Individual and contextual correlates of mosquito net use among women in Nigeria

Adedokun, Sulaimon T.; Uthman, Olalekan A.

doi:10.1186/s12936-020-03219-3

Cited by 16 publications

(19 citation statements)

References 17 publications

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“…The finding is also consistent with evidence from the 2010 and 2015 Nigeria Survey reports [14,15] and national malaria operational plan [45]. Although countless advantageous factors enable urban residents to possess and utilize ITN [39,41], this finding is plausible as most previous ITN initiatives have targeted rural residents as a way of bridging this gap [27,46]. Rural based campaigns have also taken place such as the one that occurred in the Enugu State [47].…”

Section: Discussionsupporting

confidence: 84%

“…Studies in Nigeria have only considered rural-urban variation in ITN utilization as a covariate and have reported contradictory findings. For instance, whilst insignificant association has been found with higher odds for rural women [27], insignificant lower odds of among rural women has also been reported [22]. Meanwhile Ankomah et al [28] noted a significant association with higher odds of ITN use among urban residents in Nigeria [28].…”

mentioning

confidence: 97%

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Rural–urban variation in insecticide-treated net utilization among pregnant women: evidence from 2018 Nigeria Demographic and Health Survey

Ameyaw

Adde

Dare

et al. 2020

Malar J

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Background In 2018, Nigeria accounted for the highest prevalence of malaria worldwide. Pregnant women and children under five years bear the highest risk of malaria. Geographical factors affect utilization of insecticide-treated nets (ITN), yet existing literature have paid little attention to the rural–urban dimension of ITN utilization in Nigeria. This study aimed at investigating the rural–urban variation in ITN utilization among pregnant women in Nigeria using data from the 2018 Demographic and Health Survey. Methods A total of 2909 pregnant women were included in the study. The prevalence of ITN utilization for rural and urban pregnant women of Nigeria were presented with descriptive statistics. Chi-square test was employed to assess the association between residence, socio-demographic characteristics and ITN utilization at 95% level of significance. Subsequently, binary logistic regression was used to assess the influence of residence on ITN utilization. Results Eight out of ten of the rural residents utilized ITN (86.1%) compared with 74.1% among urban residents. Relative to urban pregnant women, those in rural Nigeria had higher odds of utilizing ITNs both in the crude [cOR = 2.17, CI = 1.66–2.84] and adjusted models [aOR = 1.18, CI = 1.05–1.24]. Pregnant women aged 40–44 had lower odds of ITN utilization compared to those aged 15–19 [aOR = 0.63, CI = 0.44–0.92]. Poorer pregnant women had higher odds of ITN utilization compared with poorest pregnant women [aOR = 1.09, CI = 1.04–1.32]. Across regions, those in the south [aOR = 0.26, CI = 0.14–0.49] and south-west [aOR = 0.29, CI = 0.16–0.54] had lower odds of ITN use compared to their counterparts in the north-west region. Conclusion The high use of ITNs among pregnant women in Nigeria may be due to the prioritization of rural communities by previous interventions. This is a dimension worth considering to enhance the attainment of the national anti-malarial initiatives. Since possession of ITN is not a guarantee for utilization, women in urban locations need constant reminder of ITN use through messages delivered at ANC and radio advertisements. Moreover, subsequent mass ITN campaigns ought to take cognizance of variations ITN use across regions and pragmatic steps be taken to increase the availability of ITN in households since there is a moderately high use in households with at least one ITN in Nigeria.

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Section: Discussionsupporting

confidence: 84%

mentioning

confidence: 97%

Rural–urban variation in insecticide-treated net utilization among pregnant women: evidence from 2018 Nigeria Demographic and Health Survey

Ameyaw

Adde

Dare

et al. 2020

Malar J

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“…Also, women who believed that chances of getting malaria was the same with or without the usage of mosquito nets were more likely to use ITNs than those who disagreed. This result is consistent with the work of Adedokun and Uthman (2020) [22] who attributed this outcome to the fact that these women may have found other advantages of using mosquito nets such as prevention of bed bugs and other insects.…”

Section: Measures Of Association (Random Effects)supporting

confidence: 91%

Use of insecticide treated nets among women in Ghana: a multilevel modelling of the 2016 malaria indicator survey

Dadzie¹,

Blay²,

Afari³

et al. 2020

Preprint

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Background Malaria is among the leading causes of morbidity and mortality particularly among women and children in sub-Saharan Africa and remains a public health challenge. Over the years, provision of insecticide mosquito nets (ITNs) for individuals and households have been on the forefront of various organizations. Focus has been on proportion of population with access to ITNs at the expense of usage proportion. This study examined the factors associated with the use of ITNs among women in Ghana. Methods This study used a cross-sectional data obtained from the 2016 Ghana Malaria Indicator Survey (GMIS). A sample of 4,267 women aged 15–49 who possessed at least one mosquito net was included in this study. Use of ITNs was the outcome variable. Descriptive statistics and multilevel binary logistic regression were employed. Results were provided in tables with a significance level set at P < 0.05. Results Out of the 4,267 total sample, more than half (55.9%) were users of ITNs. Women aged 15–24 were less likely (aOR = 0.680 Crl:0.576–0.803) to use ITNs compared to women aged 35 years and above. Women with no education were more likely (aOR = 1.282 Crl:1.047–1.570) to use ITNs compared to women with secondary or higher educational level. Poor women also had significantly higher odds (aOR = 2.005 Crl:1.612–2.495) of using ITNs than similar women who were rich. Women who lived in least disadvantaged communities had higher odds (aOR = 1.358 CrI:1.055–1.748) of using ITNs compared to women in most disadvantaged communities. Conclusions Low socio-economic status was a key predictor of ITN usage in Ghana. Having no education, being poor, living in rural areas, chances of getting malaria, coverage of malaria under NHIS and being least socio-economically disadvantaged increased the likelihood of using ITNs. Interventions aimed at improving socio-economic statuses are needed to increase ITN usage in Ghana.

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“…For instance, over 7.2 million LLINs were distributed in 2010 under the National Malaria Control Programme and as of 2013/2014, about 12 million LLINs had been distributed through mass campaigns where 60% administrative coverage was achieved with the aim of achieving the "Malaria free Uganda" vision [4]. These interventions are predominantly pro-poor because the rich are more likely to reside in less malaria prone environments unlike the poor who may be in environments with poor drainage system and unkempt environments where mosquito breeding sites are immanent [22,24]. On the account of these, the poor are likely to embrace and effectively use ITNs.…”

Section: Discussionmentioning

confidence: 99%

“…On the account of these, the poor are likely to embrace and effectively use ITNs. Due to the economic advantageous position of the rich, they can explore other malaria prevention strategies such as indoor residual spraying (IRS) or use of mosquito repellents with ease [24,25]. Conversely, these options may be "luxurious" to the poor women and hence effective utilisation of readily available ITN.…”

Section: Discussionmentioning

confidence: 99%

Individual, community and region level predictors of insecticide-treated net use among women in Uganda: a multilevel analysis

Ameyaw

Kareem

Yaya

2020

Malar J

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Background Use of insecticide-treated net (ITN) has been identified by the World Health Organization as an effective approach for malaria prevention. The government of Uganda has instituted measures to enhance ITN supply over the past decade, however, the country ranks third towards the global malaria burden. As a result, this study investigated how individual, community and region level factors affect ITN use among women of reproductive age in Uganda. Methods The 2018–2019 Malaria Indicator Survey of Uganda involving 7798 women aged 15–49 was utilized. The descriptive summaries of ITN use were analysed by individual, community and region level factors. Based on the hierarchical nature of the data, four distinct binomial multilevel logistic regression models were fitted using the MLwiN 3.05 module in Stata. The parameters were estimated using the Markov Chain Monte Carlo (MCMC) estimation procedure and Bayesian Deviance Information Criterion was used to identify the model with a better fit. Results The proportion of women who use ITN was 78.2% (n = 6097). Poor household wealth status [aOR = 1.66, Crl = 1.55–1.80], knowing that sleeping under ITN prevents malaria [aOR = 1.11, Crl = 1.05–1.24] and that destroying mosquito breeding sites can prevent malaria [aOR = 1.85, Crl = 1.75–1.98] were associated with higher odds of ITN use. ITN use attributable to regional and community level random effects was 39.1% and 45.2%, respectively. Conclusion The study has illustrated that ITN policies and interventions in Uganda need to be sensitive to community and region level factors that affect usage. Also, strategies to enhance women’s knowledge on malaria prevention is indispensable in improving ITN use.

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Individual and contextual correlates of mosquito net use among women in Nigeria

Cited by 16 publications

References 17 publications

Rural–urban variation in insecticide-treated net utilization among pregnant women: evidence from 2018 Nigeria Demographic and Health Survey

Rural–urban variation in insecticide-treated net utilization among pregnant women: evidence from 2018 Nigeria Demographic and Health Survey

Use of insecticide treated nets among women in Ghana: a multilevel modelling of the 2016 malaria indicator survey

Individual, community and region level predictors of insecticide-treated net use among women in Uganda: a multilevel analysis

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