Associations between ideational variables and bed net use in Madagascar, Mali, and Nigeria

Storey, J. Douglas; Babalola, Stella; Ricotta, Emily; Fox, Kenneth; Toso, Michael; Lewicky, Nan; Koenker, Hannah

doi:10.1186/s12889-018-5372-2

Cited by 56 publications

(136 citation statements)

References 47 publications

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“…Attempts have been made by researchers to examine the factors influencing mosquito net use among women or caregivers that possessed mosquito nets. Some of the factors attributed to this include age, education, household wealth [11][12][13], household size, distance to health facility, ideational factors [10,14,15], knowledge about efficacy of mosquito nets to prevent malaria, source of knowledge of mosquito nets and socioeconomic class [16,17]. Only few of these studies considered the effects of contextual factors on mosquito net use.…”

Section: Introductionmentioning

confidence: 99%

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

Adedokun

Uthman

2020

Malar J

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Background: Malaria has been described as an urgent public health priority with almost half of the world's population being at risk. Use of insecticide-treated nets is considered one of the effective ways of preventing malaria. Nigeria, which is ranked among the five countries that are responsible for almost half of the global malaria cases, has less than half of its women population using mosquito nets. This study examined the effects of individual and contextual factors on the use of mosquito nets among women of reproductive age in Nigeria. Methods: This study used data obtained from 2015 Nigeria Malaria Indicator Survey (NMIS) which involved 6048 women aged 15-49 who possessed at least one mosquito net. Multilevel binary logistic regression models were applied in the multivariable analysis. Results: About 53% of the women used mosquito nets with more than 60% of uneducated and poor women in this category. The use of mosquito nets was significantly associated with being from poor households, having knowledge about the cause of malaria, having access to malaria messages, possessing knowledge about the efficacy of malaria prevention drugs during pregnancy, having knowledge about the importance of tests to detect malaria, maintaining small household size and living in the most socioeconomically disadvantaged communities and states. Conclusions: The study revealed that mosquito net use among women in Nigeria is affected by individual and contextual factors. It is important for policy makers to design a mosquito-net-use model which would take individual and contextual factors into consideration.

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Section: Introductionmentioning

confidence: 99%

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

Adedokun

Uthman

2020

Malar J

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“…[18]. In the literature, most studies describe perceptions and knowledge about arbovirus prevention [22][23][24][25][26][27][28][29] with few reports of educational interventions using ICTs.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with changing behaviour for arboviruses prevention: evidence from a quasi-experimental intervention study using mobile devices.

Santos

Smania-Marques

Albino

et al. 2020

Preprint

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Background: Dengue was reintroduced in Brazil in the 80’s. Since 2010, it is estimated that there have been over a million cases of dengue per year, leading to hundreds of deaths. Community health education is one of the main objectives of vector control policies.Objective: Here we compare perceptions and behaviours before and after an educational intervention based on behavioural change theories (BCT) of a group of Endemic Disease Control Agents (ACEs) with a group of college students of Campina Grande city, Paraiba state, Brazil.Methods: Using a distance-learning platform adapted for mobile devices, the intervention consisted of tasks or missions that were presented through short videos with people performing the desired target behaviour. To demonstrate the accomplishment of the tasks, participants produced videos and shared on social networks. A questionnaire was completed before and after the intervention by 58 participants, 31 students and 27 ACEs. Results: Most of the participants were female (83.9% and 72.2% of college students and ACEs, respectively); 27.8% of ACEs attended higher education and 70.4% were married contrasting with 9.8% of the students. Among college students, a significant difference in the chi-square test was found for all ten-target behaviours after the intervention. ANOVA analysis showed that ACEs have a higher perception of susceptibility and more fear of acquiring arboviruses than students do; and there was a correlation between facilitating behaviours with behaviour change. Conclusion: Intervention based on BCT thus contributed to bring students' behaviour patterns closer to those of ACEs.

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“…"If we don't sleep under an insecticide-treated net, we will be bitten by mosquitoes and will get the tazomoka" [Man, 40,Farafangana].…”

Section: The Mosquito Net Represents the Idea Of Death: Highlands Andmentioning

confidence: 99%

“…This information has had an impact on the choice of LLIN bene ciaries in households [42]. Children under 5 years of age bene t from LLINs, sometimes considerably more than pregnant women, but to the detriment of those over 5 years of age, especially when LLINs are more accessible [22,[40][41][42][43].…”

Section: Decision-making Process For Llin Recipientsmentioning

confidence: 99%

“…However, the role women play in the acquiring, installing and making decisions regarding which people sleep under LLINs differs from country to country. For example, in Nigeria and Mali, women play an important role in these responsibilities [40], while in Timor-Leste it is the men, as "heads of households," who decide who sleeps in which bed and who should receive protection [41]. To our knowledge, three of our results have not yet been found in the literature from other countries: the association of married status with net use, the allusion to death when sleeping under a net, and the taboo regarding siblings of opposite sexes sleeping in the same bed after a certain age.…”

Section: Sociocultural Factors In Madagascar and Elsewherementioning

confidence: 99%

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Social vulnerability of children aged 5 to 15 years to malaria in Madagascar: 3 anthropological studies LLIN use

Njatosoa

Mattern

Pourette

et al. 2020

Preprint

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BackgroundAlthough it is accepted that long lasting insecticide bed net (LLIN) use is an effective means to prevent malaria, children aged 5 to 15 years do not appear to be sufficiently protected in Madagascar; malaria prevalence is highest in this age group. The purpose of this article is to summarize recent qualitative studies describing LLIN use among children aged 5–15 years and explore options to increase their use in this age group.MethodsQualitative data from three anthropological studies on malaria conducted between 2012 and 2016 in 10 districts of Madagascar were analyzed. These studies cover all malaria epidemiological profiles and 10 of the 18 existing ethnic groups in Madagascar. A thematic analysis was conducted on the collected data from semi-structured interviews, direct observation data, and informal interviews.ResultsA total of 192 semi-structured interviews were conducted. LLINs are generally perceived positively because they protect the health and well-being of users. However, regional representations of mosquito nets may contribute to LLIN nonuse by children over 5 years of age including the association between married status and LLIN use, which leads to the refusal of unmarried young men to sleep under LLINs; the custom of covering the dead with a mosquito net, which leads to fear of LLIN use; and taboos governing sleeping spaces for siblings of opposite sexes, which leads to LLIN shortages in households. Children under 5 years of age are known to be the most vulnerable age group for acquiring malaria and therefore are prioritized for LLIN use when there are limited supplies in households. In contrast, children over 5 years of age, who are perceived to be at less risk for malaria, often sleep without LLINs.ConclusionsPerceptions, social practices and regional beliefs regarding LLINs s and vulnerability to malaria contribute to the nonuse of LLINs among children over 5 years of age in Madagascar. Modifying LLIN policies to account for these factors may increase LLIN use in this age group and reduce disease burden.Trial registrationNot applicable

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Associations between ideational variables and bed net use in Madagascar, Mali, and Nigeria

Cited by 56 publications

References 47 publications

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

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

Factors associated with changing behaviour for arboviruses prevention: evidence from a quasi-experimental intervention study using mobile devices.

Social vulnerability of children aged 5 to 15 years to malaria in Madagascar: 3 anthropological studies LLIN use

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