Urban–rural differences in seasonal malaria chemoprevention coverage and characteristics of target populations in nine states of Nigeria: a comparative cross-sectional study
Abstract Background Differences between urban and rural contexts in terms of sociodemographic characteristics, geographical features and risk perceptions may lead to disparities in coverage and related outcomes of community-based preventive interventions, such as seasonal malaria chemoprevention (SM...
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ftdoajarticles:oai:doaj.org/article:13f4da2652784c67989ebc565fa8d874 2024-02-11T10:01:44+01:00 Urban–rural differences in seasonal malaria chemoprevention coverage and characteristics of target populations in nine states of Nigeria: a comparative cross-sectional study Taiwo Ibinaiye Kunle Rotimi Ayodeji Balogun Adaeze Aidenagbon Chibuzo Oguoma Kevin Baker Olabisi Ogunmola Olusola Oresanya Christian Rassi Chuks Nnaji 2024-01-01T00:00:00Z https://doi.org/10.1186/s12936-023-04825-7 https://doaj.org/article/13f4da2652784c67989ebc565fa8d874 EN eng BMC https://doi.org/10.1186/s12936-023-04825-7 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-023-04825-7 1475-2875 https://doaj.org/article/13f4da2652784c67989ebc565fa8d874 Malaria Journal, Vol 23, Iss 1, Pp 1-9 (2024) Malaria Seasonal malaria chemoprevention Rural -urban differences Under 5 Caregivers Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2024 ftdoajarticles https://doi.org/10.1186/s12936-023-04825-7 2024-01-14T01:52:14Z Abstract Background Differences between urban and rural contexts in terms of sociodemographic characteristics, geographical features and risk perceptions may lead to disparities in coverage and related outcomes of community-based preventive interventions, such as seasonal malaria chemoprevention (SMC). This study investigated urban–rural differences in SMC coverage and other programme outcomes, as well as child and caregiver characteristics of target populations in nine implementing states in Nigeria during the 2022 SMC round. Methods This is a comparative cross-sectional study based on comprehensive end-of-round household surveys conducted in nine states where SMC was delivered in Nigeria in 2022. Data of 11,880 caregiver-child pairs were included in the analysis. Rural-urban differences in SMC outcomes and child and caregiver characteristics were assessed, first by using Pearsons’ chi-square test for independence for categorical variables. Univariate multilevel mixed-effect logistic regression models, with random intercepts for cluster units, were used to quantify the strength of association between location and each SMC coverage and related outcomes. Results Significant urban-rural differences were observed in caregivers’ sociodemographic characteristics, such as age, gender, level of education, occupation status and health-seeking behaviour for febrile childhood illnesses. Disparities were also seen in terms of SMC coverage and related outcomes, with lower odds of the receipt of Day 1 dose direct observation of the administration of Day 1 dose by community distributors, receipt of the full three-day course of SMC medicines and receipt of SMC in all cycles of the annual round among children residing in urban areas, compared with those residing in rural areas. Similarly, urban-dwelling caregivers had lower odds of being knowledgeable of SMC and believing in the protective effect of SMC than rural-dwelling caregivers. Conclusion Findings highlight observable urban-rural disparities in SMC programme delivery and ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 23 1 |
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English |
topic |
Malaria Seasonal malaria chemoprevention Rural -urban differences Under 5 Caregivers Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Malaria Seasonal malaria chemoprevention Rural -urban differences Under 5 Caregivers Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Taiwo Ibinaiye Kunle Rotimi Ayodeji Balogun Adaeze Aidenagbon Chibuzo Oguoma Kevin Baker Olabisi Ogunmola Olusola Oresanya Christian Rassi Chuks Nnaji Urban–rural differences in seasonal malaria chemoprevention coverage and characteristics of target populations in nine states of Nigeria: a comparative cross-sectional study |
topic_facet |
Malaria Seasonal malaria chemoprevention Rural -urban differences Under 5 Caregivers Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Differences between urban and rural contexts in terms of sociodemographic characteristics, geographical features and risk perceptions may lead to disparities in coverage and related outcomes of community-based preventive interventions, such as seasonal malaria chemoprevention (SMC). This study investigated urban–rural differences in SMC coverage and other programme outcomes, as well as child and caregiver characteristics of target populations in nine implementing states in Nigeria during the 2022 SMC round. Methods This is a comparative cross-sectional study based on comprehensive end-of-round household surveys conducted in nine states where SMC was delivered in Nigeria in 2022. Data of 11,880 caregiver-child pairs were included in the analysis. Rural-urban differences in SMC outcomes and child and caregiver characteristics were assessed, first by using Pearsons’ chi-square test for independence for categorical variables. Univariate multilevel mixed-effect logistic regression models, with random intercepts for cluster units, were used to quantify the strength of association between location and each SMC coverage and related outcomes. Results Significant urban-rural differences were observed in caregivers’ sociodemographic characteristics, such as age, gender, level of education, occupation status and health-seeking behaviour for febrile childhood illnesses. Disparities were also seen in terms of SMC coverage and related outcomes, with lower odds of the receipt of Day 1 dose direct observation of the administration of Day 1 dose by community distributors, receipt of the full three-day course of SMC medicines and receipt of SMC in all cycles of the annual round among children residing in urban areas, compared with those residing in rural areas. Similarly, urban-dwelling caregivers had lower odds of being knowledgeable of SMC and believing in the protective effect of SMC than rural-dwelling caregivers. Conclusion Findings highlight observable urban-rural disparities in SMC programme delivery and ... |
format |
Article in Journal/Newspaper |
author |
Taiwo Ibinaiye Kunle Rotimi Ayodeji Balogun Adaeze Aidenagbon Chibuzo Oguoma Kevin Baker Olabisi Ogunmola Olusola Oresanya Christian Rassi Chuks Nnaji |
author_facet |
Taiwo Ibinaiye Kunle Rotimi Ayodeji Balogun Adaeze Aidenagbon Chibuzo Oguoma Kevin Baker Olabisi Ogunmola Olusola Oresanya Christian Rassi Chuks Nnaji |
author_sort |
Taiwo Ibinaiye |
title |
Urban–rural differences in seasonal malaria chemoprevention coverage and characteristics of target populations in nine states of Nigeria: a comparative cross-sectional study |
title_short |
Urban–rural differences in seasonal malaria chemoprevention coverage and characteristics of target populations in nine states of Nigeria: a comparative cross-sectional study |
title_full |
Urban–rural differences in seasonal malaria chemoprevention coverage and characteristics of target populations in nine states of Nigeria: a comparative cross-sectional study |
title_fullStr |
Urban–rural differences in seasonal malaria chemoprevention coverage and characteristics of target populations in nine states of Nigeria: a comparative cross-sectional study |
title_full_unstemmed |
Urban–rural differences in seasonal malaria chemoprevention coverage and characteristics of target populations in nine states of Nigeria: a comparative cross-sectional study |
title_sort |
urban–rural differences in seasonal malaria chemoprevention coverage and characteristics of target populations in nine states of nigeria: a comparative cross-sectional study |
publisher |
BMC |
publishDate |
2024 |
url |
https://doi.org/10.1186/s12936-023-04825-7 https://doaj.org/article/13f4da2652784c67989ebc565fa8d874 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 23, Iss 1, Pp 1-9 (2024) |
op_relation |
https://doi.org/10.1186/s12936-023-04825-7 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-023-04825-7 1475-2875 https://doaj.org/article/13f4da2652784c67989ebc565fa8d874 |
op_doi |
https://doi.org/10.1186/s12936-023-04825-7 |
container_title |
Malaria Journal |
container_volume |
23 |
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1 |
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1790597543165427712 |