Effectiveness of an Educational Intervention to Improve Knowledge, Attitudes and Practices for the Prevention of Malaria in the Embera Katio Population of the Department of Cordoba

Objective: To evaluate the effectiveness of an educational intervention compared to regular education in improving knowledge, attitudes and practices (KAP) for the prevention of malaria among indigenous people of the Embera Katío ethnic group in the department of Córdoba (Colombia). Methods: Intervention study with a quasi-experimental design with a control group carried out in three phases: (I) design of the educational intervention, (II) validation of the content of the educational intervention by expert judgement, and (III) implementation of a quasi-experimental study with two groups: intervention (n=60) and control (n=58). The intervention consisted of 4 modules delivered in an equal number of face-to-face sessions using educational strategies such as lectures, guided discussions, workshops, and a primer designed for the study. The control group received the usual education provided by the Ministry of Health. The Pan American Health Organization's instrument "Survey on knowledge, attitudes and practices in addressing malaria in indigenous communities" was used to measure for pre-intervention and post-intervention knowledge, attitudes, practices, and total scores. Results: In the content validation phase by expert jurors, it was found that the four modules obtained adequate content validity indexes ranging between 0.83 and 0.90. The general linear repeated measures models showed a positive effect of the educational intervention on the KAP scores (p<0.001), indicating an effect size of 91% in knowledge, 49% in attitudes, 85% in practices and 93% of the total score. Conclusion: The educational intervention was effective in improving knowledge, attitudes and practices for malaria prevention in the indigenous population of the Embera Katío community in the Department of Córdoba.