Predictors of mosquito bed net use among children under-fives in Ghana: a multilevel analysis of the 2019 malaria indicator survey
Abstract Background Morbidities and mortalities due to malaria can be prevented by the use of insecticide-treated mosquito bed nets (ITN), which has been proven for malaria control and elimination. The purpose of this study was to assess the critical factors that predict the use of ITN among childre...
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ftdoajarticles:oai:doaj.org/article:c1318f2c2b8a41f5a8081b7336374cb7 2023-07-30T04:02:11+02:00 Predictors of mosquito bed net use among children under-fives in Ghana: a multilevel analysis of the 2019 malaria indicator survey Justice Moses K. Aheto Rahmatu Babah Maxwell Kwame Dzokoto Williams Kwarah Yakubu Alhassan 2023-06-01T00:00:00Z https://doi.org/10.1186/s12936-023-04634-y https://doaj.org/article/c1318f2c2b8a41f5a8081b7336374cb7 EN eng BMC https://doi.org/10.1186/s12936-023-04634-y https://doaj.org/toc/1475-2875 doi:10.1186/s12936-023-04634-y 1475-2875 https://doaj.org/article/c1318f2c2b8a41f5a8081b7336374cb7 Malaria Journal, Vol 22, Iss 1, Pp 1-14 (2023) Under-five Mosquito Insecticide treated net ITN Utilization Malaria Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2023 ftdoajarticles https://doi.org/10.1186/s12936-023-04634-y 2023-07-09T00:37:51Z Abstract Background Morbidities and mortalities due to malaria can be prevented by the use of insecticide-treated mosquito bed nets (ITN), which has been proven for malaria control and elimination. The purpose of this study was to assess the critical factors that predict the use of ITN among children under-fives in Ghana. Methods The study utilized data from the 2019 Ghana Malaria Indicator Survey (GMIS). The outcome variable was mosquito bed net use among children under-fives. To determine critical factors that independently predict ITN use, multilevel multivariable logistic regression was employed using Stata version 16. Odds ratios and associated 95% confidence intervals and p-values were reported. A p < 0.05 was used to declare statistical significance. Results The overall prevalence of ITN usage was 57.4%. Utilization of bed nets was 66.6% in the rural areas and 43.5% in the urban areas, was highest in the Upper West region (80.6%) even when stratified to rural (82.9%) and urban areas (70.3%) whilst Greater Accra region (30.5%, rural = 41.7%, urban = 28.9%) had the least. The community level multilevel analysis showed that bed net utilization was higher among children in rural areas [AOR = 1.99, 95% CI 1.32–3.01, p = 0.001] and in household with wooden wall materials [AOR = 3.29, 95% CI 1.15–9.40, p = 0.027]. Bed net utilization was however, less for households with 3 + children under-five [AOR = 0.29, 95% CI 0.19–0.46, p < 0.001), 4 years old (AOR = 0.66, 95% CI 00.48–00.92, p = 0.014], without universal access to bed net [AOR = 0.52, 95% CI 0.37–0.73, p < 0.001], those in the Greater Accra [AOR = 0.26, 95% CI 0.13–0.51, p < 0.001], Eastern [AOR = 0.47, 95% CI 0.23–0.95, p = 0.036], Northern [AOR = 0.42, 95% CI 0.20–0.88, p = 0.022], middle [AOR = 0.57, 95% CI 0.35–0.94, p = 0.026] and rich/richest [AOR = 0.51, 95% CI 0.29–0.92, p = 0.025] household wealth quintile. Substantial unobserved household and community level differences in bed net use were found. Conclusion This study demonstrates the ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 22 1 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Under-five Mosquito Insecticide treated net ITN Utilization Malaria Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Under-five Mosquito Insecticide treated net ITN Utilization Malaria Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Justice Moses K. Aheto Rahmatu Babah Maxwell Kwame Dzokoto Williams Kwarah Yakubu Alhassan Predictors of mosquito bed net use among children under-fives in Ghana: a multilevel analysis of the 2019 malaria indicator survey |
topic_facet |
Under-five Mosquito Insecticide treated net ITN Utilization Malaria Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Morbidities and mortalities due to malaria can be prevented by the use of insecticide-treated mosquito bed nets (ITN), which has been proven for malaria control and elimination. The purpose of this study was to assess the critical factors that predict the use of ITN among children under-fives in Ghana. Methods The study utilized data from the 2019 Ghana Malaria Indicator Survey (GMIS). The outcome variable was mosquito bed net use among children under-fives. To determine critical factors that independently predict ITN use, multilevel multivariable logistic regression was employed using Stata version 16. Odds ratios and associated 95% confidence intervals and p-values were reported. A p < 0.05 was used to declare statistical significance. Results The overall prevalence of ITN usage was 57.4%. Utilization of bed nets was 66.6% in the rural areas and 43.5% in the urban areas, was highest in the Upper West region (80.6%) even when stratified to rural (82.9%) and urban areas (70.3%) whilst Greater Accra region (30.5%, rural = 41.7%, urban = 28.9%) had the least. The community level multilevel analysis showed that bed net utilization was higher among children in rural areas [AOR = 1.99, 95% CI 1.32–3.01, p = 0.001] and in household with wooden wall materials [AOR = 3.29, 95% CI 1.15–9.40, p = 0.027]. Bed net utilization was however, less for households with 3 + children under-five [AOR = 0.29, 95% CI 0.19–0.46, p < 0.001), 4 years old (AOR = 0.66, 95% CI 00.48–00.92, p = 0.014], without universal access to bed net [AOR = 0.52, 95% CI 0.37–0.73, p < 0.001], those in the Greater Accra [AOR = 0.26, 95% CI 0.13–0.51, p < 0.001], Eastern [AOR = 0.47, 95% CI 0.23–0.95, p = 0.036], Northern [AOR = 0.42, 95% CI 0.20–0.88, p = 0.022], middle [AOR = 0.57, 95% CI 0.35–0.94, p = 0.026] and rich/richest [AOR = 0.51, 95% CI 0.29–0.92, p = 0.025] household wealth quintile. Substantial unobserved household and community level differences in bed net use were found. Conclusion This study demonstrates the ... |
format |
Article in Journal/Newspaper |
author |
Justice Moses K. Aheto Rahmatu Babah Maxwell Kwame Dzokoto Williams Kwarah Yakubu Alhassan |
author_facet |
Justice Moses K. Aheto Rahmatu Babah Maxwell Kwame Dzokoto Williams Kwarah Yakubu Alhassan |
author_sort |
Justice Moses K. Aheto |
title |
Predictors of mosquito bed net use among children under-fives in Ghana: a multilevel analysis of the 2019 malaria indicator survey |
title_short |
Predictors of mosquito bed net use among children under-fives in Ghana: a multilevel analysis of the 2019 malaria indicator survey |
title_full |
Predictors of mosquito bed net use among children under-fives in Ghana: a multilevel analysis of the 2019 malaria indicator survey |
title_fullStr |
Predictors of mosquito bed net use among children under-fives in Ghana: a multilevel analysis of the 2019 malaria indicator survey |
title_full_unstemmed |
Predictors of mosquito bed net use among children under-fives in Ghana: a multilevel analysis of the 2019 malaria indicator survey |
title_sort |
predictors of mosquito bed net use among children under-fives in ghana: a multilevel analysis of the 2019 malaria indicator survey |
publisher |
BMC |
publishDate |
2023 |
url |
https://doi.org/10.1186/s12936-023-04634-y https://doaj.org/article/c1318f2c2b8a41f5a8081b7336374cb7 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 22, Iss 1, Pp 1-14 (2023) |
op_relation |
https://doi.org/10.1186/s12936-023-04634-y https://doaj.org/toc/1475-2875 doi:10.1186/s12936-023-04634-y 1475-2875 https://doaj.org/article/c1318f2c2b8a41f5a8081b7336374cb7 |
op_doi |
https://doi.org/10.1186/s12936-023-04634-y |
container_title |
Malaria Journal |
container_volume |
22 |
container_issue |
1 |
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1772812908199149568 |