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Patterns and correlates of ownership and utilization of insecticide-treated bed-nets for malaria control among women of reproductive age (15–49 years) in Malawi

Published online by Cambridge University Press:  02 February 2021

James Forty  and
Mpho Keetile Open the ORCID record for Mpho Keetile [Opens in a new window]
James Forty*
Affiliation:
Department of Population Studies, University of Botswana, Gaborone
Mpho Keetile
Affiliation:
Department of Population Studies, University of Botswana, Gaborone
*
*Corresponding author. Email: fotejames@gmail.com
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Abstract

Malaria is a major public health concern in Malawi. This study explored the patterns and correlates of ownership and utilization of ITNs for malaria control among women of reproductive age in Malawi. Data were derived from the multi-stage cross-sectional Malaria Indicator Survey (MIS) conducted in 2017, which followed ITN distribution in 2012 and 2015. Of the 3860 sampled women aged 15–49 years, 88% (3398/3860) and 64% (2473/3860) reported that they owned and utilized ITNs, respectively. Adjusted multivariate logistic regression analysis showed that the odds of ownership of ITNs were significantly low among women with no education (AOR = 0.36, CI = 0.18–0.72), those with primary education (AOR = 0.50, CI = 0.27–0.94) and poor women (AOR = 0.70, CI = 0.51–0.97). Similarly, the odds of utilization of ITNs were significantly low among women with no education, (AOR = 0.40, CI = 0.26–0.63), primary education (AOR = 0.53, CI = 0.36–0.78) and poor women (AOR = 0.70, CI = 0.51–0.97). Furthermore, the odds of utilization of ITNs were significantly low among women living in households without a radio (AOR = 0.79, CI = 0.67–0.93) and those who have not seen or heard a malaria message in the last 6 months (AOR = 0.74, CI = 0.64–0.87). In order to prevent malaria morbidity and mortality among women of reproductive age, especially those from poor households, the Malawi government and relevant stakeholders need to continue the free distribution of ITNs to the poor and encourage social behaviours that promote the ownership and utilization of ITNs.

Keywords

WomenInsecticide-treated netsOwnership and utilization
Type
Research Article
Information
Journal of Biosocial Science , Volume 54 , Issue 2 , March 2022 , pp. 269 - 278
Copyright
© The Author(s) 2021. Published by Cambridge University Press

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References

Baume, C and Franca-Koh, A (2011) Predictors of mosquito net use in Ghana. Malaria Journal 10, 265.CrossRefGoogle ScholarPubMed
Berthe, S, Harvey, SA, Lynch, M. Koenker, H, Jumbe, V et al. (2019) Poverty and food security: drivers of insecticide treated mosquito net misuse in Malawi. Malaria Journal 18 (1), 320.CrossRefGoogle ScholarPubMed
Choonara, S, Odimegwu, CO and Elwange, B (2015) Factors influencing the usage of different types of malaria prevention methods during pregnancy in Kenya. African Health Sciences 15(2), 413–419.CrossRefGoogle ScholarPubMed
Diema-Konlan, K, Japiong, M, Dodam-Konlan, K, Afaya, A, Salia, SM and Kombat, JM (2019) Utilization of Insecticide Treated Bed Nets (ITNs) among caregivers of children under five years in the Ho Municipality. Interdisciplinary Perspectives on Infectious Diseases 2019, 3693450.CrossRefGoogle ScholarPubMed
Dhiman, S (2019) Are malaria elimination efforts on right track? An analysis of gains achieved and challenges ahead. Journal of Infectious Diseases and Poverty 8, 14.CrossRefGoogle ScholarPubMed
Eteng, M, Mitchell, S, Garba, L, Ana, O, Liman, M, Cockcroft, A and Anderson, N (2014) Socio-economic determinants of ownership and use of treated bed nets in Nigeria: results from a cross-sectional study in Cross River and Bauchi States in 2011. Malaria Journal 13, 316.CrossRefGoogle ScholarPubMed
García-Basteiro, A, Schwabe, C, Aragon, A, Baltazar, G, Rehman, A, et al. (2011) Determinants of bed net use in children under five and household bed net ownership on Bioko Island, Equatorial Guinea. Malaria Journal 10, 179.CrossRefGoogle ScholarPubMed
Gaston, RT and Ramroop, S (2020) Prevalence of and factors associated with malaria in children under five years of age in Malawi, using malaria indicator survey data. Heliyon 6(5), e03946.CrossRefGoogle ScholarPubMed
Government of Malawi (2011) Malawi Strategic Plan 2011–15: Towards Universal Access. Ministry of Health, National Malaria Control Programme, Lilongwe, Malawi.Google Scholar
Government of Malawi (2017) Malawi Malaria Indicator Survey 2017. National Malaria Control Programme, Lilongwe, Malawi, and NMCP and ICF, Rockville, MD, USA.Google Scholar
Lengeler, C (2004) Insecticide-treated bed nets and curtains for preventing malaria. Cochrane Database of Systematic Reviews 2(2), CD000363.Google Scholar
Lowe, R, Chirombo, J and Tompkins, AM (2013) Relative importance of climatic, geographical and socio-economic determinants of malaria in Malawi. Malaria Journal 12, 416.CrossRefGoogle Scholar
Macintyre, K, Littrell, M, Keating, J, Hamainza, B, Miller, J and Eisele, T (2012) Determinants of hanging and use of ITNs in the context of near universal coverage in Zambia. Health Policy Plan 27(4), 316–325.CrossRefGoogle ScholarPubMed
Malenga, T, Kabaghe, A N, Manda-Taylor, L, Kadama, A, McCann, R S et al. (2017) Malaria control in rural Malawi: implementing peer health education for behavior change. Globalization and Health 13(1), 84.CrossRefGoogle Scholar
Mathanga, DP, Walker, ED, Wilson, ML, Ali, D, Taylor, TE and Laufer, MK (2012) Malaria control in Malawi: current status and directions for the future. Acta Tropica 121(3), 212–217.CrossRefGoogle ScholarPubMed
Muhumuza, E, Namuhani, N, Balugaba, BE, Namata, J and Kiracho, EE (2016) Factors associated with use of malaria control interventions by pregnant women in Buwunga sub-county, Bugiri District. Malaria Journal 15, 342.CrossRefGoogle ScholarPubMed
Nkoka, O, Chipeta, MS, Chuang, Y, Fergus, D and Chuang, K (2019) 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. Malaria Journal 18, 43.CrossRefGoogle ScholarPubMed
Nkoka, O, Chuang, T and Chuang, K (2018) Factors associated with insecticide-treated net usage among women of childbearing age in Malawi: a multilevel analysis. Malaria Journal 17, 372.CrossRefGoogle ScholarPubMed
Poirier, MJP, Grépin, KA and Grignon, M (2020) Approaches and alternatives to the wealth index to measure socioeconomic status using survey data: a critical interpretive synthesis. Social Indicators Research 148(1), 1–46.CrossRefGoogle Scholar
Presidential Malaria Initiative (2017) Malaria Operational Plan FY 2017. United States Agency for International Development.Google Scholar
Sena, LD, Deressa, WA and Ali, AA (2013) Predictors of long-lasting insecticide-treated bed-net ownership and utilization: evidence from community-based cross sectional comparative study, Southwest Ethiopia. Malaria Journal 12, 406 CrossRefGoogle ScholarPubMed
Singh, M, Brown, G and Rogerson, SJ (2013) Ownership and use of insecticide-treated nets during pregnancy in sub-Saharan Africa: a review. Malaria Journal 12, 268.CrossRefGoogle ScholarPubMed
Spjeldnæs, AO, Kitua, AY and Blomberg, B (2014) Education and knowledge help combating malaria, but not degedege: a cross-sectional study in Rufiji. Tanzania Malaria Journal 13, 200.CrossRefGoogle Scholar
Taremwa, I M, Ashaba, S, Ayebazibwe, C, Kemeza, I, Adrama, HO et al. (2020) Mind the gap: scaling up the utilization of insecticide treated mosquito nets using a knowledge translation model in Isingiro district, rural south western Uganda. Health Psychology and Behavioral Medicine 8(1), 383–397.CrossRefGoogle ScholarPubMed
Tizifa, TA, Kabaghe, AN, McCann, RS, van den Berg, H, Van Vugt, M and Phiri, KS (2018) Prevention efforts for Malaria. Current Tropical Medicine Reports 5(1), 41–50.CrossRefGoogle ScholarPubMed
Tusting, LS, Rek, JC, Arinaitwe, E, Staedke, SG, Kamya, MR et al. (2016) Measuring socio-economic inequalities in relation to malaria risk: a comparison of metrics in rural Uganda. American Journal of Tropical Medicine and Hygiene 94(3), 650–658.CrossRefGoogle Scholar
Wanzira, H, Yeka, A, Kigozi, R, Rubahika, D, Nasr, S, Sserwanga, A et al. (2014) Long-lasting insecticide-treated bed net ownership and use among children under five years of age following a targeted distribution in central Uganda. Malaria Journal 13, 185.CrossRefGoogle ScholarPubMed
WHO (2014) Fact Sheet on the World Malaria Report 2014. World Health Organization, Geneva.Google Scholar
WHO (2017). World Malaria Report 2017. World Health Organization, Geneva. URL: www.who.int/malaria.Google Scholar
WHO (2018). World Malaria Report 2018. World Health Organization, Geneva. URL www.who.int/malaria.Google Scholar
Yaya, S, Uthman, OA, Amouzou, A and Bishwajit, G (2018) Mass media exposure and its impact on malaria prevention behaviour among adult women in sub-Saharan Africa: results from malaria indicator surveys. Global Health Research and Policy 3, 20.CrossRefGoogle ScholarPubMed
Zgambo, M Mbakaya, BC and Kalembo, FW (2017) Prevalence and factors associated with malaria parasitaemia in children under the age of five years in Malawi: a comparison study of the 2012 and 2014 Malaria Indicator Surveys (MISs). PLoS One 12(4), 1–13.CrossRefGoogle Scholar