Determinants of Bed Net Use in the Gambia: Implications for Malaria Control

Wiseman, Virginia; Scott, Anthony; McElroy, Brendan; Conteh, Lesong; Stevens, Warren

doi:10.4269/ajtmh.2007.76.830

Cited by 51 publications

(63 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…At the individual level, factors influencing net use have been reported to include age and gender [5,7-10], education, occupation/livelihood [11-13], degree of control over household decision-making [14], malaria knowledge, beliefs and risk perceptions [5,15-21], perceived benefits and disadvantages of nets [5,17,18,21], trust in health workers providing health education and LLINs [22], knowledge of appropriate net use/care practices, and net-hanging skills [23-25]. Household level determinants of net use include household size and composition [14], the number of children under five years of age (U5) in the household, intra-household sleeping arrangements [5,13,26], household structure and space [5,7,9,18,26,27], household decision-making processes and power structures [14], and use of other vector control measures [14,19,28].…”

Section: Introductionmentioning

confidence: 99%

Factors associated with mosquito net use by individuals in households owning nets in Ethiopia

Graves

Ngondi

Hwang

et al. 2011

Malar J

View full text Add to dashboard Cite

BackgroundOwnership of insecticidal mosquito nets has dramatically increased in Ethiopia since 2006, but the proportion of persons with access to such nets who use them has declined. It is important to understand individual level net use factors in the context of the home to modify programmes so as to maximize net use.MethodsGeneralized linear latent and mixed models (GLLAMM) were used to investigate net use using individual level data from people living in net-owning households from two surveys in Ethiopia: baseline 2006 included 12,678 individuals from 2,468 households and a sub-sample of the Malaria Indicator Survey (MIS) in 2007 included 14,663 individuals from 3,353 households. Individual factors (age, sex, pregnancy); net factors (condition, age, net density); household factors (number of rooms [2006] or sleeping spaces [2007], IRS, women's knowledge and school attendance [2007 only], wealth, altitude); and cluster level factors (rural or urban) were investigated in univariate and multi-variable models for each survey.ResultsIn 2006, increased net use was associated with: age 25-49 years (adjusted (a) OR = 1.4, 95% confidence interval (CI) 1.2-1.7) compared to children U5; female gender (aOR = 1.4; 95% CI 1.2-1.5); fewer nets with holes (Ptrend = 0.002); and increasing net density (Ptrend < 0.001). Reduced net use was associated with: age 5-24 years (aOR = 0.2; 95% CI 0.2-0.3). In 2007, increased net use was associated with: female gender (aOR = 1.3; 95% CI 1.1-1.6); fewer nets with holes (aOR [all nets in HH good] = 1.6; 95% CI 1.2-2.1); increasing net density (Ptrend < 0.001); increased women's malaria knowledge (Ptrend < 0.001); and urban clusters (aOR = 2.5; 95% CI 1.5-4.1). Reduced net use was associated with: age 5-24 years (aOR = 0.3; 95% CI 0.2-0.4); number of sleeping spaces (aOR [per additional space] = 0.6, 95% CI 0.5-0.7); more old nets (aOR [all nets in HH older than 12 months] = 0.5; 95% CI 0.3-0.7); and increasing household altitude (Ptrend < 0.001).ConclusionIn both surveys, net use was more likely by women, if nets had fewer holes and were at higher net per person density within households. School-age children and young adults were much less likely to use a net. Increasing availability of nets within households (i.e. increasing net density), and improving net condition while focusing on education and promotion of net use, especially in school-age children and young adults in rural areas, are crucial areas for intervention to ensure maximum net use and consequent reduction of malaria transmission.

show abstract

Section: Introductionmentioning

confidence: 99%

Factors associated with mosquito net use by individuals in households owning nets in Ethiopia

Graves

Ngondi

Hwang

et al. 2011

Malar J

View full text Add to dashboard Cite

show abstract

“…Although distribution of ITNs to pregnant mothers and under 5 year-olds has been massively expanded in Tanzania, there is little information on the frequency of ownership, knowledge, attitudes and practices (KAP) of pregnant women on ITNs use. Some studies have suggested that mosquitoes nuisance, malaria knowledge and socio-demographic factors, including education and household income are important determinants of bed net ownership and use (Opiyo et al, 2007, Wiseman et al, 2007, Mazigo et al, 2010. However, knowledge on the benefits of ITNs or ownership of ITNs does not necessarily imply use.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and practices regarding malaria and mosquito net use among women seeking antenatal care in Iringa, south-western Tanzania

Ambrose

Mazigo

Heukelbach

et al. 2011

Tanzania J Hlth Res

View full text Add to dashboard Cite

Abstract:To improve control measures against malaria, Tanzania has increased the distribution of free and subsidized insecticide-treated mosquito nets (ITNs) to pregnant women. However, data on ownership and use of ITNs, as well as knowledge, attitudes and practices of these women regarding malaria are scarce. The objective of this study was to describe knowledge, attitudes and practices towards malaria, frequency of bed net use and level of ownership of bed nets among women seeking antenatal care in Iringa regional hospital, southern Tanzania. This cross-sectional study involved women attending antenatal clinic at Iringa Regional Hospital in south-western Tanzania. A pre-tested structured questionnaire was applied. Among the 222 pregnant women included, 173 (78%, 95%CI, 72-84.2) owned a bed net, and 150 (68%, 95%CI, 61-75) reported to sleep always under a bed net. The use of bed nets was mentioned by 142 (64%, 95%CI, 56.2-72). Of the 46 women who did not own a bed net, seven (15.2%) reported cost as the main obstacle for owning one. About 53% (95%CI, 44-62) preferred to use mosquito nets they bought rather than the one provided for free. Several factors such as gravidity, fearing of getting malaria, knowledge on the cause, marital status, and ways used to prevent malaria were significantly associated with mosquito net ownership (all P<0.001). Education level and gravidity were associated with the behaviour to sleep always under bed nets (P<0.002). Multigravidae (2-4 pregnancies) (OR 2.1, 95%CI 1.2-4.8) and married women (OR, 1.9, 95%CI, 1.2-5.2) were more likely to own a net, as compared to primigravidae and single women. In conclusion, ITNs ownership and use among pregnant women was good and they preferred to use the nets they bought from private sector. Thus, integrating public and private sector will improve the distribution and coverage of insecticides treated mosquito among high risk groups, such as pregnant women._____________________________________________________________________________

show abstract

“…On the demand side, financial constraints are the main reasons given by households for not acquiring health products (Guyatt et al 2002;Bates et al 2004aBates et al , 2004bWiseman et al 2007;Eisele et al 2009;Afolabi et al 2009;Krezanoski et al 2010). Indeed, demand for these products appears quite price elastic.…”

Section: Demand and Supply Chainmentioning

confidence: 99%

The Economics of Malaria in Africa

Monga¹,

Lin²,

Berthélemy³

et al. 2015

The Oxford Handbook of Africa and Economics

View full text Add to dashboard Cite

Malaria still claims a heavy human and economic toll, specifically in sub-Saharan Africa. Even though the causality between malaria and poverty is presumably bi-directional, malaria plays a role in the economic difficulties of the region. This article provides an analysis of the economic consequences of malaria (with an emphasis on human capital accumulation and productivity), and a discussion of policies aimed at reducing its incidence. A major initiative has been the distribution of insecticidal bed-nets at a highly subsidized price. An economicepidemiology model is used to explain why such policy is doomed to fail in presence of a very high poverty incidence, as observed in the African region.

show abstract

Determinants of Bed Net Use in the Gambia: Implications for Malaria Control

Cited by 51 publications

References 46 publications

Factors associated with mosquito net use by individuals in households owning nets in Ethiopia

Factors associated with mosquito net use by individuals in households owning nets in Ethiopia

Knowledge, attitudes and practices regarding malaria and mosquito net use among women seeking antenatal care in Iringa, south-western Tanzania

The Economics of Malaria in Africa

Contact Info

Product

Resources

About