Factors Associated with the Use of Insecticide-Treated Nets: Analysis of the 2018 Burkina Faso Malaria Indicator Survey

Tassembedo, Mahamadi; Coulibaly, Soumaila; Ouédraogo, Boukary

doi:10.21203/rs.3.rs-66868/v1

Cited by 4 publications

(12 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additionally, rural households are not affected by the cost and affordability of ITNs since they are generally mass distributed. Region of residence was signi cantly associated with ITN use in this study, which supports evidence from past studies [47,52].…”

Section: The Role Of Covariates In the Moderation Modelsupporting

confidence: 92%

Exploring a moderation analysis in the interactive relationship between determinants of ITN use in Ghana. A multi-level analysis based on the DHS 2019 malaria indicator survey

Awoonor-Williams

2024

Preprint

View full text Add to dashboard Cite

Background Insecticide-treated mosquito net (ITN) use is considered a highly efficient vector-control strategy for reducing malaria transmission and while this tool is widely available in vast malaria-endemic areas, there is still a gap in determining its effective use given household access and ownership. Malaria analysis posits that although the availability of ITNs in a household is a prerequisite for use, it does not determine its effective use. Rather, the determinants of ITN use are a result of the complex interplay of factors at the various socioecological levels (i.e., the individual, household, community, and net levels). These complexities are context-specific and shape the behavioral choices of ITN users. This study explores the context-specific factors associated with ITN use and focuses on the interactive relationships among the individual determinants of ITN use. A conceptual approach is developed to test the interactive effect of ITNs in the household on the relationship between the number of children under five years and ITN use by household members in Ghana. Method Survey data with a sample size of 10,997 were drawn from the Ghana 2019 Demographic and Health Survey and the 2020 Malaria Indicator Survey to analyse the interactive relationship among individual, household, community, and net level variables. The relationship between these variables was assessed in a multivariate setting via a linear regression model. A further analysis involved a moderation effect of the number of ITNs on the relationship between the number of children under five years and household members´ ITN use using a single moderation model. Results From the data analyses, the number of children under five years was positively associated with household members' ITN use (OR = 0.29, p < .001), and the number of ITNs was negatively associated with ITN use (OR = -06, p < .05) and was positively associated with the number of children under five years (OR = .23, p < .05). Gender was positively associated with ITN use and the number of children under five years and negatively associated with the number of ITNs. Increasing age was associated with decreased ITN use, number of children, and number of ITNs respectively. An increasing wealth index was associated with decreased ITN use, the number of children under five years, and the number of ITNs. The region was not significant with ITN use but associated with the number of children under five years. Place of residence was associated with ITN use, number of children under five years, and number of ITNs. A moderation effect of the number of ITNs (OR = − .05, p < .001) on the relationship between the number of children under five years and household members' ITN use was reported. Conclusion The number of children under five years influenced household members´ ITN use but this relationship was moderated by the number of ITNs in the household. The proportion of the number of children under five years was moderately different for a high and low household ITN availability whereby ITN use decreased with higher ITN ownership and increased with lower ownership. Future research should focus on more moderation analysis to better understand the complexity of interactions between individual, household, community, and net-level factors that determine ITN use. This might help to better understand and engage better-targeted action in increasing effective ITN use in households relevant to their needs.

show abstract

Section: The Role Of Covariates In the Moderation Modelsupporting

confidence: 92%

Exploring a moderation analysis in the interactive relationship between determinants of ITN use in Ghana. A multi-level analysis based on the DHS 2019 malaria indicator survey

Awoonor-Williams

2024

Preprint

View full text Add to dashboard Cite

show abstract

“…Also, rural households are not affected by the cost and affordability of ITNs since they are generally mass-distributed. Region of residence was signi cantly associated with ITN use in this study, which supports evidence from past studies[47,52].…”

supporting

confidence: 92%

“…given the variables analyzed are signi cant predictors of ITN use, few other relevant variables, including educational level, degree of control over household decision-making, occupation/livelihood, social and cultural norms, behavioral change communications, and malaria knowledge explored in ITN studies [16, 49,[52][53][54][55] are excluded in the study data analysis. In addition, this study's data was a cross-sectional design, which limits the opportunity for making causal inferences, and therefore, the same results might not be estimated, given that they did not capture households with similar characteristics [56].…”

Section: Limitationsmentioning

confidence: 99%

“…Household size and sleeping rooms were positively and negatively associated with ITN use respectively. Age and gender of household heads were found to be signi cantly associated with ITN across different contexts[15,37,52,59, 60]. Relationship to household head has been evidently signi cantly associated with ITN use, whereby household members closely related to the head of household are more likely to sleep under an ITN[54].…”

mentioning

confidence: 99%

See 1 more Smart Citation

Exploring a moderation analysis in the interaction between determinants of ITN use in Ghana. A multi-level analysis based on the DHS 2020 /2019 malaria indicator survey

Awoonor-Williams,

Urke

2024

Preprint

View full text Add to dashboard Cite

Background Insecticide-treated mosquito net (ITN) use is considered a highly efficient vector-control strategy in reducing malaria transmission and while this tool is significantly available to vast malaria-endemic areas, there persists a gap in determining its effective use given households´ access and ownership. Malaria analysis posits that although the availability of ITNs in a household is a prerequisite for use, it does not determine its effective use. Rather, determinants of ITN use are a result of the complex interplay of factors at the various socio-ecological levels (i.e., individual, household, community, and net level). These complexities are context-specific which shape the behavior choices of ITN use. This study explores the context-specific factors associated with ITN use that focus on the interactive relationship among individual determinants of ITN use. A conceptual approach is developed to test the interactive effect of ITNs in the household on the relationship between the number of children under five years and ITN use by household members in Ghana. Method Survey data with a sample size of 10,997 was drawn from the Ghana 2019 Demographic and Health Survey and the 2020 Malaria Indicator Survey to analyze an interactive relationship between individual, household, community, and net level variables. The relationship between these variables was assessed in a multivariate setting via a linear regression model. A further analysis involved a moderation effect of the number of ITNs on the relationship between the number of children under five years and household members´ ITN use using a single moderation model. Results From the data analyses, the number of children under five years was positively associated with household members' ITN use (OR = 0.29, p < .001), number of ITNs was negatively associated with ITN use (OR = -06, p < .05) and was positively associated with number of children under five years (OR = .23, p < .05). Gender was positively associated with ITN use and number of children under five years and negatively associated with number of ITNs. Increasing age was associated with decreased ITN use, number of children, and number of ITNs respectively. Increasing wealth index was associated with decreased ITN use, the number of children under five years, and the number of ITNs. The region was not significant with ITN use but associated with the number of children under five years. Place of residence was associated with ITN use, number of children under five years, and number of ITNs. A moderation effect of the number of ITNs (OR = − .05, p < .001) on the relationship between the number of children under five years and household members' ITN use was reported. Conclusion The number of children under five years influenced household members ITN use but this relationship was moderated by the number of ITNs in the household. The proportion of the number of children under five years was moderately different for a high and low number of households ITN availability whereby ITN use decreased with higher ITN ownership and increased with lower ownership. Future research should focus on more moderation analysis to better understand the complexity of interactions between individual, household, community, and net-level factors that determine ITN use. This might help to better understand and engage better-targeted action in increasing effective ITN use in households relevant to their needs.

show abstract

“…Many studies concluded that the individual’s economic status was associated with levels of malaria preventive practice in the community [ 10 , 26 – 28 ]. Mostly, ITNs are distributed free of charge directly to the hands of pregnant women.…”

Section: Discussionmentioning

confidence: 99%

Utilization of insecticide-treated bed nets among pregnant women in Myanmar–analysis of the 2015–2016 Demographic and Health Survey

2022

View full text Add to dashboard Cite

Background Due to the effectiveness of insecticide-treated nets (ITNs), most malaria-endemic countries resort to free distributions in the population with particular attention to pregnant women, a more vulnerable group. However, the mere issuance of ITNs does not usually translate to proper utilization. This study aimed to examine the utilization of ITNs and its associated factors among pregnant women in Myanmar. Methods The data analyzed in this cross-sectional study were extracted from available survey datasets of the 2015–16 Myanmar Demographic Health Survey. The secondary data were presented using a chart, descriptive statistics and inferential statistics including simple and multiple logistic regression models. All analyses were performed using STATA, Version 15. A p-value <0.05 was considered statistically significant. Results Of 466 currently pregnant women, the majority (96%) possessed bed nets for sleeping. Among them, 15.9% slept without a bed net the night before the survey, while 65.7% slept with untreated nets. Only about 1 in 5 (18.4%) slept under ITNs. In the multivariate logistic regression analysis, pregnant women residing in delta and lowland regions [adjusted odds ratio (aOR) = 7.70, 95% confidence interval (CI): 3.62, 16.38], plains (aOR = 7.09, 95%CI: 3.09, 16.25) or hilly areas (aOR = 4.26, 95%CI: 1.91, 9.52) were more likely to report non-utilization of ITNs than those residing in coastal regions. Conclusion Relatively poor ITN utilization was observed among pregnant women in Myanmar. Health promotion activities for ITN utilization should be implemented especially for pregnant women residing in the delta, lowland, plain and hilly regions. Other social-behavioral factors including perceived susceptibility to malaria, knowledge of ITNs, and attitude towards ITN that might favor the non-utilization of ITNs need to be further explored.

show abstract

Factors Associated with the Use of Insecticide-Treated Nets: Analysis of the 2018 Burkina Faso Malaria Indicator Survey

Cited by 4 publications

References 19 publications

Exploring a moderation analysis in the interactive relationship between determinants of ITN use in Ghana. A multi-level analysis based on the DHS 2019 malaria indicator survey

Exploring a moderation analysis in the interactive relationship between determinants of ITN use in Ghana. A multi-level analysis based on the DHS 2019 malaria indicator survey

Exploring a moderation analysis in the interaction between determinants of ITN use in Ghana. A multi-level analysis based on the DHS 2020 /2019 malaria indicator survey

Utilization of insecticide-treated bed nets among pregnant women in Myanmar–analysis of the 2015–2016 Demographic and Health Survey

Contact Info

Product

Resources

About