Factors associated with insecticide-treated net usage among women of childbearing age in Malawi: a multilevel analysis
Abstract Background This study aimed to identify factors at individual and community level influencing insecticide-treated net (ITN) usage among groups of women of childbearing age (WOCBA) in Malawi. Methods Factors influencing ITN usage in Malawi were assessed through interviews with 16,130 WOCBA (...
Published in: | Malaria Journal |
---|---|
Main Authors: | , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BMC
2018
|
Subjects: | |
Online Access: | https://doi.org/10.1186/s12936-018-2522-z https://doaj.org/article/74ad036bc85d4d1a9d20005939116f97 |
id |
ftdoajarticles:oai:doaj.org/article:74ad036bc85d4d1a9d20005939116f97 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:74ad036bc85d4d1a9d20005939116f97 2023-05-15T15:11:37+02:00 Factors associated with insecticide-treated net usage among women of childbearing age in Malawi: a multilevel analysis Owen Nkoka Ting-Wu Chuang Kun-Yang Chuang Yi-Hua Chen 2018-10-01T00:00:00Z https://doi.org/10.1186/s12936-018-2522-z https://doaj.org/article/74ad036bc85d4d1a9d20005939116f97 EN eng BMC http://link.springer.com/article/10.1186/s12936-018-2522-z https://doaj.org/toc/1475-2875 doi:10.1186/s12936-018-2522-z 1475-2875 https://doaj.org/article/74ad036bc85d4d1a9d20005939116f97 Malaria Journal, Vol 17, Iss 1, Pp 1-16 (2018) Insecticide-treated nets Women of childbearing age Malaria Multilevel Malawi Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2018 ftdoajarticles https://doi.org/10.1186/s12936-018-2522-z 2022-12-31T12:18:32Z Abstract Background This study aimed to identify factors at individual and community level influencing insecticide-treated net (ITN) usage among groups of women of childbearing age (WOCBA) in Malawi. Methods Factors influencing ITN usage in Malawi were assessed through interviews with 16,130 WOCBA (15–49 years) across 850 communities who participated in the 2015–2016 Malawi Demographic Health Survey. Multilevel logistic regression analysis was used. Results ITN use was similar between pregnant women and non-pregnant women with children under 5 years (45.9% and 46.9%, respectively), but slightly lower among non-pregnant women without children under 5 years (39.1%). Both individual and community characteristics were associated with ITN use among WOCBA and varied significantly across subgroups. Specifically, non-pregnant women with children under 5 years living in communities where women had high autonomy in health care decisions had an 18% greater odds of using an ITN compared with those from communities where women had low health care autonomy (adjusted odds ratio [aOR] = 1.18; 95% confidence interval [CI] 1.00–1.38). Distance to health care facility influenced ITN usage among pregnant women; those who did not regard distance as a problem had a 44% greater odds of using an ITN than those for whom distance was seen as a problem (aOR = 1.44; 95% CI 1.09–1.89). Number of household members, region, urbanization, and community ITN coverage influenced ITN usage across all WOCBA groups. Conclusion The findings confirmed the importance of assessing various factors affecting ITN usage among groups of WOCBA. Both individual- and community-level factors should be considered when designing and implementing ITN programmes in Malawi. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 17 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Insecticide-treated nets Women of childbearing age Malaria Multilevel Malawi Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Insecticide-treated nets Women of childbearing age Malaria Multilevel Malawi Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Owen Nkoka Ting-Wu Chuang Kun-Yang Chuang Yi-Hua Chen Factors associated with insecticide-treated net usage among women of childbearing age in Malawi: a multilevel analysis |
topic_facet |
Insecticide-treated nets Women of childbearing age Malaria Multilevel Malawi Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background This study aimed to identify factors at individual and community level influencing insecticide-treated net (ITN) usage among groups of women of childbearing age (WOCBA) in Malawi. Methods Factors influencing ITN usage in Malawi were assessed through interviews with 16,130 WOCBA (15–49 years) across 850 communities who participated in the 2015–2016 Malawi Demographic Health Survey. Multilevel logistic regression analysis was used. Results ITN use was similar between pregnant women and non-pregnant women with children under 5 years (45.9% and 46.9%, respectively), but slightly lower among non-pregnant women without children under 5 years (39.1%). Both individual and community characteristics were associated with ITN use among WOCBA and varied significantly across subgroups. Specifically, non-pregnant women with children under 5 years living in communities where women had high autonomy in health care decisions had an 18% greater odds of using an ITN compared with those from communities where women had low health care autonomy (adjusted odds ratio [aOR] = 1.18; 95% confidence interval [CI] 1.00–1.38). Distance to health care facility influenced ITN usage among pregnant women; those who did not regard distance as a problem had a 44% greater odds of using an ITN than those for whom distance was seen as a problem (aOR = 1.44; 95% CI 1.09–1.89). Number of household members, region, urbanization, and community ITN coverage influenced ITN usage across all WOCBA groups. Conclusion The findings confirmed the importance of assessing various factors affecting ITN usage among groups of WOCBA. Both individual- and community-level factors should be considered when designing and implementing ITN programmes in Malawi. |
format |
Article in Journal/Newspaper |
author |
Owen Nkoka Ting-Wu Chuang Kun-Yang Chuang Yi-Hua Chen |
author_facet |
Owen Nkoka Ting-Wu Chuang Kun-Yang Chuang Yi-Hua Chen |
author_sort |
Owen Nkoka |
title |
Factors associated with insecticide-treated net usage among women of childbearing age in Malawi: a multilevel analysis |
title_short |
Factors associated with insecticide-treated net usage among women of childbearing age in Malawi: a multilevel analysis |
title_full |
Factors associated with insecticide-treated net usage among women of childbearing age in Malawi: a multilevel analysis |
title_fullStr |
Factors associated with insecticide-treated net usage among women of childbearing age in Malawi: a multilevel analysis |
title_full_unstemmed |
Factors associated with insecticide-treated net usage among women of childbearing age in Malawi: a multilevel analysis |
title_sort |
factors associated with insecticide-treated net usage among women of childbearing age in malawi: a multilevel analysis |
publisher |
BMC |
publishDate |
2018 |
url |
https://doi.org/10.1186/s12936-018-2522-z https://doaj.org/article/74ad036bc85d4d1a9d20005939116f97 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 17, Iss 1, Pp 1-16 (2018) |
op_relation |
http://link.springer.com/article/10.1186/s12936-018-2522-z https://doaj.org/toc/1475-2875 doi:10.1186/s12936-018-2522-z 1475-2875 https://doaj.org/article/74ad036bc85d4d1a9d20005939116f97 |
op_doi |
https://doi.org/10.1186/s12936-018-2522-z |
container_title |
Malaria Journal |
container_volume |
17 |
container_issue |
1 |
_version_ |
1766342457221447680 |