Determinants of bed net policy implementation: A case study of Southern Benin

Danhoundo, Georges; Wiktorowicz, Mary; Premji, Shahirose; Nasiri, Khalidha

doi:10.1002/hpm.2465

Cited by 3 publications

(5 citation statements)

References 43 publications

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“…Net cleanliness was also a factor in some cases (22). Fourteen studies had findings categorised under this sub-theme (23)(24)(25)(26)(27)(28)(29). "This net [an ITN] is more or less similar to an ordinary mosquito net because we found a mosquito with it even after hanging before sleeping" (17).…”

Section: Thematic Analysis Of Key Findingsmentioning

confidence: 99%

“…In four studies, participants had difficulties with the initial or ongoing setup of the mosquito nets, which impacted on the use, including difficulty in getting into the nets (20,27,31,35): "Once they fix the net and find entering the net uncomfortable, they will not sleep in it again because it did not serve their purpose. In the night, if they want to go and urinate and the net ties them up and they have to remove it, go out and come back to fix it, they feel like they are in prison and will not sleep under it."…”

Section: Net Setupmentioning

confidence: 99%

“…In two studies, the structures and style of homes/houses played an important role in determining participants continuos use of mosquito nets. Participants living in houses built on stilts, for example were unable to use mosquito nets properly due to the gaps in the floorboards that allow mosquitoes to enter, regardless of the number of nets distributed to them (27,45): "Because our houses are built with wood on stilts, there is space between the planks. Even if the bed net is well tied to the ceiling, there is always a space beneath the planks that mosquito harnesses to get in.…”

Section: Architecture Of Homesmentioning

confidence: 99%

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Reasons for mosquito net non-use in malaria-endemic countries: A review of qualitative research published between 2011 and 2021

Ladu,

Shuaibu,

Pulford

2023

Preprint

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Mosquito nets, particularly insecticide-treated nets [ITNs], are the most recommended method of malaria control in endemic countries. However, many individuals do not use them as advised. The current paper expands on a previous review published in 2011 which highlighted a need for more qualitative research on the reasons for mosquito net non-use. We present a systematic review of qualitative research published in the past decade to assess the growth and quality of qualitative papers about net non-use and examine and update the current understanding. A comprehensive literature search was carried out in MEDLINE, CINAHL, and Global Health, in addition to a citation search of the initial review. Relevant papers were screened and discussed. The critical appraisal assessment tool was used to ensure quality. Thematic synthesis was used to extract, synthesise, and analyse study findings. Compared to the initial review, the results showed a ten-fold increase in qualitative research on the reasons for mosquito net non-use between 2011 and 2021. In addition, the quality of the research has improved, with more than 90% of the papers receiving high scores, using the critical appraisal assessment tool. The reported reasons for non-use were categorised into four themes Human factors, Net factors, Environmental/Lifestyle factors, and Administrative/Economic factors. More than two-thirds of the studies were carried out in Africa, with lead African researchers in African institutions. Despite the distribution of free mosquito nets in malaria-endemic countries, new challenges to their use continue to emerge. The most common reasons for net non-use across all regions of Malaria endemic countries were discomfort and perceived ineffectiveness of nets. Technical challenges and improper net use dominated East and South African regions, signifying the need for dedicated and region-specific measures and strategies to ensure the continued usage of mosquito nets, particularly ITNs.

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Section: Thematic Analysis Of Key Findingsmentioning

confidence: 99%

Section: Net Setupmentioning

confidence: 99%

Section: Architecture Of Homesmentioning

confidence: 99%

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Reasons for mosquito net non-use in malaria-endemic countries: A review of qualitative research published between 2011 and 2021

Ladu,

Shuaibu,

Pulford

2023

Preprint

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“…In many instances, these barriers include the cost of net maintenance, lack of motivation to handle and use the nets carefully, and limited awareness of the effectiveness of the nets (which also relates to the self-efficacy construct of the HBM). [28][29][30] Other factors include gender aspects such as male egocentrism in net acquisition and maintenance, that is, instances in which men consider themselves as being responsible for mounting ITNs over sleeping areas (e.g., bed) 30 ; and technical difficulties in handling and retreatment of nets. 16,27,30,31 Moreover, in developing countries, disincentives to net maintenance can also relate to long-held socio-cultural values and practices known to affect health-related decisions.…”

Section: Incentives and Disincentives In The Care Of Itns: Theoretical Framework And Literature Reviewmentioning

confidence: 99%

“…[28][29][30] Other factors include gender aspects such as male egocentrism in net acquisition and maintenance, that is, instances in which men consider themselves as being responsible for mounting ITNs over sleeping areas (e.g., bed) 30 ; and technical difficulties in handling and retreatment of nets. 16,27,30,31 Moreover, in developing countries, disincentives to net maintenance can also relate to long-held socio-cultural values and practices known to affect health-related decisions. 13,32,33 Indeed, the HBM recognises the contribution of 'other factors' including social (e.g., social support, and education level), economic (e.g., income) and environmental conditions about behaviours and attitudes towards health.…”

Section: Incentives and Disincentives In The Care Of Itns: Theoretical Framework And Literature Reviewmentioning

confidence: 99%

Examining the incentives and disincentives in the maintenance of Insecticide‐Treated Nets among householders in Ghana

Opoku¹,

Amoah²,

Nyamekye

2021

Health Planning & Management

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Objective: This study explored the factors that affect the incentive to care for Insecticide-Treated Nets (ITNs) among householders in the Shai-Osudoku District of Ghana. Methods: The study employed a descriptive qualitative design. Four in-depth interviews (IDIs) and four focus group discussions (FGDs) were conducted to gather the data from 38 participants. A thematic technique was used to analyse the data. Findings: Householders were aware of the importance and use of ITNs. The factors underlying the motivation of householders to care for ITNs included their need to stay healthy; inadequate funds to acquire new ITNs and pay for healthcare cost; and their knowledge of the use and efficacy of ITNs. It was also found that obtaining the nets at no cost; limited time available to mend the ITNs; and limited knowledge on how to mend the ITNs disincentivised householders from effectively caring for the nets.Conclusions: There is a need to rethink current ITN intervention programmes in ways that will improve the contents of public education messages and strengthen monitoring frameworks to ensure that householders take optimum care of their nets.

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Reasons for mosquito net non‐use in malaria‐endemic countries: A review of qualitative research published between 2011 and 2021

Ladu,

Shuaibu,

Pulford

2024

Tropical Med Int Health

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Mosquito nets, particularly insecticide‐treated nets, are the most recommended method of malaria control in endemic countries. However, individuals do not always have access to insecticide‐treated nets or use them as recommended. The current paper expands on a previous review published in 2011 which highlighted a need for more qualitative research on the reasons for mosquito net non‐use. We present a systematic review of qualitative research published in the past decade to assess the growth and quality of qualitative papers about net non‐use and examine and update the current understanding. A comprehensive literature search was carried out in MEDLINE, CINAHL, and Global Health, in addition to a citation search of the initial review. Relevant papers were screened and discussed. The critical appraisal assessment tool was used to ensure quality. Thematic synthesis was used to extract, synthesise, and analyse study findings. Compared with the initial review, the results showed a 10‐fold increase in qualitative research on the reasons for mosquito net non‐use between 2011 and 2021. In addition, the quality of the research has improved, with more than 90% of the papers receiving high scores, using the critical appraisal assessment tool. The reported reasons for non‐use were categorised into four themes: human factors, net factors, housing structure, and net access. More than two thirds of the studies (25/39) were led by authors affiliated with institutions in malaria‐endemic countries. Despite the distribution of free mosquito nets in malaria‐endemic countries, earlier reported challenges remain pertinent. The most common reasons for net non‐use across all regions of Malaria endemic countries pertained to human‐ and net‐related factors. The research focus should shift towards intervention studies to address these issues.

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Determinants of bed net policy implementation: A case study of Southern Benin

Abstract: Institutionalizing an iterative process of monitoring, review, and responsive adaptation throughout the entire policymaking cycle would better support malaria preventive policy implementation in Benin.

Cited by 3 publications

References 43 publications

Reasons for mosquito net non-use in malaria-endemic countries: A review of qualitative research published between 2011 and 2021

Reasons for mosquito net non-use in malaria-endemic countries: A review of qualitative research published between 2011 and 2021

Examining the incentives and disincentives in the maintenance of Insecticide‐Treated Nets among householders in Ghana

Reasons for mosquito net non‐use in malaria‐endemic countries: A review of qualitative research published between 2011 and 2021

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