Tracking Results Continuously (TRaC) Survey on the Determinants of the Use of Malaria Prevention and Care Services by Populations in the Community (2023)

The results show that 96.9% of households are aware of malaria, but knowledge about symptoms, transmission, and prevention remains low (14.2% to 61%) and has declined compared to 2021. The ownership rate of insecticide-treated nets (ITNs) is 78.1%, below the national target, and universal coverage has not been achieved. However, net usage has improved (85.9% in 2023 versus 63.8% in 2021), although coverage of sleeping spaces remains limited (60%).

Regarding prevention during pregnancy, the proportion of women who received three doses of SP dropped from 51.5% to 45.6%, despite improved supervision (91.4%). Community-based care (PCIMNE/iCCM) utilization reached 42%, driven by proximity, free services, and trust in community health workers.

In conclusion, while some indicators have improved, others have declined, notably universal ITN coverage and SP3 uptake, requiring strengthened campaigns and targeted strategies to meet national objectives.