Bed net ownership, use and perceptions among women seeking antenatal care in Kinshasa, Democratic Republic of the Congo (DRC): Opportunities for improved maternal and child health

Pettifor, Audrey; Taylor, Ellen; Nku, David; Duvall, Sandra; Tabala, Martine; Meshnick, Steven R.; Behets, Frieda

doi:10.1186/1471-2458-8-331

Cited by 47 publications

(45 citation statements)

References 27 publications

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“…The mother/guardian's educational level and knowledge were found to be associated with a net being used, as in other studies [1,10,16-18]. This analysis found that the odds of a net being used in a household where the mother/guardian had at least 10 years of education were 2.32 compared to a net owned by a respondent with no education.…”

Section: Discussionsupporting

confidence: 74%

Predictors of mosquito net use in Ghana

Baume¹,

Franca-Koh²

2011

Malar J

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BackgroundDuring the past decade the malaria control community has been successful in dramatically increasing the number of households that own mosquito nets. However, as many as half of nets already in households go unused. This study examines the factors associated with use of nets owned in Ghana.MethodsThe data come from an August 2008 survey in Ghana of households with a pregnant woman or a guardian of a child under five, conducted during the rainy season. 1796 households were included in this analysis, which generated a sample of 1,852 mosquito nets. Using each net owned as the unit of analysis, multivariate logistic regression was used to examine the relationship of net used last night with 23 potentially explanatory variables having to do with characteristics of the household, of the respondent, and of the net. Odds Ratios, p-values, and confidence intervals were calculated for each variable to develop an explanatory model.ResultsThe final multivariate model consisted of 10 variables statistically associated with whether or not the net was used the prior night: rural location, lower SES, not using coils for mosquito control, fewer nets in the household, newer nets and those in better condition, light blue colour, higher level of education of the guardian of the child under five, knowing that mosquitoes transmit malaria, and paying for the net instead of obtaining it free of charge.ConclusionsThe results of this study suggest that net use would increase in Ghana if coloured nets were made available in mass distributions as well as in the commercial market; if programmes emphasize that malaria is caused only by night-biting mosquitoes, and that nets protect against mosquitoes better than coils and need to be used even if coils are burning; if donated nets are replaced more frequently so that households have nets that are in good condition; and if there were support for the commercial market so that those who can afford to purchase a net and want to choose their own nets can do so.

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Section: Discussionsupporting

confidence: 74%

Predictors of mosquito net use in Ghana

Baume¹,

Franca-Koh²

2011

Malar J

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“…Perceived utilization of LLITN is higher in the present study as compared to the findings of other literatures[20-22]. The control villages were better in the perceived utilization of LLITN than the intervention Gots .…”

Section: Discussioncontrasting

confidence: 66%

Effect of training on the use of long-lasting insecticide-treated bed nets on the burden of malaria among vulnerable groups, south-west Ethiopia: baseline results of a cluster randomized trial

Deribew

Alemseged

Birhanu

et al. 2010

Malar J

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BackgroundIn Ethiopia, the utilization of long-lasting insecticide-treated bed nets (LLITN) is hampered by behavioural factors such as low awareness and negative attitude of the community. The aim of this study was to present the design and baseline results of a cluster randomized trial on the effect of training of household heads on the use of LLITN.MethodsThis baseline survey was undertaken from February to March, 2009 as part of a randomized cluster trial. A total of 11 intervention and 11 control Gots (villages) were included in the Gilgel Gibe Field Research Centre, south-west Ethiopia. House to house visit was done in 4135 households to collect information about the use of LLITN and socio-demographic variables. For the diagnosis of malaria and anaemia, blood samples were collected from 2410 under-five children and 242 pregnant women.ResultsOne fourth of the households in the intervention and control Gots had functional LLITN. Only 30% of the observed LLITN in the intervention and 28% in the control Gots were hanged properly. Adults were more likely to utilize LLITN than under-five children in the control and intervention Gots. The prevalence of malaria in under-five children in the intervention and control Gots was 10.5% and 8.3% respectively. The intervention and control Gots had no significant difference concerning the prevalence of malaria in under-five children, [OR = 1.28, (95%CI: 0.97, 1.69)]. Eight (6.1%) pregnant women in the intervention and eight (7.2%) in the control Gots were positive for malaria (P = 0.9). Children in the intervention Gots were less likely to have anaemia than children in the control Gots, [OR = 0.75, (95%CI: 0.62, 0.85)].ConclusionThe availability and utilization of LLITN was low in the study area. The prevalence of malaria and anaemia was high. Intervention strategies of malaria should focus on high risk population and vulnerable groups.

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“…This fi nding is similar to that of Adonga (2005) in Ghana where poor knowledge of malaria was associated with non utilization of ITNs. It is also similar to fi ndings of Pettifor (2008) in Kinshasha, Democratic Republic of Congo, where women with secondary or higher education were 2.8 times more likely to use an ITN compared to women with less education . However, it is contrary to fi ndings by Natalie et al (2006) in Ghana where greater knowledge of malaria was not associated with improved ITN use.…”

Section: Discussionsupporting

confidence: 71%

“…One possible explanation for this fi nding is that formal education enables individuals to better understand a disease, its dangers, susceptibility to it and to take necessary preventive action against the disease. However, on a contrary note, the fi ndings of Pettifor (2008) in Democratic Republic of Congo revealed that education was not associated with ITN use.…”

Section: Discussionmentioning

confidence: 72%

Factors Associated with Non-utilization of Freely Acquired Insecticide-treated Nets (ITNs) in a Rural Agrarian Community of North-Western Nigeria

Gobir

Sambo

Hadejia

2013

JSKM

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Bed net ownership, use and perceptions among women seeking antenatal care in Kinshasa, Democratic Republic of the Congo (DRC): Opportunities for improved maternal and child health

Abstract: Background: To describe malaria knowledge, attitudes toward malaria and bed net use, levels of ownership and use of bed nets, and factors associated with ownership and use among pregnant women attending their first antenatal care (ANC) visit in Kinshasa, DRC.

Cited by 47 publications

References 27 publications

Predictors of mosquito net use in Ghana

Predictors of mosquito net use in Ghana

Effect of training on the use of long-lasting insecticide-treated bed nets on the burden of malaria among vulnerable groups, south-west Ethiopia: baseline results of a cluster randomized trial

Factors Associated with Non-utilization of Freely Acquired Insecticide-treated Nets (ITNs) in a Rural Agrarian Community of North-Western Nigeria

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