOR = 5.66; 95% CI: 1.78–19.80; p = 0.004 ), Soa (aOR = 4.23; 95% CI: 1.59–11.50; p = 0.004 ) and Ebang (aOR = 2.66; 95% CI: 1.15-6.14; p = 0.021 ) had significantly higher odds of vaccine acceptability. Female caregivers were more likely to accept the malaria vaccine compared with males (aOR = 1.85; 95% CI: 1.05-3.25; p = 0.031 ). Catholics had higher odds of vaccine acceptance compared with animists or those with no religious affiliation (aOR = 3.85; 95% CI: 1.16-12.50; p = 0.025 ). Participants originating from the North-West, South-West, West and Littoral regions (aOR = 2.29; 95% CI: 1.36-3.89; p = 0.002 ) and those from the Far North, North and Adamawa regions (aOR = 2.87; 95% CI: 1.09–7.99; p = 0.037 ) showed significantly higher odds of acceptance compared with those from the Centre, East and South regions. With regard to malaria treatment practices, caregivers who treated malaria using street medicine (aOR = 2.46; 95% CI: 1.10-5.64; p = 0.030 ) or who sought care in a hospital (aOR = 2.02; 95% CI: 1.14–3.56; p = 0.015 ) were more likely to accept vaccination compared with those relying on traditional medicine. Finally, prior awareness of the malaria vaccine was significantly associated with acceptability, as caregivers who had previously heard about the vaccine were more likely to accept it for their children (aOR = 2.06; 95% CI: 1.28-3.33; p = 0.003 ). Discussion According to the Health Belief Model, individuals’ perceptions of disease severity, susceptibility, and the benefits of preventive actions strongly influence their health-related behaviours, including decisions surrounding vaccination[21]. Community engagement and trust are therefore essential determinants of the success of vaccination programmes[22]. Historically, the failure of several vaccination programmes has been linked to poor community involvement, misinformation, and low perceived risk of disease[23–25]. As a result, recent public health strategies increasingly emphasize the importance of community participation in the implementation of preventive interventions. In this context, this study assessed the acceptability of the RTS,S malaria vaccine and the factors associated with willingness to receive the vaccine among caregivers of under 25 months children in the Soa HD of Cameroon. The present study found that 73.4% of caregivers expressed willingness to vaccinate their children against malaria. Although this level of acceptability is lower than that reported in some studies, it remains relatively high in the context of a newly introduced vaccine. A recent systematic review by Ansar et al. reported an overall malaria vaccine acceptability rate of 87.5%, with wide variability ranging from 32.3% in Ethiopia to 99.3% in Peru[26]. Several country-specific studies have reported findings comparable to ours, including Guinea and Sierra Leone (77.9%)[27], Bangladesh (70.9%)[28], and Ghana (77.5%)[29]. By contrast, higher levels of acceptability have been observed in Ghana (94.6%)[30] and Nigeria (98%)[31]. In Cameroon, during the pre-introduction assessment conducted by the Ministry of Public Health reported an acceptability rate of 99.1%[12]. Variations in acceptability across settings may be explained by differences in socio-demographic characteristics, study design, timing of data collection relative to vaccine introduction, and target population[18]. For example, many previous studies were conducted before vaccine implementation and included caregivers of children under five years, whereas the present study focused on caregivers of children under 25 months and was conducted after the vaccine had already been introduced in selected districts. The relatively high acceptability observed in this study is nevertheless encouraging and suggests a favourable environment for strengthening malaria vaccination efforts as part of an integrated malaria control strategy. Malaria vaccination, when combined with existing interventions such as insecticide-treated nets, indoor residual spraying, intermittent preventive treatment, and prompt case management has the potential to substantially reduce malaria incidence and severity, especially among vulnerable populations such as young children and pregnant women[6, 32]. High levels of acceptability are therefore critical to achieving meaningful public health impact and to advancing national and global malaria elimination goals. Several factors were found to be significantly associated with acceptability of the malaria vaccine in this study. These included HA of residence, region of origin, female sex, Catholic religion, method of malaria treatment, and prior awareness of the vaccine. Caregivers residing in Ngali II, Koulou, Soa, and Ebang had significantly higher odds of accepting the vaccine compared with those in Ntsouessong. This finding highlights the role of local contextual factors, including access to health services, community mobilisation, and prior exposure to health interventions, in shaping attitudes toward vaccination. Similar geographical differences in malaria vaccine acceptability have been reported in Kenya, Tanzania, Ghana, and Ethiopia, where regional variations were linked to disparities in healthcare access, quality of services, and community engagement[33-35]. Female caregivers were more likely to accept the malaria vaccine than their male counterparts. This finding is consistent with several studies indicating that women generally had higher acceptance of childhood vaccines, likely due to their role as primary caregivers and decision-makers regarding child health[36]. However, contrasting evidence has been reported in certain high-income settings, such as Canada, where women demonstrated greater vaccine hesitancy[37]. These differences underscore the importance of considering sociocultural context when interpreting vaccine-related behaviours. Religion was also significantly associated with malaria vaccine acceptability, with Catholic caregivers showing higher odds of acceptability compared to those of other or no religious affiliations. Religious beliefs can profoundly shape health behaviours[20], and evidence suggests that Christian communities in some settings demonstrate relatively higher acceptance of vaccines[35, 36]. However, other studies report the opposite trend, reinforcing the complexity of the relationship between religion and vaccine acceptance[38]. These findings highlight the critical importance of engaging religious leaders as partners in health promotion. Approaches such as the 3E model (Engage, Equip, and Empower) can support faith leaders to act as trusted messengers, helping to address misinformation, reduce fears, and promote positive attitudes toward vaccination[39]. Treatment-seeking behaviour was also associated with malaria vaccine acceptability. Caregivers who reported treating malaria through hospital care or self-medication using modern pharmaceuticals were more likely to accept vaccination than those relying on traditional remedies. This may reflect a greater level of trust in biomedical interventions among these individuals. Similarly, prior awareness of the malaria vaccine was significantly associated with higher acceptability, reinforcing the importance of targeted information, education, and communication strategies. Evidence from other settings confirms that increased knowledge and exposure to accurate information about vaccines improves acceptance and uptake[40]. Overall, the findings of this study emphasize the critical role of sociocultural, geographical, behavioural, and informational factors in determining malaria vaccine acceptability. Tailored community sensitization activities, strengthened health communication, and involvement of trusted community actors’ including healthcare workers and religious leaders may substantially enhance vaccine confidence and acceptability in Soa HD and similar settings. Strengths and limitations of the study This study presents several important strengths. First, the relatively large sample size enhances the statistical power of the study and increases the generalisability of the findings to caregivers of children under 25 months in the Soa HD. Second, this study provides valuable baseline data that can inform and strengthen the implementation and scale-up of the malaria vaccine programme in Soa HD and potentially in other similar settings across Cameroon. Third, data completeness was high, with minimal missing information, which strengthens the reliability of the results. Last, this study was conducted in a predominantly rural and hard-to-reach district, making the findings particularly relevant for settings where access to healthcare services and vaccination programmes may be limited. Despite these strengths, several limitations should be considered when interpreting the findings. Firstly, the study relied on self-reported willingness to accept the malaria vaccine, which may be subject to social desirability bias’s and may not necessarily reflect actual vaccination behaviour. Secondly, attitudes towards vaccination were measured using a structured quantitative approach, which may have oversimplified complex perceptions, beliefs, and motivations related to vaccine acceptance. Thirdly, the possibility of selection bias cannot be entirely ruled out, particularly among caregivers who were unavailable or declined participation. Fourthly, this study did not explore certain potentially relevant factors such as household income, educational influence of partners, parity, or exposure to misinformation regarding vaccines. Finally, as this study was purely quantitative, it did not capture the in-depth personal experiences, cultural beliefs, and contextual influences that may shape vaccine acceptability. Future qualitative or mixed-methods studies are therefore recommended to explore these aspects in greater detail. Conclusion This study assessed the acceptability of the malaria vaccine and its associated factors among caregivers of children under 25 months in the Soa HD. The findings demonstrate a generally high level of willingness to vaccinate, which is encouraging for ongoing and future malaria control efforts. Malaria vaccine acceptability was influenced by a combination of geographic (HA and region of origin), sociocultural (female gender and Catholic religion), behavioural (choice of malaria treatment), and informational (prior awareness of the malaria vaccine) factors. Although willingness to vaccinate was relatively high, important concerns remain, particularly regarding fear of side effects and insufficient information about the vaccine. These concerns represent key barriers that must be addressed through targeted, culturally sensitive communication strategies. Strengthening health education campaigns, improving community engagement, and reinforcing the role of healthcare providers and local leaders in disseminating accurate information about the vaccines safety and effectiveness are essential. To maximize the impact of malariaa vaccination programmes, public health authorities should prioritize community-based sensitization activities, integrate malaria vaccine education into routine child health services, and tailor interventions to local sociocultural contexts. Addressing misinformation and building trust in the health system will be critical for achieving optimal vaccine acceptability. Ultimately, improving the acceptability and uptake of the malaria vaccine has the potential to significantly reduce malaria-related morbidity and mortality among vulnerable populations, contributing to national and global malaria elimination goals. Abbreviations aOR: Adjusted Odd Ratio CI: Confidence Interval EPI: Expanded Program on Immunization GAVI: Global Alliance Vaccine HA: Health Area HD: Health District IRS: Indoor Residual Spray ITNs: Insecticide Treated Nets OR: Odd Ratio SIAs: Supplementary Immunization Activities SPSS v27: Statistical Package for Social Science version 27 WHO: World Health Organization Declarations Ethics approval The study obtained an ethical approval number 4711/IEC-UD/11/2024/M from the ethical committee of the University of Douala/Higher Institute of Medical Technology. Before data collection, participants were thoroughly informed about the purpose, the procedure of the study, and the role they were expected to play. Assurance was equally provided concerning the anonymous nature and confidentiality of their responses. This was done using an information notice. Verbal or written consent was obtained before administering the questionnaires. 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Awareness and acceptability of malaria vaccine among caregivers of under-5 children in Northern Nigeria. Malar J. 2023;22(1):329. 10.1186/s12936-023-04768-z . Additional Declarations No competing interests reported. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. 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2","display":"","copyAsset":false,"role":"figure","size":30140,"visible":true,"origin":"","legend":"\u003cp\u003eWillingness of caregivers to accept malaria vaccine for children under 25 months in Soa District\u003c/p\u003e","description":"","filename":"2.png","url":"https://assets-eu.researchsquare.com/files/rs-8299076/v1/30f507f3d278e34039f156d8.png"},{"id":101751128,"identity":"e61a4f6f-de57-4870-9d39-e1dfdc3e4483","added_by":"auto","created_at":"2026-02-03 10:15:50","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":2484267,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-8299076/v1/6fe48420-57c6-40c4-a996-3f85c387ae77.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Acceptability of the RTS, S malaria vaccine and associated factors among caregivers of children under 25 months in Soa Health District, Cameroon: a community-based cross-sectional study","fulltext":[{"header":"Background","content":"\u003cp\u003eMalaria r\u0026zwj;emains a major cause of morbid\u0026zwj;ity and mo\u0026zwnj;rtality worldwide, partic\u0026zwnj;ularly in sub-Saharan Africa, where the disease con\u0026zwnj;tinues to impose a significant public health an\u0026zwj;d so\u0026zwnj;cio-economic burde\u0026zwnj;n despite substan\u0026zwnj;tial progress\u0026zwnj; in contr\u0026zwj;ol e\u0026zwj;fforts[1\u0026ndash;3]. According to the World He\u0026zwnj;alth Organization (WHO), there were an est\u0026zwj;imated 249 m\u0026zwj;illion cases of malaria and 608\u0026zwnj;,000 malaria-related deaths globally in 2022, wit\u0026zwnj;h approximately 95% of cases and 96% of deaths occurring in the African Region [4]. Children under five years o\u0026zwj;f age remain the most vulnerable group, accounting for about 8\u0026zwj;0% of all malaria death\u0026zwnj;s in the region [5].\u003c/p\u003e \u003cp\u003eMalaria\u0026zwnj; is a mosquito-bo\u0026zwnj;rne parasitic disease that is large\u0026zwnj;ly preventable and treatable through a combination of interventions, including the use of insecticide-treated nets (ITN\u0026zwj;s), indoor res\u0026zwnj;idual spraying (IRS), seasonal chemopr\u0026zwj;evention, prompt diagno\u0026zwnj;sis, and effective case m\u0026zwj;anagement\u0026zwj; [6]. However, the effectiveness of some of these st\u0026zwj;rategies has be\u0026zwj;en threatened by increasing insec\u0026zwnj;ticide resis\u0026zwnj;tance among malaria vectors, parasite resis\u0026zwnj;tance to antimalarial drugs, and inadequate funding in many endemic\u0026zwj; countries [7, 8]. These challenges\u0026zwnj;, coupled with weak he\u0026zwnj;alth systems in low-resou\u0026zwnj;rce settings\u0026zwnj;, have contributed to persistent malaria transmission and recurr\u0026zwj;ent outbr\u0026zwj;ea\u0026zwj;ks[9].\u003c/p\u003e \u003cp\u003eIn Cameroon, m\u0026zwnj;alaria remains one of the lea\u0026zwj;ding\u0026zwj; causes of outpatient cons\u0026zwj;ultations, hospital admissions,\u0026zwnj; and mortality, especially among chil\u0026zwnj;dren under five years of age[10]. It is estimated that malaria accounts for 48% of all hospital admissions, 30% of morbidity and 67% of childhood mortality per year[11]. Children\u0026zwj; u\u0026zwnj;nder five years contribu\u0026zwnj;te significantly to malaria-related hospitalisations and deaths, making ma\u0026zwj;laria control a nati\u0026zwnj;onal publ\u0026zwnj;ic health priority [10].\u0026zwj; The persistent\u0026zwnj; h\u0026zwj;igh burden of malaria h\u0026zwnj;as serious cons\u0026zwj;equences on house\u0026zwj;hold income, productivity, and national economi\u0026zwnj;c growth.\u003c/p\u003e \u003cp\u003eIn r\u0026zwj;esponse to the\u0026zwnj; high b\u0026zwnj;urden of malaria and following successful pilot implem\u0026zwj;entation in Gh\u0026zwnj;ana, Kenya, a\u0026zwj;nd Malawi, Cameroon adopted the WHO recommendation for the introduction of the RTS, S/AS01 malaria vaccine as a complementary tool\u0026zwnj; for malaria prevent\u0026zwnj;ion. With\u0026zwj; technical and fin\u0026zwj;ancial support from partners, including the Global Allian\u0026zwnj;ce for Vaccines and Immunization (GAVI), Camer\u0026zwnj;oo\u0026zwnj;n received its first shipment of the RTS\u0026zwj;, S va\u0026zwj;ccine i\u0026zwj;n Nov\u0026zwnj;ember 2023[12]. The va\u0026zwj;ccin\u0026zwnj;e wa\u0026zwnj;s introduced into the Expande\u0026zwj;d Programm\u0026zwj;e on Immunization (EPI) targe\u0026zwnj;ting children at 6\u0026zwj;, 7, 9, and 2\u0026zwnj;4 months of age in selected hig\u0026zwj;h-\u0026zwnj;burden he\u0026zwj;alth districts across the country,\u0026zwnj; incl\u0026zwj;uding Soa\u0026zwnj; Health Dis\u0026zwj;trict[12].\u003c/p\u003e \u003cp\u003eDespite the scientific advances re\u0026zwj;pre\u0026zwj;sented by the intr\u0026zwnj;oduction of the mal\u0026zwj;ar\u0026zwnj;ia vaccin\u0026zwj;e, experiences with previou\u0026zwj;s vaccination\u0026zwnj; programmes in Cameroon, such as the Human Papilloma\u0026zwnj;v\u0026zwj;irus (HPV) and COVID-19 vaccines, have\u0026zwj; demonstrated that vaccine hesitanc\u0026zwnj;y, low awarene\u0026zwj;ss, misinformat\u0026zwj;ion, and mi\u0026zwj;strus\u0026zwj;t may significantl\u0026zwj;y affect up\u0026zwnj;take[13]. Eviden\u0026zwnj;c\u0026zwj;e from other ma\u0026zwnj;laria-endemic settings suggests that\u0026zwj;, although general perceptions of the malar\u0026zwnj;ia vaccine may be\u0026zwj; positive, concerns abou\u0026zwnj;t safet\u0026zwj;y, side effects,\u0026zwnj; effectiveness, and cultural beliefs can influence its accep\u0026zwj;tability [14\u0026ndash;16]. In addition, healt\u0026zwnj;h system-re\u0026zwj;lated barriers, including limite\u0026zwj;d acc\u0026zwj;ess to services, inadequate communicat\u0026zwnj;ion from health workers, and inconsistent vaccine availability, may further hinder successful implementation [14, 17].\u0026zwj;\u003c/p\u003e \u003cp\u003eThe success of malaria vaccin\u0026zwnj;ation program\u0026zwnj;mes the\u0026zwj;r\u0026zwnj;efore\u0026zwnj; depends not on\u0026zwnj;ly on vaccine availabil\u0026zwj;ity and effic\u0026zwj;acy but also o\u0026zwj;n the acceptabilit\u0026zwj;y and willingne\u0026zwnj;ss of caregivers to vaccinate th\u0026zwj;eir childr\u0026zwj;en[18]. In semi-rural s\u0026zwj;ettings such as So\u0026zwj;a Hea\u0026zwj;lth District, where malaria transmission remains hi\u0026zwj;gh and access to health information may be limited, understanding c\u0026zwnj;ommuni\u0026zwj;ty perceptions is essential to gui\u0026zwnj;de eff\u0026zwj;ective implementation st\u0026zwnj;rategies. Therefore, this study\u0026zwj; ai\u0026zwj;m\u0026zwnj;ed to\u0026zwj; asse\u0026zwj;ss the acceptability of the RTS, S malaria vaccin\u0026zwj;e and its associat\u0026zwj;ed factors among caregive\u0026zwj;rs of children under 2\u0026zwnj;5 months in Soa Health District, Cameroon. T\u0026zwj;he fi\u0026zwj;ndings\u0026zwnj; are expected to inform p\u0026zwnj;olicymakers,\u0026zwnj; programme managers, a\u0026zwnj;n\u0026zwj;d public health stakeholders in designin\u0026zwj;g targeted interventions to impr\u0026zwnj;ove vaccine up\u0026zwj;take and strengthen\u0026zwj; malaria con\u0026zwnj;trol ef\u0026zwnj;fo\u0026zwj;rts in Cameroon and sim\u0026zwnj;ilar malari\u0026zwnj;a-endemic\u0026zwj; settin\u0026zwj;gs.\u003c/p\u003e"},{"header":"Methods","content":"\u003cdiv id=\"Sec3\" class=\"Section2\"\u003e \u003ch2\u003eStu\u0026zwnj;dy design and setting\u003c/h2\u003e \u003cp\u003eA community-based, descriptive and analytical cross-sectional study was conducted over a\u0026zwj; five-mon\u0026zwnj;th period, from 22 Ma\u0026zwj;rch to 22 November 2024, with data\u0026zwj; collection carri\u0026zwj;ed\u0026zwj; ou\u0026zwj;t betw\u0026zwj;een August and Se\u0026zwnj;ptember 2024 in the Soa Health\u0026zwj; District (HD). Soa HD is located ap\u0026zwj;proximately\u0026zwj; 17 km\u0026zwj; from Yaound\u0026eacute;, the politica\u0026zwnj;l capital of Cameroon,\u0026zwnj; and is composed of six h\u0026zwj;ealth area (HA) which are: Ebang, Soa, Ngali II, Ntsouessong, Koulou, and Ting melen; of which are 4 rural areas and 2 urban areas.\u003c/p\u003e \u003c/div\u003e\n\u003ch3\u003eStudy population and eligibility criteria\u003c/h3\u003e\n\u003cp\u003eThe study popula\u0026zwnj;tion con\u0026zwj;sisted of parents or car\u0026zwnj;egivers of children under 25 months of age re\u0026zwj;siding in the Soa HD.\u003c/p\u003e\n\u003ch3\u003eInclusion and Exclusion criteria\u003c/h3\u003e\n\u003cp\u003eWere i\u0026zwj;ncluded in this study participants who were: Aged 18 years and above, parent o\u0026zwnj;r caregiver of at least one child under 25 months, resided in Soa Health\u0026zwnj; District for at le\u0026zwnj;ast six months prior to the study, provi\u0026zwnj;ded informe\u0026zwj;d consen\u0026zwj;t, able and willing to respond to the questionnai\u0026zwj;re.\u003c/p\u003e \u003cp\u003eWere ex\u0026zwj;cluded in this study participants who where: Unable to give informed consent; unable to under\u0026zwj;stand or respon\u0026zwj;d to the questionnaire\u0026zwj;;\u0026zwnj; temporary v\u0026zwj;isitors or individuals residing in the district for less than six mont\u0026zwnj;hs; absence at the time of the survey and participants who had 50% of the questionnaire unfilled.\u003c/p\u003e\n\u003ch3\u003eSampling technique and sample size\u003c/h3\u003e\n\u003cp\u003eA\u0026zwnj; non-probabili\u0026zwnj;ty conv\u0026zwnj;en\u0026zwj;ience sampling technique was used to\u0026zwnj; recruit eligible parti\u0026zwj;ci\u0026zwnj;pants during household vis\u0026zwnj;its. This method was chosen due to the a\u0026zwnj;bsence of an up\u0026zwj;dated sampling frame a\u0026zwj;nd the community-based nature of the s\u0026zwnj;tudy. The minimum sample size required for the study w\u0026zwnj;a\u0026zwnj;s calculated using the Cochran formula for single propor\u0026zwj;tions[19]:\u003cdiv id=\"Equa\" class=\"Equation\"\u003e\u003cdiv format=\"TEX\" class=\"mathdisplay\" id=\"FileID_Equa\" name=\"EquationSource\"\u003e\n$$\\:\\varvec{n}=\\frac{{\\varvec{z}}^{2}\\times\\:\\varvec{P}\\left(1-\\varvec{P}\\right)}{{\\varvec{m}}^{2}}$$\u003c/div\u003e\u003c/div\u003e\u003c/p\u003e \u003cp\u003eWhere\u0026zwnj;: P\u0026thinsp;=\u0026thinsp;52.6% (es\u0026zwj;timated acceptability of\u0026zwnj; m\u0026zwj;alaria vaccine from a\u0026zwnj; pr\u0026zwnj;evious study in the Democratic Republic of Congo) [20]; Z\u0026thinsp;=\u0026thinsp;1.96, (95% confidence le\u0026zwnj;vel) and m = 0.05 (margin of error)[19]. This yielded\u0026zwj; a minimum requi\u0026zwj;red sample size of approximately 384 participants.\u003c/p\u003e\n\u003ch3\u003eRecruitment and data collection procedures\u003c/h3\u003e\n\u003cp\u003eHouseholds were approached using a door-to-door strategy, modeled on the Supplementary\u0026zwnj; Immunizati\u0026zwj;on\u0026zwnj; Activities (SIAs) of the Expanded Programm\u0026zwnj;e on Immunization (EPI). This appr\u0026zwnj;oach has historically been used for the distribution of oral polio vaccines and vitamin\u0026zwnj; A supplementation. D\u0026zwj;ata were collected through face\u0026zwnj;-to-face interviews usi\u0026zwnj;ng a structure\u0026zwj;d questionnai\u0026zwj;re adapted from similar stu\u0026zwj;dies and administered in either English or French, and whe\u0026zwnj;re necessar\u0026zwj;y, translated into local langua\u0026zwnj;ges. Prior to\u0026zwnj; data collection, the questionnaire was pre-\u0026zwnj;tested on a small sample of 20 caregivers\u0026zwj; in a neighboring c\u0026zwj;ommunity to assess clarity and va\u0026zwnj;lidity. Th\u0026zwj;e q\u0026zwnj;uestionnaire capt\u0026zwj;ured infor\u0026zwnj;mation on: Socio-de\u0026zwj;mographic characteristics (sex, age, marital status, religion, ed\u0026zwj;ucation, o\u0026zwj;ccupation, region of origin, health a\u0026zwnj;rea, household size\u0026zwj;,\u0026zwj; number of children under 25 mo\u0026zwnj;nths); Child health history, inclu\u0026zwj;ding\u0026zwj; reported malaria epis\u0026zwj;odes in th\u0026zwnj;e past 12 months; Previous vaccination experiences\u0026zwj;; Awareness, acceptability and perceptions regarding the malaria vaccine. Data colle\u0026zwj;ction wa\u0026zwnj;s fully digitalized. The questionnaire was designed and uploaded to KoboTool\u0026zwnj;Box, and responses were colle\u0026zwnj;c\u0026zwnj;ted using the\u0026zwnj; KoboCollect mobile applic\u0026zwnj;ation installed on Android devices. Interviewer\u0026zwj;s were M\u0026zwnj;as\u0026zwj;ter\u0026rsquo;s students in\u0026zwnj; public health who received a two-\u0026zwnj;day\u0026zwnj; training on m\u0026zwj;alaria, malaria vac\u0026zwj;cination, research ethics, and da\u0026zwj;ta collection techniques\u0026zwj; before the start of data collection.\u003c/p\u003e \u003cdiv id=\"Sec8\" class=\"Section2\"\u003e \u003ch2\u003eSt\u0026zwnj;udy variables\u003c/h2\u003e \u003cdiv id=\"Sec9\" class=\"Section3\"\u003e \u003ch2\u003eDe\u0026zwnj;pendent\u0026zwnj; variable\u003c/h2\u003e \u003cp\u003eThe primary\u0026zwj; outcome variab\u0026zwj;le was acceptability of\u0026zwj; the m\u0026zwnj;ala\u0026zwnj;ria vacci\u0026zwj;ne, operationa\u0026zwj;lly defined as\u0026zwj; the careg\u0026zwnj;iver\u0026rsquo;s w\u0026zwnj;illingness to h\u0026zwnj;ave\u0026zwj; their chi\u0026zwnj;ld\u0026zwj; vaccinated against malaria. This was a\u0026zwnj;ssessed by asking: \u0026ldquo;Are y\u0026zwj;ou willing to vaccinate you\u0026zwnj;r ch\u0026zwnj;ild(ren) against malaria or, if yo\u0026zwj;ur\u0026zwnj; child has al\u0026zwj;ready been vaccinat\u0026zwj;ed, wou\u0026zwj;ld you accept to do it again?\u0026rdquo;. Responses were cod\u0026zwnj;ed as:1 = Yes (willingness); 0 = No (unwillingness)\u003c/p\u003e \u003c/div\u003e \u003c/div\u003e\n\u003ch3\u003eIndependent variables\u003c/h3\u003e\n\u003cp\u003eThe i\u0026zwj;ndep\u0026zwj;endent vari\u0026zwnj;ables\u0026zwnj; in\u0026zwnj;clude\u0026zwnj;d: Socio-demog\u0026zwnj;rap\u0026zwnj;hic factors: sex, age, marital status, religion, region of origin, health area, household siz\u0026zwnj;e, number of children under 25 mont\u0026zwnj;hs, locality, level of education and occup\u0026zwnj;ation; Health-related factors: Prior knowl\u0026zwj;edge of malaria, Pe\u0026zwj;rceived mode of malaria transmission\u0026zwnj;, Histo\u0026zwj;ry of mal\u0026zwj;aria in\u0026zwnj; t\u0026zwj;he child within the previous 12 months, Preferred treatm\u0026zwnj;ent m\u0026zwnj;ethod (traditional medic\u0026zwj;ine, str\u0026zwnj;ee\u0026zwnj;t medicine, h\u0026zwnj;ospital care); Vaccine awa\u0026zwj;reness: Prior awarenes\u0026zwj;s of the mala\u0026zwj;ri\u0026zwj;a vaccine, Source\u0026zwj; of infor\u0026zwj;mation about\u0026zwnj; the malar\u0026zwj;ia vaccine\u003c/p\u003e \u003cp\u003e\u003cb\u003eDat\u0026zwj;a management an\u0026zwj;d statistical analysis\u003c/b\u003e\u003c/p\u003e \u003cp\u003eData were exported from KoboToolBox and cleaned using SPSS v\u0026zwnj;ersion 27 and S\u0026zwnj;t\u0026zwj;ata 17. All statistical\u0026zwnj; analyses were con\u0026zwnj;ducted using R s\u0026zwnj;oft\u0026zwnj;ware. Descriptive statistics were used to summarize the data: Categorical varia\u0026zwnj;b\u0026zwj;les were presented a\u0026zwj;s frequencies and percentages; Continuous var\u0026zwnj;iables were summarized using means\u0026thinsp;\u0026plusmn;\u0026thinsp;standard deviati\u0026zwnj;ons or medians (interquarti\u0026zwj;le range), where appropr\u0026zwnj;iate. Bivariate associations between indepen\u0026zwj;dent variables and the dependent variable were a\u0026zwnj;ssessed using P\u0026zwj;earson\u0026rsquo;s chi-squa\u0026zwnj;re test or Fisher\u0026rsquo;s exact tes\u0026zwnj;t when expected cell co\u0026zwj;un\u0026zwj;ts were less than 5. Varia\u0026zwj;bles w\u0026zwj;ith a p-value\u0026thinsp;\u0026lt;\u0026thinsp;0.25 in the bivariate analysis were included in the mu\u0026zwnj;ltiv\u0026zwnj;ariable logistic regressi\u0026zwnj;on model to estimate adjusted od\u0026zwnj;ds ratios (aOR) and 95% confidence intervals (CI). A p-value\u0026thinsp;\u0026lt;\u0026thinsp;0.05 was considered stat\u0026zwnj;ist\u0026zwnj;ical\u0026zwj;ly signific\u0026zwj;ant.\u003c/p\u003e"},{"header":"Results","content":"\u003cdiv id=\"Sec12\" class=\"Section2\"\u003e \u003ch2\u003eSocio-\u0026zwj;de\u0026zwnj;mogr\u0026zwj;aphic characteristics of caregi\u0026zwj;vers\u003c/h2\u003e \u003cp\u003eA total of\u0026zwnj; 541 caregivers, with 597 children,\u0026zwnj; participa\u0026zwj;ted in the study.\u0026zwj; The majority of particip\u0026zwnj;ants (72.6%) resided in rural areas. Mo\u0026zwnj;st were female (79.1%), giving a fem\u0026zwj;ale-to-male ratio of approximate\u0026zwj;ly 3.8:1; the highest participation was r\u0026zwnj;ecorded in Ebang HA (32.9%), while Ntsouessong (6.7%\u0026zwj;) had the lowest partici\u0026zwnj;pation; the mean age of caregivers w\u0026zwj;as 30\u0026zwj;.9\u0026thinsp;\u0026plusmn;\u0026thinsp;9.2 years, with 42.5% of participants aged betwee\u0026zwnj;n 28 and 37 years; C\u0026zwnj;athol\u0026zwnj;icism wa\u0026zwj;s the most frequentl\u0026zwnj;y reported religion (56.0%). More tha\u0026zwj;n two-thir\u0026zwj;ds of participants (67.7%) originate\u0026zwj;d from the Nor\u0026zwj;th-\u0026zwj;West, South-West, West and Littoral reg\u0026zwnj;ions o\u0026zwnj;f Cameroon. (Table\u0026nbsp;\u003cspan refid=\"Tab1\" class=\"InternalRef\"\u003e1\u003c/span\u003e)\u0026zwj; Regarding occupati\u0026zwnj;on, 26.6% of participants wer\u0026zwnj;e unemplo\u0026zwnj;yed or retired, 24.6%\u0026zwnj; were retailers, 19.2% worked in the private sector, and 17.6% were far\u0026zwnj;mers; almost two-fifth (40.3%)\u0026zwnj; were in cohab\u0026zwj;i\u0026zwnj;tation; the mean house\u0026zwj;hold s\u0026zwj;ize was 6.3\u0026thinsp;\u0026plusmn;\u0026thinsp;3.1 persons, and the average number of children\u0026zwj; under 25 m\u0026zwnj;onths per hous\u0026zwnj;ehold was\u0026zwj; 1.1\u0026plusmn;0.3 (Table \u003cspan refid=\"Tab1\" class=\"InternalRef\"\u003e1\u003c/span\u003e).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab1\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 1\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eSocio-demographic characteristics of caregivers of children under 25 months in Soa Health District\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"3\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eVariables and modalities\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eCount(n)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003ePercentage (%)\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHealth area\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eEbang\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e178\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e32.9\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eKoulou\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e78\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e14.4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNgali2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e61\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e11.2\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNtsouessong\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e36\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e6.7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSoa\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e129\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e23.9\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eTing melen\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e59\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e10.9\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eLocality\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRural\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e393\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e72.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eUrban\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e148\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e27.4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eSex\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e113\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e20.9\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFemale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e428\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e79.1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eAge (years)\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e30.88\u0026thinsp;\u0026plusmn;\u0026thinsp;9.17\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eAge category\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e18\u0026ndash;25\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e152\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e28.1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e26\u0026ndash;35\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e263\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e48.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e36\u0026ndash;45\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e88\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e16.3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e46 and over\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e38\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eReligion\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eCatholic\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e303\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e56\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eProtestant\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e92\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e17.1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eOther christians\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e97\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e17.9\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMuslim\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e31\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e5.7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAnimist and none\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e18\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e3.3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eRegion of origine\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFar north, North and Adamawa\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e36\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e6.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eCentre, East and South\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e139\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e25.7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNorth-west, South-west, West and Littoral\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e366\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e67.7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eLevel of education\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNo formal\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e36\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e6.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePrimary\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e95\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e17.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSecondary\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e338\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e62.5\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eUniversity\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e72\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e13.3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eOccupation\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePublic sector\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e25\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e4.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePrivate sector\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e104\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e19.2\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRetailer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e133\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e24.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFarmer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e95\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e17.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eUnemployed and retired\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e144\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e26.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eOthers (Student and housewives)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e40\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e7.4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eMarital status\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSingle\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e141\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e26.1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eCohabitation\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e218\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e40.3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMaried\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e170\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e31.4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eWidow\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2.2\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eHousehold size (people)\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e6.29\u0026thinsp;\u0026plusmn;\u0026thinsp;3.07\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eCategory of household size\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e260\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e48.1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u0026gt;\u0026thinsp;5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e281\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e51.9\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eNumber of children under 25 months\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.10\u0026thinsp;\u0026plusmn;\u0026thinsp;0.33\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eCategory of children under 25 months\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e490\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e90.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e2 and plus\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e51\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e9.4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003csup\u003e1\u003c/sup\u003eMean \u0026plusmn; SD\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab2\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 2\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eHealth and malaria-related information among caregivers of children under 25 months in Soa District\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"3\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eVariables and modalities\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eCount(n)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003ePercentage (%)\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHeard about malaria\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e13\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2.4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e528\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e97.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eChild had malaria in the past 12 months\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e217\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e40.1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e324\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e59.9\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eKnowledge about malaria transmission\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDisease transmitted by mosquitoes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e476\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e88\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDisease caused by an unclean environment\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e51\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e9.4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eI don\u0026rsquo;t know\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e14\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eMalaria treatment method\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eTraditional medicine\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e88\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e16.3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eStreet medicine\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e78\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e14.4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMedicine prescribed by a health professional\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e375\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e69.3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec13\" class=\"Section2\"\u003e \u003ch2\u003eHealth-\u0026zwnj; and malaria-related info\u0026zwnj;rmation\u003c/h2\u003e \u003cp\u003eAlmost al\u0026zwj;l partici\u0026zwnj;pants\u0026zwj; (97.6%) reporte\u0026zwnj;d having h\u0026zwj;eard o\u0026zwnj;f\u0026zwj; malaria. More than half (59.9%) indicated that at least one chi\u0026zwnj;ld in their househo\u0026zwj;ld had s\u0026zwj;uffered from malaria during the previous 12 mont\u0026zwj;hs (\u003cb\u003eTable\u0026zwnj; 2\u003c/b\u003e). Regarding malaria transmiss\u0026zwj;ion, 88.0% correctl\u0026zwnj;y identifi\u0026zwj;ed mos\u0026zwnj;quito bites as the main mode of transmission, while 9.4% believed th\u0026zwnj;at m\u0026zwnj;alaria was caused by a dirty env\u0026zwnj;ironment (\u003cb\u003eTable 2\u0026zwj;\u003c/b\u003e). With r\u0026zwj;espect to treatment-seek\u0026zwj;ing behaviou\u0026zwnj;r, the majority of caregive\u0026zwj;rs (69.\u0026zwj;3%) re\u0026zwj;ported seekin\u0026zwnj;g treatmen\u0026zwnj;t for malaria at a health f\u0026zwnj;acili\u0026zwj;ty, while 16.3% u\u0026zwnj;sed traditional remedies and 14.4% practiced self-medication or used street dru\u0026zwnj;gs (\u003cb\u003eTable 2\u003c/b\u003e).\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec14\" class=\"Section2\"\u003e \u003ch2\u003ePrevious experience with childhood\u0026zwj; vacc\u0026zwnj;ination\u003c/h2\u003e \u003cp\u003ePrevious experience with vaccines from the EPI wa\u0026zwnj;s generally high. The\u0026zwj; mos\u0026zwj;t familiar vaccin\u0026zwnj;e was BCG (95.0%), whereas vaccination against chickenpox had\u0026zwnj; the lowest\u0026zwj; familiarity (40.5%) am\u0026zwnj;ong caregivers of under 25 months old child\u0026zwnj;ren (Table\u0026nbsp;\u003cspan refid=\"Tab3\" class=\"InternalRef\"\u003e3\u003c/span\u003e).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab3\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 3\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003ePrevious vaccination experiences among caregivers of children under 25 months in Soa Health District\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"3\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eVaccine experience*\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eCount(n)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003ePercentage (%)\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eBCG\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e514\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e95\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePolio oral (VPO)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e486\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e89.8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eVaccine pentavalent (PENTA)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e476\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e88\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eVitamin A\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e476\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e88\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMeasles\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e410\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e75.8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHepatitis B\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e316\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e58.4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRotavirus\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e316\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e58.4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eConjugated pneumococcal Vaccine\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e238\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e44\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eYellow fever\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e225\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e41.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMeningitis\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e221\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e40.8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eChicken pox\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e40.5\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003ctfoot\u003e \u003ctr\u003e\u003ctd colspan=\"3\"\u003e*Multiple response\u003c/td\u003e\u003c/tr\u003e \u003c/tfoot\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec15\" class=\"Section2\"\u003e \u003ch2\u003eAwareness of the malari\u0026zwnj;a vaccin\u0026zwj;e\u003c/h2\u003e \u003cp\u003eOverall, 68.6% of caregivers reported h\u0026zwnj;aving\u0026zwj; heard about the malaria vaccine, wh\u0026zwj;ile 31.4% had not (\u003cb\u003eTable\u0026zwnj; 4\u003c/b\u003e). Among those who had\u0026zwnj; he\u0026zwj;ard about th\u0026zwj;e vaccine, the main sources of infor\u0026zwj;mation were healthcare workers (85.6%), followed by television and radio (25.1%), family or friends (15.8\u0026zwj;%) and social m\u0026zwnj;e\u0026zwnj;dia (12.8%) (Table\u0026nbsp;\u003cspan refid=\"Tab4\" class=\"InternalRef\"\u003e4\u003c/span\u003e)\u0026zwnj;. Among participants who were aware of the vaccine, 69.8% did not know the specific eligibility cr\u0026zwnj;iteria for vaccination (\u003cb\u003eTable 4\u003c/b\u003e). Among the 170 caregivers\u0026zwnj; who had not heard about the mal\u0026zwj;aria vaccine, 77.6% expr\u0026zwnj;essed interest\u0026zwnj; in receiving more informat\u0026zwnj;ion (\u003cb\u003eTable 4\u003c/b\u003e). More than half of participants (52%) considered the malaria vaccine to be v\u0026zwj;ery important, while 33\u0026zwnj;.4% considered it important. Only 6.2\u0026zwnj;% state\u0026zwj;d that the\u0026zwj; vaccin\u0026zwj;e was not important at all (Figure \u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003e).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab4\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 4\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eMalaria vaccine awareness and information sources among caregivers of children under 25 months in Soa District *Multiple response\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"3\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eVariables and modalities\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eCount(n)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003ePercentage (%)\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHeard about malaria vaccine\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e371\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e68.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e170\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e31.4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eIf yes, know eligibility age\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e112\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e69.8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e259\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e30.2\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eIf no, will to know more\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e132\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e77.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e38\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e22.4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eMeans*\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHealth personnel\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e314\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e84.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMedia (radio, tv)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e92\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e24.8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRelatives\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e58\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e15.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSocial medias\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e47\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e12.7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eGovernment agencies\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e1.3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec16\" class=\"Section2\"\u003e \u003ch2\u003eWillingness to accept the malaria vaccine\u003c/h2\u003e \u003cp\u003eAmong the 54\u0026zwnj;1 partic\u0026zwnj;ipants, 397 (73.4%) expresse\u0026zwnj;d willin\u0026zwnj;gness to vaccinate their childr\u0026zwj;en against malaria (\u003cb\u003eFigure 2\u003c/b\u003e). The mos\u0026zwnj;t commonly cited\u0026zwj; reasons f\u0026zwj;or acceptance were protection of the child (77.6%)\u0026zwnj;, routine acceptance of childhood vaccines (13.6%), general acceptability (\u0026zwj;5.8%)\u0026zwnj;,\u0026zwj; and trust in vaccines (3%) (\u003cb\u003eTable 5\u003c/b\u003e). Among the 1\u0026zwnj;44 caregivers (26.6%) who were unwilling to accept the malaria v\u0026zwnj;acc\u0026zwnj;ine, the main reasons were fe\u0026zwj;ar\u0026zwnj; of side effects (\u0026zwnj;45.9%), lack of interest (24.3%), and insufficient information on the vaccine (11.1%) (Table\u0026nbsp;\u003cspan refid=\"Tab5\" class=\"InternalRef\"\u003e5\u003c/span\u003e). When asked what might change their decision, 33\u0026zwnj;.3% reported that\u0026zwnj; nothing\u0026zwnj; would change their mind, 24.3% mentioned i\u0026zwnj;mproved sensitizati\u0026zwj;o\u0026zwj;n, 13.\u0026zwnj;2% reques\u0026zwnj;ted proof o\u0026zwnj;f vaccine efficacy, and 11.1\u0026zwj;% indicated the need for approval from their spouse (\u003cb\u003eTable 5)\u003c/b\u003e\u0026zwj;.\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab5\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 5\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eReasons for willingness and unwillingness to accept malaria vaccine among caregivers in Soa District\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"3\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eVariables\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eCount (n)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003ePercentage (%)\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eIf yes, reason\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eTo protect the child\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e308\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e77.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eOut of habit of vaccinating children\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e54\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e13.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eGeneral acceptability\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e23\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e5.8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eTrust in vaccines\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eIf no, reason\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFear of side effects\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e66\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e45.9\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eLack of interest\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e35\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e24.3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eLack of information\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e16\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e11.1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePartner\u0026rsquo;s refusal\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e8.3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eCultural beliefs\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e8.3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eReligious beliefs\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2.1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eIf no, what can change your mind?\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNothing at all\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e48\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e33.3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMore sensitization\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e35\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e24.3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eEvidence supporting vaccine effectiveness\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e19\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e13.2\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSpouse\u0026rsquo;s approval / Partner\u0026rsquo;s consent\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e16\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e11.1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eLocal vaccine production in Africa\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e11\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e7.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eI don\u0026rsquo;t know\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e6.3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eIf the child gets sick\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e4.2\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec17\" class=\"Section2\"\u003e \u003ch2\u003eFacto\u0026zwnj;rs associ\u0026zwnj;ated with acceptability of the malaria vacci\u0026zwj;ne\u003c/h2\u003e \u003cdiv id=\"Sec18\" class=\"Section3\"\u003e \u003ch2\u003eUnivariate analysis\u003c/h2\u003e \u003cp\u003eUnivariate analysis\u0026zwj; demo\u0026zwj;nstrated a significant ass\u0026zwj;ocia\u0026zwnj;tion between willingness t\u0026zwj;o accept the malar\u0026zwnj;ia vaccine a\u0026zwj;nd the following variables: HA (\u003cb\u003ep\u0026thinsp;\u0026lt;\u0026thinsp;0.001\u003c/b\u003e), locality (\u003cb\u003ep\u0026thinsp;\u0026lt;\u0026thinsp;0.0\u0026zwnj;01\u003c/b\u003e), sex (\u003cb\u003ep\u0026zwnj; = 0.020\u003c/b\u003e),\u0026zwnj; age group (\u003cb\u003ep\u0026thinsp;=\u0026thinsp;0\u0026zwnj;.043\u003c/b\u003e), religion (\u003cb\u003ep\u0026thinsp;\u0026lt;\u0026thinsp;0.001\u003c/b\u003e), region of ori\u0026zwj;gin (\u003cb\u003ep\u0026thinsp;\u0026lt;\u0026thinsp;0.00\u0026zwj;1\u003c/b\u003e), occ\u0026zwnj;up\u0026zwnj;ation (\u003cb\u003ep\u0026thinsp;=\u0026thinsp;0.022\u003c/b\u003e), history of malari\u0026zwnj;a (\u003cb\u003ep\u0026thinsp;=\u0026thinsp;0.0\u0026zwj;35\u003c/b\u003e), malaria treatment method (\u003cb\u003ep\u0026thinsp;\u0026lt;\u0026thinsp;0.001\u003c/b\u003e), and awareness of the malaria vaccine (\u003cb\u003ep\u0026thinsp;\u0026lt;\u0026thinsp;0.001\u003c/b\u003e) (Table\u0026nbsp;\u003cspan refid=\"Tab6\" class=\"InternalRef\"\u003e6\u003c/span\u003e). On the other hand, no statisticall\u0026zwj;y sig\u0026zwnj;nificant associations were found with level of education\u0026zwnj; (p =\u0026zwj; 0.637), ho\u0026zwnj;usehold\u0026zwj; size (p\u0026thinsp;=\u0026thinsp;0.351), number of children under 25 months (p\u0026thinsp;=\u0026thinsp;0.848), child\u0026rsquo;s h\u0026zwnj;istory of malaria in the past 12 months (p\u0026zwnj; = 0.806),\u0026zwnj; perceived mode of m\u0026zwnj;alaria transmission (p\u0026thinsp;=\u0026thinsp;0.344), or marital s\u0026zwnj;tatus (p = 0.052) (\u003cb\u003eT\u0026zwj;able 6\u003c/b\u003e).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab6\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 6\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eUnivariate analysis of factors associated with malaria vaccine acceptability among caregivers in Soa District\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"6\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eVariables and modalities\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eOverall \u003c/p\u003e \u003cp\u003eN\u0026thinsp;=\u0026thinsp;541\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eAcceptability\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eOR(95% CI)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003ep-value\u003csup\u003e2\u003c/sup\u003e\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003eNo\u003c/b\u003e \u003c/p\u003e \u003cp\u003eN\u0026thinsp;=\u0026thinsp;144\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003eYes\u003c/b\u003e \u003c/p\u003e \u003cp\u003eN\u0026thinsp;=\u0026thinsp;397\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eHealth area\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e\u0026lt;\u0026thinsp;0.001\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eEbang\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e178 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e53 (29.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e125 (70.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.11(1.01\u0026ndash;4.39)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eKoulou\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e78 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e6 (7.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e72 (92.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e3.90(3.90\u0026ndash;33.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNgali2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e61 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e4 (6.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e57 (93.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e4.14(4.14\u0026ndash;48.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNtsouessong\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e36 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e17 (47.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e19 (52.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSoa\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e129 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e34 (26.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e95 (73.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.5(1.16\u0026ndash;5.38)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eTing melen\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e59 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e30 (50.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e29 (49.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.86(0.37\u0026ndash;1.98)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eLocality\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e\u0026lt;\u0026thinsp;0.001\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRural\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e393 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e87 (22.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e306 (77.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.2(1.46\u0026ndash;3.31)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eUrban\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e148 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e57 (38.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e91 (61.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eSex\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e0.02\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e113 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e40 (35.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e73 (64.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFemale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e428 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e104 (24.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e324 (75.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.71(1.09\u0026ndash;2.65)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eAge category\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e0.043\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e18\u0026ndash;25\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e152 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e31 (20.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e121 (79.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.84(1.32, 6.04)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e26\u0026ndash;35\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e263 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e70 (26.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e193 (73.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.01(0.98\u0026ndash;4.02)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e36\u0026ndash;45\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e88 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e27 (30.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e61 (69.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.64(0.74\u0026ndash;3.61)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e46 and over\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e38 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e16 (42.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e22 (57.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eReligion\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e\u0026lt;\u0026thinsp;0.001\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eCatholic\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e303 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e58 (19.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e245 (80.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e3.38(1.24\u0026ndash;8.94)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eProtestant\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e35 (38)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e57 (62)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.3(0.46\u0026ndash;3.62)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eOther christians\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e97 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e28 (28.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e69 (71.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.97(0.69\u0026ndash;5.52)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMuslim\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e31 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e15 (48.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e16 (51.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.85(0.26\u0026ndash;2.74)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAnimist et none\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e18 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e8 (44.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e10 (55.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eRegion of origin\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e\u0026lt;\u0026thinsp;0.001\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFar north, North, and Adamawa\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e36 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e13 (36.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e23 (63.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.19(0.56\u0026ndash;2.61)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eCentre, East, and South\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e139 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e56 (40.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e83 (59.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNorth-west, South-west, West, and Littoral\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e366 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e75 (20.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e291 (79.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.62(1.71-4.00)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eLevel of education\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.637\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNo formal\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e36 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e13 (36.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e23 (63.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePrimary\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e95 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e25 (26.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e70 (73.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.58(0.69\u0026ndash;3.57)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSecondary\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e338 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e87 (25.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e251 (74.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.63(0.77\u0026ndash;3.32)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eUniversity\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e72 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e19 (26.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e53 (73.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.58(0.66\u0026ndash;3.72)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eOccupation\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e0.022\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePublic sector\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e25 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e10 (40)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e15 (60)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePrivate sector\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e104 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e32 (30.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e72 (69.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.5(0.59\u0026ndash;3.67)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRetailer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e133 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e44 (33.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e89 (66.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.35(0.55\u0026ndash;3.22)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFarmer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e95 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e15 (15.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e80 (84.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e3.56(1.33\u0026ndash;9.44)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eUnemployed and retired\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e144 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e33 (22.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e111 (77.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.24(0.90\u0026ndash;5.42)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eOthers (Student and housewives)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e40 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e10 (25)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e30 (75)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2(0.68\u0026ndash;5.94)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eMarital status\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.052\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSingle\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e141 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e35 (24.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e106 (75.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e4.24(1.27\u0026ndash;15.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eCohabitation\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e218 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e51 (23.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e167 (76.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e4.58(1.40\u0026ndash;16.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMaried\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e170 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e51 (30)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e119 (70)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e3.27(1-11.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eWidow\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e12 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e7 (58.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e5 (41.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eHousehold size\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.351\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e260 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e74 (28.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e186 (71.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u0026gt;\u0026thinsp;5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e281 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e70 (24.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e211 (75.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.2(0.82\u0026ndash;1.76)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eN\u003c/b\u003e\u003csup\u003e\u003cb\u003eo\u003c/b\u003e\u003c/sup\u003e \u003cb\u003eof children under 25 months\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.848\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e490 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e131 (26.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e359 (73.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e2 and over\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e51 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e13 (25.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e38 (74.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.07(0.56\u0026ndash;2.14)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eHeard about malaria\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e0.035\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e13 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e7 (53.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e6 (46.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e528 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e137 (25.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e391 (74.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e3.33(1.09\u0026ndash;10.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eChild had malaria in the past 12 months\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.806\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e217 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e59 (27.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e158 (72.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e324 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e85 (26.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e239 (73.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.05(0.71\u0026ndash;1.55)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eKnowledge about malaria transmission\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.344\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDisease transmitted by mosquitoes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e476 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e131 (27.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e345 (72.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDisease caused by an unclean environment\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e51 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e11 (21.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e40 (78.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.38(0.71\u0026ndash;2.90)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eI don\u0026rsquo;t know\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e14 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2 (14.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e12 (85.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.28(0.61\u0026ndash;14.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eMalaria treatment method\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e\u0026lt;\u0026thinsp;0.001\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eTraditional medicine\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e88 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e40 (45.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e48 (54.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eStreet medicine\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e78 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e18(23.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e60(76.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.78(1.43\u0026ndash;5.54)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMedicine prescribed by a health professional\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e375 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e86(22.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e289(77.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.8(1.72\u0026ndash;4.54)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eAwareness of malaria vaccine\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e\u0026lt;\u0026thinsp;0.001\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e170 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e68 (40)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e102 (60)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e371 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e76 (20.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e295 (79.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.59(1.74\u0026ndash;3.85)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"6\" nameend=\"c6\" namest=\"c1\"\u003e \u003cp\u003e\u003csup\u003e1\u003c/sup\u003en (%)\u003c/p\u003e \u003cp\u003e\u003csup\u003e2\u003c/sup\u003ePearson's Chi-squared test; Fisher's exact test\u003c/p\u003e \u003cp\u003eAbbreviations: CI\u0026thinsp;=\u0026thinsp;Confidence Interval, OR\u0026thinsp;=\u0026thinsp;Odds Ratio\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab7\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 7\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eMultivariate analysis of factors associated with malaria vaccine acceptability among caregivers in Soa District\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"6\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eVariables and modalities\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eOverall \u003c/p\u003e \u003cp\u003eN\u0026thinsp;=\u0026thinsp;541\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eAcceptability\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eaOR (IC 95%)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003ep-value\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003eNo\u003c/b\u003e \u003c/p\u003e \u003cp\u003eN\u0026thinsp;=\u0026thinsp;144\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003eYes\u003c/b\u003e \u003c/p\u003e \u003cp\u003eN\u0026thinsp;=\u0026thinsp;397\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eHealth area\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eEbang\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e178 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e53 (29.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e125 (70.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.66(1.15\u0026ndash;6.14)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e0.021\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eKoulou\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e78 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e6 (7.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e72 (92.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e5.66(1.78\u0026ndash;19.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e0.004\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNgali2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e61 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e4 (6.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e57 (93.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e12.2(3.48, 51.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e\u0026lt;\u0026thinsp;0.001\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNtsouessong\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e36 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e17 (47.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e19 (52.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSoa\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e129 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e34 (26.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e95 (73.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e4.23(1.59\u0026ndash;11.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e0.004\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eTing melen\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e59 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e30 (50.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e29 (49.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.18(0.37\u0026ndash;3.75)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.778\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eLocality\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRural\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e393 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e87 (22.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e306 (77.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.53(0.74\u0026ndash;3.25)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.257\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eUrban\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e148 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e57 (38.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e91 (61.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eSex\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e113 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e40 (35.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e73 (64.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFemale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e428 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e104 (24.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e324 (75.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.85(1.05\u0026ndash;3.25)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e0.031\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eAge category\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e18\u0026ndash;25\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e152 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e31 (20.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e121 (79.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.06(0.63\u0026ndash;6.42)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.218\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e26\u0026ndash;35\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e263 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e70 (26.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e193 (73.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.6(0.54\u0026ndash;4.48)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.384\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e36\u0026ndash;45\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e88 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e27 (30.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e61 (69.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.51(0.49\u0026ndash;4.45)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.464\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e46 and over\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e38 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e16 (42.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e22 (57.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eReligion\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eCatholic\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e303 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e58 (19.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e245 (80.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e3.85(1.16\u0026ndash;12.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e0.025\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eProtestant\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e35 (38)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e57 (62)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.44(0.69\u0026ndash;8.49)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.159\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eOther christians\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e97 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e28 (28.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e69 (71.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e3.07(0.87\u0026ndash;10.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.078\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMuslim\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e31 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e15 (48.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e16 (51.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.68(0.15\u0026ndash;2.95)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.607\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAnimist and none\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e18 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e8 (44.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e10 (55.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eRegion of origine\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFar north, North, and Adamawa\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e36 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e13 (36.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e23 (63.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.87(1.09\u0026ndash;7.99)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e0.037\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eCentre, East, and South\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e139 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e56 (40.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e83 (59.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNorth-west, South-west, West and Littoral\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e366 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e75 (20.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e291 (79.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.29(1.36\u0026ndash;3.89)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e0.002\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eOccupation\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePublic sector\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e25 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e10 (40)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e15 (60)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePrivate sector\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e104 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e32 (30.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e72 (69.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.58(0.56\u0026ndash;4.35)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.376\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRetailer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e133 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e44 (33.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e89 (66.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.46(0.53\u0026ndash;3.94)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.459\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFarmer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e95 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e15 (15.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e80 (84.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.38(0.43\u0026ndash;4.40)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.580\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eUnemployed and retired\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e144 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e33 (22.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e111 (77.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.79(0.62\u0026ndash;5.08)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.272\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eOthers (Student and housewives)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e40 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e10 (25)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e30 (75)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.32(0.37\u0026ndash;4.78)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.671\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eMarital status\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSingle\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e141 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e35 (24.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e106 (75.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.96(0.30\u0026ndash;13.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.490\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eCohabitation\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e218 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e51 (23.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e167 (76.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.96(0.31\u0026ndash;13.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.480\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMaried\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e170 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e51 (30)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e119 (70)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.30(0.38\u0026ndash;14.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.366\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eWidow\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e12 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e7 (58.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e5 (41.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eHeard about malaria\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e13 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e7 (53.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e6 (46.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e528 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e137 (25.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e391 (74.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e3.28(0.84\u0026ndash;12.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.082\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eMalaria treatment method\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eTraditional medicine\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e88 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e40 (45.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e48 (54.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eStreet medicine\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e78 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e18(23.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e60(76.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.46(1.10\u0026ndash;5.64)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e0.03\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMedicine prescribed by a health professional\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e375 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e86(22.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e289(77.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.02(1.14\u0026ndash;3.56)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e0.015\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eAwareness of malaria vaccine\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e170 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e68 (40)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e102 (60)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e371 (100)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e76 (20.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e295 (79.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.06(1.28\u0026ndash;3.33)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e0.003\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"6\" nameend=\"c6\" namest=\"c1\"\u003e \u003cp\u003e\u003csup\u003e1\u003c/sup\u003en (%)\u003c/p\u003e \u003cp\u003eAbbreviations: CI\u0026thinsp;=\u0026thinsp;Confidence Interval, aOR\u0026thinsp;=\u0026thinsp;Adjusted Odds Ratio\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003c/div\u003e \u003c/div\u003e \u003cdiv id=\"Sec19\" class=\"Section2\"\u003e \u003ch2\u003eMultivari\u0026zwj;ate analysis\u003c/h2\u003e \u003cp\u003eAfter adjustment for potential confo\u0026zwnj;unders, several factors remained significantly associate\u0026zwnj;d with willingness to accep\u0026zwj;t the\u0026zwj; malaria vaccine (\u003cb\u003eT\u0026zwnj;able 7\u003c/b\u003e).\u0026zwnj; Comp\u0026zwj;ared with caregivers liv\u0026zwnj;ing in Ntsouesso\u0026zwj;ng health are\u0026zwnj;a,\u0026zwnj; those living in Ngali II (aOR\u0026zwnj; = 12.20; 95\u0026zwj;% CI: 3.48-51.\u0026zwnj;70; p\u0026zwnj; \u0026lt; 0.001), Koulou (aOR\u0026thinsp;=\u0026thinsp;5.66;\u0026zwnj; 95% CI: 1.78\u0026ndash;19.80; \u003cb\u003ep\u0026thinsp;=\u0026thinsp;0.004\u003c/b\u003e), Soa (aOR\u0026thinsp;=\u0026thinsp;4.23; 95% CI: 1.59\u0026ndash;11.50; \u003cb\u003ep\u0026thinsp;=\u0026thinsp;0.004\u003c/b\u003e) and Ebang (aOR\u0026thinsp;=\u0026thinsp;2.66; 95% CI: 1.15\u0026zwj;-6.14; \u003cb\u003ep\u0026thinsp;=\u0026thinsp;0.021\u003c/b\u003e) had significantly higher odds of vaccine acce\u0026zwj;ptabilit\u0026zwj;y. Fem\u0026zwnj;ale caregi\u0026zwnj;vers were more likely to accept the m\u0026zwnj;alaria vaccine compared wi\u0026zwj;th males (aOR\u0026thinsp;=\u0026thinsp;1.85; 95\u0026zwj;% CI: 1\u0026zwj;.\u0026zwnj;05-3.25; \u003cb\u003ep = 0\u0026zwj;.031\u003c/b\u003e). Catholics\u0026zwj; had higher odds of vaccine acceptance compar\u0026zwnj;ed with animists or those with no religiou\u0026zwj;s af\u0026zwnj;filiation (aOR\u0026thinsp;=\u0026thinsp;3.85; 95% CI: 1.16-12.\u0026zwnj;50; \u003cb\u003ep\u0026thinsp;=\u0026thinsp;0.025\u003c/b\u003e). Participants originating from the North-West, South-We\u0026zwj;st, West and Littoral regions (aOR\u0026zwj; = 2\u0026zwj;.29; 95% CI: 1.36\u0026zwj;-3.89; \u003cb\u003ep = 0.002\u003c/b\u003e) and those from the Far North, North and Ada\u0026zwj;mawa\u0026zwj; region\u0026zwnj;s (aOR = 2.87; 9\u0026zwnj;5% CI: 1.09\u0026ndash;7.99;\u0026zwnj; \u003cb\u003ep\u0026thinsp;=\u0026thinsp;0.037\u003c/b\u003e) showed si\u0026zwnj;gnificantly higher odd\u0026zwnj;s of acce\u0026zwnj;ptan\u0026zwj;ce c\u0026zwnj;omp\u0026zwj;ared with th\u0026zwj;ose from the Centre, East and South regions. With regard to malaria treatment practices, caregiv\u0026zwj;ers who\u0026zwj; treated malaria using street medicine (aOR\u0026thinsp;=\u0026thinsp;2.46; 95% C\u0026zwnj;I: 1.\u0026zwj;10-5.64; p\u0026thinsp;=\u0026thinsp;\u003cb\u003e0.030\u003c/b\u003e) or who sought care in a hospit\u0026zwnj;al\u0026zwj; (aO\u0026zwj;R\u0026thinsp;=\u0026thinsp;2.02;\u0026zwnj; 95% CI: 1.14\u0026ndash;3.56; \u003cb\u003ep\u0026thinsp;=\u0026thinsp;0.015\u003c/b\u003e) were\u0026zwj; more l\u0026zwj;ikely to accept vaccinatio\u0026zwnj;n\u0026zwj; compared w\u0026zwj;ith those\u0026zwj; relying on traditional medicine. Final\u0026zwnj;ly, prior awareness\u0026zwnj; of the malaria vaccine was significantly associated with acc\u0026zwj;eptability, as caregivers who had previously heard ab\u0026zwnj;out the vaccine were more li\u0026zwj;kely t\u0026zwj;o accept it for their children (aOR = 2.06; 95% CI: 1.28-3.33;\u0026zwj; \u003cb\u003ep = 0.003\u003c/b\u003e).\u003c/p\u003e \u003c/div\u003e"},{"header":"Discussion","content":"\u003cp\u003e According to the\u0026zwnj; Health Belief Model, individua\u0026zwnj;ls\u0026rsquo; perception\u0026zwnj;s of\u0026zwj; disease severity,\u0026zwnj; suscep\u0026zwnj;tibi\u0026zwj;lity, and t\u0026zwj;he benefits of preventive acti\u0026zwnj;ons strongly influence their health-relate\u0026zwj;d\u0026zwj; behaviours, including d\u0026zwnj;ecisions surrounding vacci\u0026zwnj;nation[21]. Commu\u0026zwj;nity engagement and trust\u0026zwj; are therefore essential det\u0026zwj;erminants of the success\u0026zwnj; of vacc\u0026zwj;ination progr\u0026zwnj;ammes[22]. Historically, the failure of several\u0026zwnj; vaccinatio\u0026zwnj;n programmes has been linked to poor community involvement,\u0026zwnj; misinformati\u0026zwnj;on, and low perceived risk o\u0026zwnj;f disease[23\u0026ndash;25]. As a result, recent public health strategies increas\u0026zwj;in\u0026zwnj;gly emphasize the importance of community participation in the implementation of preventive inter\u0026zwj;vention\u0026zwnj;s. In th\u0026zwnj;is contex\u0026zwnj;t\u0026zwnj;, this stud\u0026zwnj;y assessed the acceptability o\u0026zwj;f the RT\u0026zwj;S\u0026zwj;,S malaria vaccine and the factors associated wi\u0026zwj;t\u0026zwnj;h willingness to receive the vaccine among caregivers of under 25 months children in the Soa HD of Camer\u0026zwj;oon.\u003c/p\u003e \u003cp\u003eThe present study fou\u0026zwnj;nd that\u0026zwnj; 73.4% of caregivers expressed willingness to vaccinate their children against malaria. Although this le\u0026zwnj;vel of acceptability is lower than that reported in some studies, it remains relatively high in the context of a newly i\u0026zwnj;ntrod\u0026zwj;uced\u0026zwj; vaccine. A recent systematic revie\u0026zwnj;w by Ansar et al. reported an\u0026zwnj; overall malaria vaccine acceptability rate of 87.5%, with wide variability ranging from 32.3% in Ethiopia to 99.3% in Peru[26]. Several cou\u0026zwnj;ntr\u0026zwnj;y-\u0026zwnj;sp\u0026zwj;ecific studies hav\u0026zwj;e reported findi\u0026zwj;ngs comparable to ours, including Guin\u0026zwj;ea a\u0026zwnj;nd Sierra Leone (77.9%)[27], B\u0026zwnj;angla\u0026zwnj;desh (70.9%)[28], and Ghana (77.5%)[29]. By contrast, higher levels of acceptability have b\u0026zwnj;een observed in Ghana (94.6%)[30] a\u0026zwj;nd Nigeria\u0026zwj; (98\u0026zwnj;%)[31]. In Camer\u0026zwj;oon, during the pre-introduction\u0026zwj; assessment conducted by the Min\u0026zwj;istry of Publ\u0026zwj;ic Health reported an acceptability rate\u0026zwj; of 99.1%[12].\u003c/p\u003e \u003cp\u003eVar\u0026zwj;iations in acceptability across settings may be explained by differences in socio-demographic characteristics, study de\u0026zwj;sign, tim\u0026zwnj;ing of data collecti\u0026zwj;on relative to vaccine\u0026zwnj; introduction, and target\u0026zwnj; population[18]. For example, many prev\u0026zwnj;ious studies were conducted before vaccin\u0026zwj;e implementa\u0026zwj;tion a\u0026zwj;nd included caregive\u0026zwnj;rs of children u\u0026zwj;nder five years, wh\u0026zwj;ereas the present study focuse\u0026zwnj;d on c\u0026zwnj;aregivers of children und\u0026zwj;er 2\u0026zwj;5 months and was cond\u0026zwnj;ucted\u0026zwj; after the vaccine had already be\u0026zwnj;en introduced in selecte\u0026zwj;d districts. The r\u0026zwj;elat\u0026zwnj;ively h\u0026zwnj;igh acc\u0026zwj;eptability observed in this stud\u0026zwnj;y is nevertheless e\u0026zwnj;ncourag\u0026zwnj;ing and suggests a favourable environment for strengthening malaria vaccination efforts as pa\u0026zwj;rt\u0026zwj; o\u0026zwj;f an integrated malaria control strategy. Malaria va\u0026zwnj;ccination, when combined with exi\u0026zwj;sting interventions such as insecticide-treated nets, indoor r\u0026zwnj;esidual spraying, interm\u0026zwj;ittent\u0026zwj; preventive tre\u0026zwnj;atment, an\u0026zwnj;d\u0026zwnj; pr\u0026zwj;ompt case management\u0026zwnj; has the potential to substantia\u0026zwnj;lly reduce malaria inc\u0026zwj;idence and severity, especially among v\u0026zwj;ulner\u0026zwj;able pop\u0026zwj;ulations such as young childre\u0026zwnj;n and pregnant women[6, 32]\u0026zwnj;. High\u0026zwnj; levels of a\u0026zwj;cceptability are therefor\u0026zwj;e critical to achieving mea\u0026zwj;ning\u0026zwj;ful public health impact and to advancing national and global malaria el\u0026zwj;imination goals.\u003c/p\u003e \u003cp\u003eSeveral factors were found to be significantly associated with accept\u0026zwnj;ability of the malaria vaccine in th\u0026zwj;is study. These included HA of residence, region of origin, f\u0026zwnj;emale sex, C\u0026zwj;atholic rel\u0026zwj;igion, m\u0026zwnj;ethod\u0026zwnj; of malaria treatment, and prior\u0026zwj; awareness of the v\u0026zwnj;accine. Caregivers resid\u0026zwnj;ing in Ng\u0026zwnj;al\u0026zwj;i II, Koulou, Soa, and Ebang had significantly higher odds of accepting\u0026zwnj; the vaccine compared with those in Ntsouessong. This finding highlights the rol\u0026zwnj;e of local contextual fa\u0026zwj;ct\u0026zwj;ors, including access to heal\u0026zwnj;th services, community mobi\u0026zwnj;lisation, and\u0026zwj; prior exposure to health in\u0026zwj;terventions, in shaping attitudes toward vaccination. Similar geographical differences in malaria vaccine acceptability have\u0026zwj; been reported in Kenya, Tanzania,\u0026zwnj; Ghan\u0026zwnj;a, and Ethiopia, where regional variations were l\u0026zwnj;inked to disparities in healthcare access, quality\u0026zwnj; of services, and community engagement[33-35].\u003c/p\u003e \u003cp\u003eFemale caregivers were more likely to accept the malaria vaccine than their male counterparts. This finding is consist\u0026zwj;ent with several studies indicating t\u0026zwj;hat women generally had highe\u0026zwj;r acceptance of childhood vacc\u0026zwnj;ines, likely due to t\u0026zwnj;heir role as primary caregivers a\u0026zwj;nd decision-makers regarding child health[36]. However, contrast\u0026zwj;ing evidence ha\u0026zwnj;s be\u0026zwnj;en reported in certain high-income\u0026zwnj; settings, such as Canada, where women demonst\u0026zwnj;rate\u0026zwj;d\u0026zwj; greater v\u0026zwnj;accine hesitancy[37]. These differe\u0026zwj;nces un\u0026zwnj;derscore the impor\u0026zwj;tance of considering socio\u0026zwj;cultural context when interpreting vaccine-related behavio\u0026zwnj;urs.\u003c/p\u003e \u003cp\u003eReligion was also significantly associated with malaria vaccine a\u0026zwnj;cceptability, with Catholic caregivers sh\u0026zwj;owing higher odds of a\u0026zwnj;cceptability compared to t\u0026zwnj;hose of\u0026zwnj; other or no religious affiliati\u0026zwnj;ons. R\u0026zwj;eligious beli\u0026zwnj;efs ca\u0026zwnj;n profoundly sh\u0026zwnj;ape health beh\u0026zwnj;aviours[20], and ev\u0026zwnj;idence suggests that Christian commun\u0026zwj;ities in some settings demonstrate relatively h\u0026zwj;igher acceptance of vaccines[35, 36]. However, other studies report the opposite trend, re\u0026zwj;inforcing the complexity of the relationship betwe\u0026zwnj;en religion and vaccine acceptance[38]. These findings highlight the critical\u0026zwnj; importance of engag\u0026zwnj;ing religious leaders as partners in health promotion.\u0026zwj; Approaches such as the 3E model (Engage, Equip, and Empower) can\u0026zwj; s\u0026zwj;up\u0026zwnj;port faith l\u0026zwnj;eaders to ac\u0026zwj;t as trusted messengers, he\u0026zwnj;lping to address misinformation, reduce fears, and\u0026zwnj; promote posi\u0026zwj;t\u0026zwj;ive attitudes\u0026zwj; toward vaccination[39].\u003c/p\u003e \u003cp\u003eTreatment-seeking\u0026zwnj; behaviour was also associated with malaria vaccine acceptability. C\u0026zwj;aregivers who repor\u0026zwnj;te\u0026zwnj;d treating malaria through hospital\u0026zwnj; care or self-medica\u0026zwnj;ti\u0026zwnj;on using modern pharmaceutic\u0026zwnj;als were mor\u0026zwj;e likely t\u0026zwj;o accept vaccination than those r\u0026zwj;elying on t\u0026zwj;raditional remedies. This may reflect a\u0026zwj; greater level of trus\u0026zwj;t in biomedical interventions among these individuals. Simil\u0026zwj;arly, p\u0026zwnj;rio\u0026zwj;r awareness of the malaria vaccine was significantly associated with higher acceptability, reinforcing the i\u0026zwj;mportance of t\u0026zwj;arge\u0026zwj;ted informati\u0026zwj;on, education, and communication strategies\u0026zwj;. Evidence from other sett\u0026zwnj;ings confir\u0026zwnj;ms that increa\u0026zwj;sed knowledge and\u0026zwj; exposure to accurate infor\u0026zwj;mation abo\u0026zwnj;ut vac\u0026zwj;cines im\u0026zwnj;proves acceptance and uptake[40]\u0026zwj;.\u003c/p\u003e \u003cp\u003eOverall, the\u0026zwnj; findings of this study emphasize the critical role of s\u0026zwj;ociocultural, geographical\u0026zwj;, behav\u0026zwj;ioural, and in\u0026zwnj;formational factors in determining malaria va\u0026zwnj;ccine accept\u0026zwj;abi\u0026zwj;lity. Tailored community sens\u0026zwj;itization ac\u0026zwnj;tivities, strengthened health communication, and involvement of trusted comm\u0026zwj;unity actors\u0026rsquo; including healthcare workers and religiou\u0026zwnj;s leaders may substantially enhance\u0026zwj; vaccine confidence and acceptability in Soa HD and similar\u0026zwnj; settings.\u003c/p\u003e \u003cdiv id=\"Sec21\" class=\"Section2\"\u003e \u003ch2\u003eStrengths and limitations of the study\u003c/h2\u003e \u003cp\u003eThis study presents se\u0026zwnj;vera\u0026zwj;l important st\u0026zwj;rengths. First, the relatively l\u0026zwnj;arge\u0026zwnj; sample size enhances the sta\u0026zwnj;t\u0026zwnj;isti\u0026zwj;cal power of the study and incre\u0026zwnj;ases the gene\u0026zwnj;ralis\u0026zwj;ability of\u0026zwj; the finding\u0026zwnj;s to caregivers of children under 25 months in the S\u0026zwnj;oa HD. Second, this\u0026zwj; study provides valuable baseline data that can inform and strengthen t\u0026zwnj;he implement\u0026zwnj;ation and scale-up of th\u0026zwj;e m\u0026zwj;alaria vaccine programme in Soa HD and potentially in other similar settings across\u0026zwj; Cameroon. Third, data completene\u0026zwnj;ss was high, w\u0026zwj;ith minimal miss\u0026zwj;ing information, which strengthens the reliability of\u0026zwnj; the results. Last, this study\u0026zwnj; was conducted in a\u0026zwj; predomin\u0026zwj;antly ru\u0026zwj;ral and hard-to-reach d\u0026zwnj;istrict, making the findi\u0026zwj;ngs particularly relevant for settin\u0026zwnj;gs wh\u0026zwnj;ere ac\u0026zwnj;cess to healthcare ser\u0026zwnj;vices and vaccination progr\u0026zwnj;ammes may be limited.\u003c/p\u003e \u003cp\u003eDespite these strengths, sever\u0026zwj;al lim\u0026zwnj;itations should be cons\u0026zwnj;idered when interpreting the f\u0026zwnj;indings. Firstly, the study r\u0026zwj;el\u0026zwj;ied on self-reported willingness to acce\u0026zwj;pt the malaria vaccine, which may be subject to social desirability bias\u0026rsquo;s a\u0026zwj;nd may not nec\u0026zwj;essarily refl\u0026zwj;ect actual vac\u0026zwj;cination behaviour. Secondly,\u0026zwnj; attitudes towards vaccination were measured using a s\u0026zwnj;tructured quantitative approa\u0026zwnj;ch, whi\u0026zwj;ch may ha\u0026zwj;ve oversimplified co\u0026zwj;mplex perc\u0026zwnj;e\u0026zwj;p\u0026zwj;tio\u0026zwnj;ns, beliefs, and\u0026zwnj; mot\u0026zwnj;ivati\u0026zwnj;ons related to vaccine acc\u0026zwj;ept\u0026zwj;ance. Thirdly, t\u0026zwnj;he possib\u0026zwnj;il\u0026zwj;ity of s\u0026zwj;election bias cannot be entirely ruled out, particularly among caregiv\u0026zwnj;ers who were unavailable or declined participation. Fourthly, this study did not explore certain potentially relevant factors such as household income, educational influence of partne\u0026zwj;rs, parity, or\u0026zwnj; e\u0026zwj;xposure to mi\u0026zwnj;sinfor\u0026zwnj;m\u0026zwnj;ation regard\u0026zwnj;ing vaccines. Finally, as this study was purely\u0026zwnj; quantit\u0026zwj;ative, it did not capture the in-dep\u0026zwj;th personal experiences, cultural belief\u0026zwnj;s, a\u0026zwj;nd contextual influences that\u0026zwnj; may s\u0026zwj;hape vaccine accept\u0026zwnj;ability. F\u0026zwj;uture qualitative or mixed-methods studies are therefo\u0026zwj;re recommended to explore these aspects\u0026zwnj; in greater detail.\u003c/p\u003e \u003c/div\u003e"},{"header":"Conclusion","content":"\u003cp\u003eThis study asse\u0026zwj;ssed the acceptab\u0026zwnj;ility of the malaria vaccine a\u0026zwnj;nd its associated\u0026zwnj; fa\u0026zwnj;ctors among caregivers of children under\u0026zwnj; 2\u0026zwnj;5 months in th\u0026zwnj;e Soa HD. The findings demonstrat\u0026zwj;e a g\u0026zwj;enerall\u0026zwnj;y high level of willing\u0026zwnj;ness to vaccinate, which is encouragi\u0026zwnj;ng for ongoing and future m\u0026zwnj;alaria contr\u0026zwnj;o\u0026zwj;l efforts. Malaria v\u0026zwj;accine acceptability was infl\u0026zwnj;uenced by a combination of geogr\u0026zwj;a\u0026zwj;phic (HA and region of orig\u0026zwj;in), sociocultural (fema\u0026zwnj;le gender and Catholi\u0026zwj;c\u0026zwj; religion), behavioural (choice of malaria t\u0026zwj;reatment\u0026zwnj;), and informational (prior\u0026zwnj; awareness of th\u0026zwnj;e malar\u0026zwj;ia vaccine) fact\u0026zwj;ors. Although willingness to v\u0026zwj;accinate was relatively\u0026zwj; high, important concerns remain, par\u0026zwnj;ticularly regarding fear of side effects and insufficient information ab\u0026zwnj;out the v\u0026zwnj;accine. These concerns represent key barriers that must be addressed through targe\u0026zwnj;t\u0026zwj;ed, culturally\u0026zwj; s\u0026zwj;ensitive\u0026zwnj; communication\u0026zwj; strategies. Strengthening he\u0026zwj;alth education campaigns,\u0026zwnj; improv\u0026zwj;ing community engag\u0026zwnj;emen\u0026zwnj;t, a\u0026zwnj;nd reinfo\u0026zwj;rcing the rol\u0026zwj;e of healt\u0026zwj;hcare providers and local lead\u0026zwj;ers in\u0026zwnj; dis\u0026zwj;s\u0026zwnj;eminati\u0026zwj;ng accurate information about the vaccines\u0026zwnj; safety and effecti\u0026zwj;veness are essential. To maximize the im\u0026zwj;pact of malariaa vaccination programmes, public health authorities should p\u0026zwj;r\u0026zwnj;io\u0026zwj;ritiz\u0026zwnj;e community-based sensitization activitie\u0026zwj;s,\u0026zwj; integrate malaria vac\u0026zwj;cine education\u0026zwnj; into rou\u0026zwj;tine child\u0026zwj; health se\u0026zwj;rvices, and\u0026zwnj; tailor inter\u0026zwnj;venti\u0026zwnj;ons to local sociocultural contexts. Addressing misi\u0026zwnj;nf\u0026zwj;ormation and building trust in the healt\u0026zwj;h system will be critical for achieving optimal vaccine acceptability. Ultimat\u0026zwj;ely, improving t\u0026zwj;he acceptability and uptake of the malaria v\u0026zwj;accine has the potential to s\u0026zwnj;i\u0026zwj;gnificantly reduce mal\u0026zwj;aria-\u0026zwnj;related morbidity and mortality among vulnerab\u0026zwnj;le p\u0026zwnj;opulations, contributing to national and global malaria elimination goals.\u0026zwj;\u003c/p\u003e "},{"header":"Abbreviations","content":"\u003cdiv id=\"Sec23\" class=\"Section2\"\u003e\n \u003cp\u003eaOR: Adjusted Odd Ratio\u003c/p\u003e\n \u003cp\u003eCI: Confidence Interval\u003c/p\u003e\n \u003cp\u003eEPI: Expanded Program on Immunizati\u0026zwnj;on\u003c/p\u003e\n \u003cp\u003eGAVI: Global Alliance V\u0026zwnj;accine\u003c/p\u003e\n \u003cp\u003eHA: Health Area\u003c/p\u003e\n \u003cp\u003eHD: Health District\u003c/p\u003e\n \u003cp\u003eIRS: Indoor Residual Spray\u003c/p\u003e\n \u003cp\u003eITNs: Ins\u0026zwj;ecticide Tre\u0026zwnj;ated Nets\u003c/p\u003e\n \u003cp\u003e OR: Odd Ratio\u003c/p\u003e\n \u003cp\u003eSIAs\u0026zwnj;: Sup\u0026zwj;plementary Immunization\u0026zwj; Activiti\u0026zwj;es\u003c/p\u003e\n \u003cp\u003eSPSS v27: Statistical Package for Social Science version 27\u003c/p\u003e\n \u003cp\u003eWHO: World Healt\u0026zwnj;h Organization\u0026zwj;\u003c/p\u003e\n\u003c/div\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eEthics app\u0026zwj;roval\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe study obtaine\u0026zwnj;d an\u0026zwj; ethica\u0026zwnj;l ap\u0026zwnj;proval number 4711/IEC-UD/11/2024/M\u0026zwnj; from the ethical committee of the University\u0026zwj; of Dou\u0026zwj;ala/Higher Institute of Medical\u0026zwj; Technology. Before data collec\u0026zwnj;ti\u0026zwnj;on, participants were thoroughly informed about the purpose, the procedure of the study,\u0026zwj; and the role they were expected t\u0026zwj;o\u0026zwnj; play. Assurance\u0026zwnj; was equall\u0026zwj;y provided concern\u0026zwnj;ing the anonymous nature and confiden\u0026zwnj;tiality of\u0026zwnj; their responses\u0026zwj;. This\u0026zwnj; was done using an information notice. Verbal\u0026zwnj; or written consent was obtained\u0026zwj; before\u0026zwnj; administering the questionna\u0026zwnj;ir\u0026zwnj;es\u0026zwj;.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAv\u0026zwj;a\u0026zwnj;ilability of d\u0026zwj;ata and materials\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eTh\u0026zwnj;e dat\u0026zwj;a generat\u0026zwnj;ed from this\u0026zwnj; study are available on rea\u0026zwnj;sonable request\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eC\u0026zwnj;ompeting intere\u0026zwnj;st\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors declare no conflict of interest i\u0026zwj;n this study.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFunding\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe study did not rreceive any fund\u0026zwnj;ing of any kind from external sources. \u0026nbsp;\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthor\u0026rsquo;s\u0026apos; contributions\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u0026zwnj;Study conception: LD\u0026zwj;, FFO, BBB. Data collection: LD\u0026zwj;, FFO, BBB. Data\u0026zwj; analysis and interpretation\u0026zwnj;: All authors. Manuscript writing: All authors. Revision of the manuscript: All authors. Approval for submission: All authors.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\u003cli\u003e\u003cspan\u003eWambani J, Okoth P. \u003cem\u003eImpact of Malaria Diagnostic Technologies on the Disease Burden in the Sub-Saharan Africa.\u003c/em\u003e J Trop Med, 2022. 2022: p. 7324281 \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1155/2022/7324281\u003c/span\u003e\u003cspan address=\"10.1155/2022/7324281\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eBalmith M, Basson C, Brand SJ. \u003cem\u003eThe Malaria Burden: A South African Perspective.\u003c/em\u003e J Trop Med, 2024. 2024: p. 6619010 \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1155/2024/6619010\u003c/span\u003e\u003cspan address=\"10.1155/2024/6619010\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eAhmad Yahaya Maigemu AYM, Bt HK. \u003cem\u003eMalaria as a cause of morbidity and mortality: a socio-economic overview.\u003c/em\u003e 2015.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eThe Lancet, Infectious D. 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BMC Public Health. 2024;24(1):1806. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1186/s12889-024-18873-4\u003c/span\u003e\u003cspan address=\"10.1186/s12889-024-18873-4\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eKibongani Volet A, et al. Vaccine Hesitancy Among Religious Groups: Reasons Underlying This Phenomenon and Communication Strategies to Rebuild Trust. Front Public Health. 2022;10:824560. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.3389/fpubh.2022.824560\u003c/span\u003e\u003cspan address=\"10.3389/fpubh.2022.824560\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eAjayi MY, Emeto DC. Awareness and acceptability of malaria vaccine among caregivers of under-5 children in Northern Nigeria. Malar J. 2023;22(1):329. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1186/s12936-023-04768-z\u003c/span\u003e\u003cspan address=\"10.1186/s12936-023-04768-z\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e.\u003c/span\u003e\u003c/li\u003e\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":true,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":true,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Malaria, RTS, S vaccine, Vaccine acceptability, Caregivers, Cameroon, Immunisation, Child health","lastPublishedDoi":"10.21203/rs.3.rs-8299076/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-8299076/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eMalaria remains a major cause of morbidity and mortality in sub-Saharan Africa. In Cameroon, malaria accounts for 48% of all hospital admissions, 30% of morbidity and 67% of childhood mortality per year, despite ongoing control strategies. However, data on community acceptability of this vaccine remain limited. This study aimed to assess the acceptability of the malaria vaccine and identify factors associated among caregivers of children under 25 months in the Soa Health District, Cameroon.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eA community-based cross-sectional descriptive and analytical study was conducted between March and November 2024. Caregivers of children under 25 months residing in the Soa Health District were recruited using a non-probability convenience sampling method. Data were collected using a structured, pre-tested questionnaire and analysed using R software. Associations between independent variables and vaccine acceptability were assessed using Pearson’s chi-square or Fisher’s exact tests. Multivariable logistic regression model was used to estimate adjusted odd ratio (aOR) at a 95% confidence level. A p-value \u0026lt; 0.05 was considered statistically significant.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eA total of 541 caregivers participated in the study. Overall, 73.4% of caregivers expressed willingness to vaccinate their children against malaria. Higher odds of vaccine acceptability were observed among caregivers residing in Ngali II (aOR = 12.20; 95% CI: 3.23-46.02; p\u003cstrong\u003e\u0026lt;0.001\u003c/strong\u003e), Koulou (aOR = 5.66; 95% CI: 1.74-18.35; p=\u003cstrong\u003e0.004\u003c/strong\u003e), Soa (aOR = 4.23; 95% CI: 1.59-11.25; p=\u003cstrong\u003e0.004\u003c/strong\u003e), and Ebang (aOR = 2.66; 95% CI: 1.16-6.14; p=\u003cstrong\u003e0.021\u003c/strong\u003e), Female caregivers (aOR = 1.85; 95% CI: 1.06-3.22; p=\u003cstrong\u003e0.031\u003c/strong\u003e), Catholics (aOR = 3.85; 95% CI: 1.18-12.51; p\u003cstrong\u003e=0.025\u003c/strong\u003e), caregivers who had prior awareness of the malaria vaccine (aOR = 2.06; 95% CI: 1.28-3.30;\u003cstrong\u003e p=0.003\u003c/strong\u003e), caregivers who sought treatment in hospitals (aOR = 2.02; 95% CI: 1.15-3.55; p\u003cstrong\u003e=0.015\u003c/strong\u003e) or used street medicine (aOR = 2.46; 95% CI: 1.09-5.55;\u003cstrong\u003e p=0.03\u003c/strong\u003e).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAcceptability of the malaria vaccine among caregivers in the Soa Health District was relatively high and was significantly influenced by geographic location, sex, religion, health-seeking behaviour, and awareness of the vaccine. Targeted health education and culturally sensitive community engagement strategies are essential to improve vaccine acceptability and support the successful scale-up of malaria vaccination programmes in Cameroon and other endemic settings.\u003c/p\u003e","manuscriptTitle":"Acceptability of the RTS, S malaria vaccine and associated factors among caregivers of children under 25 months in Soa Health District, Cameroon: a community-based cross-sectional study","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-12-15 06:22:45","doi":"10.21203/rs.3.rs-8299076/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"c7e7effa-d66e-459a-9820-44f66be56b08","owner":[],"postedDate":"December 15th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2026-01-26T02:40:09+00:00","versionOfRecord":[],"versionCreatedAt":"2025-12-15 06:22:45","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-8299076","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-8299076","identity":"rs-8299076","version":["v1"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}
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