Determination of the predictive factors of long-lasting insecticide-treated net ownership and utilisation in the Bamenda Health District of Cameroon

Fokam, Eric B.; Kindzeka, Germaine F.; Nderitu, Leonard; Dzi, Kevin T. J.; Wanji, Samuel

doi:10.1186/s12889-017-4155-5

Cited by 40 publications

(72 citation statements)

References 28 publications

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“…[37,] In this study, the prominent reasons for non-use of ITNs were 'too hot', 'no-where to hang the nets', 'no reason' and 'old net with holes' with the most common reason being "too hot." This is similar to what was observed in other studies, [37,40] where discomfort from heat was the most common reason. This was not expected, given that the study was conducted in the rainy season when the temperature is cool especially at night.…”

Section: Discussionsupporting

confidence: 81%

“…[33] Other predictors of net use in a Ghanaian study [34] were mother's/guardian's educational status, the number of nets available in the household and whether the nets were bought or not. A Cameroonian study [40] also identified gender, environmental sustainability and the number of bed nets as other predictors of ITN use. The foregoing suggests that more value is placed on ITNs that are purchased as opposed to those obtained free or as gifts.…”

Section: Discussionmentioning

confidence: 99%

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The Use of Insecticide Treated Bed Net in Children Under Five Years of Age in Alakahia Community, Rivers State

Chinwe¹,

Ocheyana²,

Ibo³

et al. 2017

AJP

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Insecticide Treated bed Net (ITN) is considered to be the most efficacious of all currently feasible interventions for malaria control in Africa. However, its use is still low in Rivers State. This study sought to evaluate the use of insecticide treated bed net, in under-five children in Alakahia, Rivers State. This was a cross-sectional study carried out from 1 st August to 31 st October 2014, over a period of 3 months. Three hundred and ninety-nine children-parent/caregiver pairs were recruited. Children, aged 6-59 months were selected using systematic and simple random sampling methods. The data were collected using a structured interviewer-administered questionnaire. A general examination was done followed by collection of blood samples for estimation of packed cell volume and malaria parasitaemia. ITN ownership per household was 60.2%. Of the 240 respondents who owned ITN, 157 (65.4%) used them for their under-five children, but only 50 (31.8%) children slept under an ITN the night before the study. The factors found to influence the use of ITN were number of nets owned and where the net was got. However, purchasing an ITN was the strongest predictor of ITN use (OR =14.091, P= 0.000). The most common reason for non-use of ITN was 'too hot ' (19.3%). Ownership and use rates were fair, however consistency in the use of the nets was poor. More efforts should be put into health education for behaviour modification.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

The Use of Insecticide Treated Bed Net in Children Under Five Years of Age in Alakahia Community, Rivers State

Chinwe¹,

Ocheyana²,

Ibo³

et al. 2017

AJP

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“…With respect to LLINs utilisation by the entire household, 16.0% of the de facto population in 20.5% of the households and 14.6% of all the children < 5 years in 41.6% of the households had at least used it the previous night. This low usage by the population is confirmed by other findings [31][32][33] for the entire household and [8,33,34] for all children < 5 years in the household. The very low levels of LLINs utilisation could be attributed to differences in the health districts, socio-demographic differences of the household heads, as well as the lack of sufficient space.…”

Section: Determinants Of Household Llins Ownership and Utilisationsupporting

confidence: 85%

“…LLINs ownership frequency is higher than 47 -89.9% obtained elsewhere in Cameroon [3,8,10,20], as well as 15.5 -85% in Nigeria, Ethiopia and Myanmar [29,31,32] and in line with 93.5% in Madagascar [33]. It was however low compared to 98.8% in Uganda [34].…”

Section: Determinants Of Household Llins Ownership and Utilisationmentioning

confidence: 88%

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Effects of long-lasting insecticide net (LLINs) ownership/utilisation indicators on annual household malaria episodes (AHMEs) in three Health Districts in Cameroon

et al. 2018

Preprint

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Introduction: Household residents in malaria endemic areas are at high risk of multiple malaria episodes per year. This study investigated the annual household malaria episodes (AHMEs) in three health districts in Cameroon. Methods:A community-based cross-sectional household survey using a multi-stage cluster design was conducted 2 -3 years post campaign to assess long-lasting insecticide net (LLINs) ownership, utilisation and maintenance as well as demographic characteristics. Multinomial regression analysis was used to identify factors associated with household LLIN ownership, utilization and AHME.Results: Household LLINs ownership, de facto population with universal utilisation and AHME were respectively, 92.5%, 16.0% and 83.4%; thus, 4 out of 25 household residents effectively used LLINs the previous night. AHME was significantly (p < 0.05) associated with age and gender (OR; 1.6, 95% C.I; 1.1 -2.3) of household head, health district (OR; 2.8, 95% C.I; 1.1 -7.2) and tiredness (OR; 2.6, 95% C.I; 1.0 -6.3). LLINs ownership and insufficiency also significantly contributed AHME. The overall average cost for the treatment of malaria was 6,399.4±4,892.8Fcfa (11.1±8.5US$). Conclusions:The proportion of households with at least one LLIN and those with at least one AHME were high. Findings are of concern given that average cost for the treatment of malaria represents a potentially high economic burden. The results outlined in this paper provide an important tool for the examination of the deficiencies in LLINs regular and universal utilisation. KeywordsAnnual household malaria episodes (AHME), Ownership, Universal coverage, Utilisation LLINs ownership indicators:LLINs ownership: proportion of households with at least one LLIN, where the numerator comprises the number of households surveyed with at least one LLIN and the denominator, the total number of households surveyed [9]. Coverage:proportion of households with at least a LLIN for every two people, where the numerator comprises all households where the ratio between number of LLINs owned and the number of de jure members of that household, that is, usual members excluding visitors, is 0.5 or higher 5 and the denominator is the total number of sampled households. Access to LLINs within the household: proportion of population with access to LLINs (population that could sleep under a LLIN if each LLIN in the household were used by up to two people) and proportion of the de facto household population that slept under a LLIN last night. De facto household members are all people present in the household on night of the survey including visitors [27-29]. 2. LLIN utilisation indicators: Household universal utilisation: proportion of population that slept under a LLIN the previous night [27-29]. By the vulnerable population in the household: proportion of children under five (or pregnant women) that slept under a LLIN the previous night [27]. Regularly sleeping under bed nets: household heads who reported habitually using nets on a daily basis [30]. Household head slept un...

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Regional variations in child and mother’s characteristics influencing the use of insecticide treated net in Nigeria

2022

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Nigeria accounts for a quarter of malaria cases worldwide, which can be prevented with the use of insecticide treated nets (ITN). While studies have documented mother-related characteristics influencing use of ITN, regional variations in the influence of those factors are not well known. This study investigated nine factors (age, place of residence, education, religion, wealth, number of children in the household, sex of child, age of child and previous experience of child mortality) as possible predictors of use of ITN for children and how the associations vary across northern and southern parts of the country. The study utilised the 2015 Nigeria Malaria Indicator Survey, which comprised 6524 mothers (4009 from the north and 2151 from the south) aged 15-49. Bivariate and multivariate logistic regression models were fitted. It was found that, less than half (47.9%) of the respondents reported no access to a mosquito net in the north compared to 70.8% in the south. More than half (51.4%) of the northern respondents used insecticide treated net (ITN) for the child compared to 27.1% of southern mothers. When the variables are fitted together in the same model, place of residence, mother’s age, mother’s education, wealth, religion, number of children in the household and previous experience of child mortality were associated with the use of ITN. Regional variations exist in the influence of mother’s age, number of children in the household and previous experience of child mortality. It was submitted that mother’s characteristics are more important than the child’s factors in the use of ITN, and that, contrary to the theory of poor utilisation of health-related facilities in the north compared to the south, residents in the former have access to and use ITN more than their counterparts from the latter.

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Determination of the predictive factors of long-lasting insecticide-treated net ownership and utilisation in the Bamenda Health District of Cameroon

Cited by 40 publications

References 28 publications

The Use of Insecticide Treated Bed Net in Children Under Five Years of Age in Alakahia Community, Rivers State

The Use of Insecticide Treated Bed Net in Children Under Five Years of Age in Alakahia Community, Rivers State

Effects of long-lasting insecticide net (LLINs) ownership/utilisation indicators on annual household malaria episodes (AHMEs) in three Health Districts in Cameroon

Regional variations in child and mother’s characteristics influencing the use of insecticide treated net in Nigeria

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