Factors influencing the use of malaria prevention methods among women of reproductive age in peri-urban communities of Port harcourt city, Nigeria

Tobin-West, Charles; Kanu, Esther Njideka

doi:10.4103/1117-1936.180114

Cited by 16 publications

(17 citation statements)

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“…Among the non-pregnant women with children under 5 years, analysis from the present study showed that those with good health behaviours and from middle-wealth households were more likely to use ITNs than those with poor health behaviours and from poor households. In Nigeria, middle and high wealth levels were associated with women’s ITN usage [ 18 ]. By contrast, a Malawian study found no association between wealth and ITN usage [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…In Cameroon, 45% of multiparous women reported having slept under an ITN the night before the survey, as compared with 21% of primigravida women [ 17 ]. However, inconsistent results have been obtained, with some studies indicating that age [ 14 ], parity [ 15 ], and education [ 18 ] have no significant associations with ITN use among pregnant women. The discrepancies in these findings may be accounted for by community characteristics, which have been shown to exert a strong influence on health outcomes and health care utilization across Africa [ 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with insecticide-treated net usage among women of childbearing age in Malawi: a multilevel analysis

Nkoka

Chuang

et al. 2018

Malar J

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BackgroundThis study aimed to identify factors at individual and community level influencing insecticide-treated net (ITN) usage among groups of women of childbearing age (WOCBA) in Malawi.MethodsFactors influencing ITN usage in Malawi were assessed through interviews with 16,130 WOCBA (15–49 years) across 850 communities who participated in the 2015–2016 Malawi Demographic Health Survey. Multilevel logistic regression analysis was used.ResultsITN use was similar between pregnant women and non-pregnant women with children under 5 years (45.9% and 46.9%, respectively), but slightly lower among non-pregnant women without children under 5 years (39.1%). Both individual and community characteristics were associated with ITN use among WOCBA and varied significantly across subgroups. Specifically, non-pregnant women with children under 5 years living in communities where women had high autonomy in health care decisions had an 18% greater odds of using an ITN compared with those from communities where women had low health care autonomy (adjusted odds ratio [aOR] = 1.18; 95% confidence interval [CI] 1.00–1.38). Distance to health care facility influenced ITN usage among pregnant women; those who did not regard distance as a problem had a 44% greater odds of using an ITN than those for whom distance was seen as a problem (aOR = 1.44; 95% CI 1.09–1.89). Number of household members, region, urbanization, and community ITN coverage influenced ITN usage across all WOCBA groups.ConclusionThe findings confirmed the importance of assessing various factors affecting ITN usage among groups of WOCBA. Both individual- and community-level factors should be considered when designing and implementing ITN programmes in Malawi.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors associated with insecticide-treated net usage among women of childbearing age in Malawi: a multilevel analysis

Nkoka

Chuang

et al. 2018

Malar J

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“…To compound the already discouraging bed net coverage of 1/4 persons, there is the well-known misconceptions among respondents about the heat effect, with over 90% of them indicating that sleeping under the LLINs does produce unwanted heat and even nightmares. They are therefore discouraged from sleeping under bed nets (Tobin-West and Kanu, 2016).…”

Section: Percentage Of People At Risk Of Malaria Sleeping Under Long mentioning

confidence: 99%

Understanding the importance of malaria control tools by pregnant and nursing mothers is key to ending malaria burden in Nigeria: A case study of eight communities in South-South Nigeria

Kusimo¹,

Matthew²,

Olasunkanmi³

et al. 2019

Int. NGOJ

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The current National Malaria Strategy Plan (NMSP) 2014 to 2020, aims to transit Nigeria from malaria control to malaria elimination status by 2020. However, the most recent WHO Malaria Report 2018 revealed that Nigeria accounted for 25% of 219 million of the global malaria cases and 19% of 435,000 malaria deaths in 2017. The strategies of NMSP among others are: To significantly scale up Indoor Residual Spray (IRS); universal coverage of Long Lasting Insecticide Net (LLIN) and emphasis on parasite confirmation before malaria treatment. This study was carried out to determine how these core strategies have impacted pregnant and nursing mothers in the proper use of these malaria control tools. We surveyed 183 nursing and pregnant mothers with a total of 560 children, most under five years, and employed quantitative questionnaire and interviewed the mothers on how their perceptions of the malaria strategies are limiting the effort of malaria elimination in Nigeria. Our findings revealed that LLIN is still low: 1 bed net to 4 persons instead of the recommended 1 to 2 persons by WHO. Over 90% believed that sleeping under LLINs produce heat and nightmares and therefore reluctant to use them. IRS is unpopular and rarely used with just 3% applying IRS for malaria bite prevention. All the women claimed to be familiar with malaria symptoms and by implication, 76% use the antimalarial drugs without parasite confirmation. The Nigerian government needs to support strategies with awareness campaign to educate on the proper use of vector control tools and the risk of drug resistance due to indiscriminate use of antimalarial drugs. It can be concluded that the war against malaria in Nigeria can only be won when the target beneficiaries are made to understand and take ownership of strategies to eliminate the malaria burden.

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“…They must also collaborate with policy-makers in allowing ways to improve the intervention through the appropriate research [ 16 ]. Misconceptions due to certain cultural norms or unsubstantiated knowledge to certain interventions such as use of long lasting insecticidal net, artemisinin-based combination therapy or insecticides have been found to hinder the implementation and thereby pose a bottleneck to conduct of research which investigate the interventions’ efficacy let alone allow for their improvement [ 17 , 18 ].…”

Section: Main Textmentioning

confidence: 99%

Bottlenecks, concerns and needs in malaria operational research: the perspectives of key stakeholders in Nigeria

et al. 2018

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ObjectiveWe conducted a study to determine stakeholders’ perspective of the bottlenecks, concerns and needs to malaria operational research (MOR) agenda setting in Nigeria.ResultsEighty-five (37.9%) stakeholders identified lack of positive behavioural change as the major bottleneck to MOR across the malaria thematic areas comprising of malaria prevention 58.8% (50), case management 34.8% (39), advocacy communication and social mobilisation 4.7% (4) while procurement and supply chain management (PSM) and programme management experts had the least response of 1.2% (1) each. Other bottlenecks were inadequate capacity to implement (13.8%, n = 31), inadequate funds (11.6%, n = 26), poor supply management (9.4%, n = 21), administrative bureaucracy (5.8%, n = 13), inadequacy of experts (1.3%, n = 3) and poor policy implementation (4.9%, n = 11). Of the 31 stakeholders who opined lack of capacity to execute malaria operational research; 17 (54.8%), 10 (32.3%), 3 (9.7%) and 1 (3.2%) were experts in case management, malaria prevention, surveillance, monitoring and evaluation and PSM respectively. Improvement in community enlightenment and awareness strategies; and active involvement of health care workers public and private sectors were identified solutions to lack of positive behavioural change.Electronic supplementary materialThe online version of this article (10.1186/s13104-018-3379-5) contains supplementary material, which is available to authorized users.

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Factors influencing the use of malaria prevention methods among women of reproductive age in peri-urban communities of Port harcourt city, Nigeria

Cited by 16 publications

References 0 publications

Factors associated with insecticide-treated net usage among women of childbearing age in Malawi: a multilevel analysis

Factors associated with insecticide-treated net usage among women of childbearing age in Malawi: a multilevel analysis

Understanding the importance of malaria control tools by pregnant and nursing mothers is key to ending malaria burden in Nigeria: A case study of eight communities in South-South Nigeria

Bottlenecks, concerns and needs in malaria operational research: the perspectives of key stakeholders in Nigeria

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