A comparative study of the prevalence of and factors associated with insecticide-treated nets usage among children under 5 years of age in households that already own nets in Malawi
| Autor: | Deleon Fergus, Kun Yang Chuang, Martha Sinya Chipeta, Ying Chih Chuang, Owen Nkoka |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Health Knowledge Attitudes Practice Malawi Mosquito Control Multivariate analysis Cross-sectional study Logistic regression Health Services Accessibility 0302 clinical medicine Surveys and Questionnaires 030212 general & internal medicine Insecticide-treated nets Family Characteristics education.field_of_study Middle Aged Infectious Diseases Child Preschool Female Adult medicine.medical_specialty lcsh:Arctic medicine. Tropical medicine Adolescent lcsh:RC955-962 030231 tropical medicine Population Odds lcsh:Infectious and parasitic diseases Young Adult 03 medical and health sciences Environmental health parasitic diseases medicine Humans lcsh:RC109-216 Insecticide-Treated Bednets education Demography business.industry Research Public health Prevention Infant Newborn Infant Patient Acceptance of Health Care medicine.disease equipment and supplies Confidence interval Malaria Cross-Sectional Studies Parasitology business |
| Zdroj: | Malaria Journal, Vol 18, Iss 1, Pp 1-10 (2019) Malaria Journal |
| ISSN: | 1475-2875 |
| DOI: | 10.1186/s12936-019-2667-4 |
| Popis: | Background:\ud \ud Despite malaria control programmes having successfully increased the number of households owning insecticide-treated nets (ITNs) in Malawi, the population of people with ITN access but still not using them fluctuated from 13% in 2010, 5% in 2012 and then 12% in 2015. This study aimed to compare the rate and factors associated with ITN usage among children under 5 years of age, living in household with at least one ITN, in Malawi between 2010 and 2015.\ud \ud Methods:\ud \ud The 2010 and 2015-2016 Malawi Demographic and Health Surveys (MDHSs) were utilized. Only children from households that owned at least one ITN were selected. Multivariate logistic regression analyses were performed to examine associations of child, maternal and household factors with ITN usage.\ud \ud Results:\ud \ud In total, 12,378 and 10,196 children under 5 years of age were examined from 2010 and 2015-2016, respectively. ITN usage increased from 57.8% (95% Confidence interval (CI): 56.1%-59.4%) in 2010 to 69.0% (95% CI 67.4%-70.5%) in 2015. The multivariate analysis revealed that, among others, being aged ≥ 24 months, having mothers with no formal education or with primary education, residing in a female-headed household, and residing in households that had poor household ITN supply were significantly associated with reduced odds of ITN usage.\ud \ud Conclusions:\ud \ud ITNs are a key vector control intervention in malaria prevention. This study revealed increased ITN usage among children under 5 years old in the 5-year period, suggesting that considerable improvements have been made. However, continued efforts to increase awareness of the importance of using ITNs in malaria prevention in Malawi are necessary. Findings from this research provide some policy implications, especially for improving household ITN supply, to improve ITN utilization in Malawi. |
| Databáze: | OpenAIRE |
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