Rural–urban variation in insecticide-treated net utilization among pregnant women: evidence from 2018 Nigeria Demographic and Health Survey
Abstract Background In 2018, Nigeria accounted for the highest prevalence of malaria worldwide. Pregnant women and children under five years bear the highest risk of malaria. Geographical factors affect utilization of insecticide-treated nets (ITN), yet existing literature have paid little attention...
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ftdoajarticles:oai:doaj.org/article:544072d89f2b447fa8ce1182bd2c6f1f 2023-05-15T15:17:31+02:00 Rural–urban variation in insecticide-treated net utilization among pregnant women: evidence from 2018 Nigeria Demographic and Health Survey Edward Kwabena Ameyaw Kenneth Setorwu Adde Shadrach Dare Sanni Yaya 2020-11-01T00:00:00Z https://doi.org/10.1186/s12936-020-03481-5 https://doaj.org/article/544072d89f2b447fa8ce1182bd2c6f1f EN eng BMC http://link.springer.com/article/10.1186/s12936-020-03481-5 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03481-5 1475-2875 https://doaj.org/article/544072d89f2b447fa8ce1182bd2c6f1f Malaria Journal, Vol 19, Iss 1, Pp 1-9 (2020) Pregnant women Insecticide treated net ITN Maternal health Malaria Nigeria Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2020 ftdoajarticles https://doi.org/10.1186/s12936-020-03481-5 2022-12-31T01:24:24Z Abstract Background In 2018, Nigeria accounted for the highest prevalence of malaria worldwide. Pregnant women and children under five years bear the highest risk of malaria. Geographical factors affect utilization of insecticide-treated nets (ITN), yet existing literature have paid little attention to the rural–urban dimension of ITN utilization in Nigeria. This study aimed at investigating the rural–urban variation in ITN utilization among pregnant women in Nigeria using data from the 2018 Demographic and Health Survey. Methods A total of 2909 pregnant women were included in the study. The prevalence of ITN utilization for rural and urban pregnant women of Nigeria were presented with descriptive statistics. Chi-square test was employed to assess the association between residence, socio-demographic characteristics and ITN utilization at 95% level of significance. Subsequently, binary logistic regression was used to assess the influence of residence on ITN utilization. Results Eight out of ten of the rural residents utilized ITN (86.1%) compared with 74.1% among urban residents. Relative to urban pregnant women, those in rural Nigeria had higher odds of utilizing ITNs both in the crude [cOR = 2.17, CI = 1.66–2.84] and adjusted models [aOR = 1.18, CI = 1.05–1.24]. Pregnant women aged 40–44 had lower odds of ITN utilization compared to those aged 15–19 [aOR = 0.63, CI = 0.44–0.92]. Poorer pregnant women had higher odds of ITN utilization compared with poorest pregnant women [aOR = 1.09, CI = 1.04–1.32]. Across regions, those in the south [aOR = 0.26, CI = 0.14–0.49] and south-west [aOR = 0.29, CI = 0.16–0.54] had lower odds of ITN use compared to their counterparts in the north-west region. Conclusion The high use of ITNs among pregnant women in Nigeria may be due to the prioritization of rural communities by previous interventions. This is a dimension worth considering to enhance the attainment of the national anti-malarial initiatives. Since possession of ITN is not a guarantee for utilization, women in urban ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 19 1 |
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English |
topic |
Pregnant women Insecticide treated net ITN Maternal health Malaria Nigeria Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Pregnant women Insecticide treated net ITN Maternal health Malaria Nigeria Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Edward Kwabena Ameyaw Kenneth Setorwu Adde Shadrach Dare Sanni Yaya Rural–urban variation in insecticide-treated net utilization among pregnant women: evidence from 2018 Nigeria Demographic and Health Survey |
topic_facet |
Pregnant women Insecticide treated net ITN Maternal health Malaria Nigeria Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background In 2018, Nigeria accounted for the highest prevalence of malaria worldwide. Pregnant women and children under five years bear the highest risk of malaria. Geographical factors affect utilization of insecticide-treated nets (ITN), yet existing literature have paid little attention to the rural–urban dimension of ITN utilization in Nigeria. This study aimed at investigating the rural–urban variation in ITN utilization among pregnant women in Nigeria using data from the 2018 Demographic and Health Survey. Methods A total of 2909 pregnant women were included in the study. The prevalence of ITN utilization for rural and urban pregnant women of Nigeria were presented with descriptive statistics. Chi-square test was employed to assess the association between residence, socio-demographic characteristics and ITN utilization at 95% level of significance. Subsequently, binary logistic regression was used to assess the influence of residence on ITN utilization. Results Eight out of ten of the rural residents utilized ITN (86.1%) compared with 74.1% among urban residents. Relative to urban pregnant women, those in rural Nigeria had higher odds of utilizing ITNs both in the crude [cOR = 2.17, CI = 1.66–2.84] and adjusted models [aOR = 1.18, CI = 1.05–1.24]. Pregnant women aged 40–44 had lower odds of ITN utilization compared to those aged 15–19 [aOR = 0.63, CI = 0.44–0.92]. Poorer pregnant women had higher odds of ITN utilization compared with poorest pregnant women [aOR = 1.09, CI = 1.04–1.32]. Across regions, those in the south [aOR = 0.26, CI = 0.14–0.49] and south-west [aOR = 0.29, CI = 0.16–0.54] had lower odds of ITN use compared to their counterparts in the north-west region. Conclusion The high use of ITNs among pregnant women in Nigeria may be due to the prioritization of rural communities by previous interventions. This is a dimension worth considering to enhance the attainment of the national anti-malarial initiatives. Since possession of ITN is not a guarantee for utilization, women in urban ... |
format |
Article in Journal/Newspaper |
author |
Edward Kwabena Ameyaw Kenneth Setorwu Adde Shadrach Dare Sanni Yaya |
author_facet |
Edward Kwabena Ameyaw Kenneth Setorwu Adde Shadrach Dare Sanni Yaya |
author_sort |
Edward Kwabena Ameyaw |
title |
Rural–urban variation in insecticide-treated net utilization among pregnant women: evidence from 2018 Nigeria Demographic and Health Survey |
title_short |
Rural–urban variation in insecticide-treated net utilization among pregnant women: evidence from 2018 Nigeria Demographic and Health Survey |
title_full |
Rural–urban variation in insecticide-treated net utilization among pregnant women: evidence from 2018 Nigeria Demographic and Health Survey |
title_fullStr |
Rural–urban variation in insecticide-treated net utilization among pregnant women: evidence from 2018 Nigeria Demographic and Health Survey |
title_full_unstemmed |
Rural–urban variation in insecticide-treated net utilization among pregnant women: evidence from 2018 Nigeria Demographic and Health Survey |
title_sort |
rural–urban variation in insecticide-treated net utilization among pregnant women: evidence from 2018 nigeria demographic and health survey |
publisher |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s12936-020-03481-5 https://doaj.org/article/544072d89f2b447fa8ce1182bd2c6f1f |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 19, Iss 1, Pp 1-9 (2020) |
op_relation |
http://link.springer.com/article/10.1186/s12936-020-03481-5 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03481-5 1475-2875 https://doaj.org/article/544072d89f2b447fa8ce1182bd2c6f1f |
op_doi |
https://doi.org/10.1186/s12936-020-03481-5 |
container_title |
Malaria Journal |
container_volume |
19 |
container_issue |
1 |
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1766347754436558848 |