Utilization of insecticide treated nets among pregnant women and mothers with under five children in Ikot Omin Community, Calabar, Nigeria

Asuquo, Ekaete Francis; Edet, Olaide Bamidele; Sampson-Akpan, P. E.; Duke, Elizabeth S.; Nsemo, Alberta David; Ajah, C. I.

doi:10.4314/gjpas.v23i1.17

Cited by 13 publications

(29 citation statements)

References 23 publications

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“…Out of the seventeen included articles, fifteen were cross sectional studies [2][3][4][5]11,12,14,[16][17][18][19][20][21][22][23], one study [13] was a randomised controlled trial and one prospective study [24] was also included.…”

Section: Resultsmentioning

confidence: 99%

“…• Heat or hot night temperature Also, five reviewed studies [2,12,19,21,23] were conducted in the South South Region, while one study each was carried out in Central Nigeria [19] and North West [3] (Table 1).…”

Section: Findings From Analysismentioning

confidence: 99%

“…Nigeria has a tropical weather condition and temperature of about 22 °C-37 °C, according to the Nigerian Meteorological Agency (NIMET) [28]. The unavailability of power/electricity, especially at night in most part of the country, coupled with the hot temperature has reportedly resulted in non-use of ITNs as reported by 12 out of the 17 included studies [2,3,5,11,13,14,16,17,20,22,23,29]. Studies from different countries reported similar findings [27,30].…”

Section: Season Endemicity Variables/findingsmentioning

confidence: 99%

“…Malaria is highly endemic in Sub-Saharan Africa, including Nigeria [1,2]. Malaria is a communicable disease, a 39% reduction in incidence of uncomplicated malaria [8].…”

Section: Introductionmentioning

confidence: 99%

“…caused by microorganisms of the Plasmodium genus. Four main species of Plasmodium have been reported to cause malaria [2]. The world malaria report released by the World Health Organization (WHO) in 2018 reported an estimated 219 million cases with 435000 deaths globally [1].…”

mentioning

confidence: 99%

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The Challenges of Using Insecticides Treated Nets (ITNs) in Curbing Malaria in Nigeria: A 2000-2018 Systematic Review

K¹,

Oti²

2020

J Infect Dis Epidemiol

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The proper use of Insecticides treated nets (ITNs) has been adjudged an efficacious and cost-effective method for curbing malaria. Despite the distribution of ITNs in Nigeria, malaria remains one of the major causes of morbidity and mortality, especially among children below 5-years-old. This systematic review was intended to document the factors mitigating the use of ITNs in Nigeria. Scholarly articles published from the year 2000 through 2018 were reviewed. Six (6) databases (Medline, PubMed, Cinahl Plus, Embase, AJOL and Malaria Journal) were searched for literatures related to the review title, out of which 17 studies were included in this systematic review. This study identified seven (7) themes that mitigate ITNs usage. These are; Heat, low mosquito activity, phobia for chemicals, lack of space and difficulty in hanging nets, preference for other preventive measures, ignorance and cultural beliefs. The heat generated from nets and perceived low activity of mosquitoes contributes to the non-use of ITNs. Also, the fear of chemicals used in the nets, ignorance of the nets, and methods of re-treatment of nets also mitigates the use of ITNs. The difficulties encountered in hanging nets, preference for insecticide sprays, mosquito coils, as well as beliefs (cultural) that malaria should be treated by traditional herbs were found to affect the use of ITNs in Nigeria. Therefore, continuous awareness campaign for malaria prevention with emphasis on the protective effects of ITNs is strongly suggested.

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Section: Resultsmentioning

confidence: 99%

Section: Findings From Analysismentioning

confidence: 99%

Section: Season Endemicity Variables/findingsmentioning

confidence: 99%

“…Malaria is highly endemic in Sub-Saharan Africa, including Nigeria [1,2]. Malaria is a communicable disease, a 39% reduction in incidence of uncomplicated malaria [8].…”

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

The Challenges of Using Insecticides Treated Nets (ITNs) in Curbing Malaria in Nigeria: A 2000-2018 Systematic Review

K¹,

Oti²

2020

J Infect Dis Epidemiol

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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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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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Utilization of insecticide treated nets among pregnant women and mothers with under five children in Ikot Omin Community, Calabar, Nigeria

Cited by 13 publications

References 23 publications

The Challenges of Using Insecticides Treated Nets (ITNs) in Curbing Malaria in Nigeria: A 2000-2018 Systematic Review

The Challenges of Using Insecticides Treated Nets (ITNs) in Curbing Malaria in Nigeria: A 2000-2018 Systematic Review

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

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