Successful implementation of ITN distribution through health facilities in Ghana
Abstract Background Global efforts to reduce malaria burden include distribution of insecticide-treated mosquito nets through mass campaigns and routine channels. Ghana’s National Malaria Elimination Programme (NMEP) distributes insecticide-treated bed nets (ITNs) through various channels, including...
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ftdoajarticles:oai:doaj.org/article:e54cc3036a004923939cc49a60f3d5c6 2023-09-05T13:17:50+02:00 Successful implementation of ITN distribution through health facilities in Ghana Luigi Nuñez Malia Skjefte Obed E. Asamoah Prince Owusu Keziah Malm Jane E. Miller 2023-08-01T00:00:00Z https://doi.org/10.1186/s12936-023-04592-5 https://doaj.org/article/e54cc3036a004923939cc49a60f3d5c6 EN eng BMC https://doi.org/10.1186/s12936-023-04592-5 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-023-04592-5 1475-2875 https://doaj.org/article/e54cc3036a004923939cc49a60f3d5c6 Malaria Journal, Vol 22, Iss 1, Pp 1-19 (2023) Malaria ITN ANC EPI CWC Routine distribution Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2023 ftdoajarticles https://doi.org/10.1186/s12936-023-04592-5 2023-08-13T00:40:46Z Abstract Background Global efforts to reduce malaria burden include distribution of insecticide-treated mosquito nets through mass campaigns and routine channels. Ghana’s National Malaria Elimination Programme (NMEP) distributes insecticide-treated bed nets (ITNs) through various channels, including to pregnant women at antenatal care (ANC) visits and children at vaccination visits through child welfare clinics (CWC). This study assessed historical ITN distribution throughout ANCs and CWCs across Ghana and the characteristics of high performing facilities. Methods Monthly data on routine ITN distribution was provided from Ghana’s national health information management system for the years 2016–2021. Analyses were conducted to assess the performance of ITN distribution at ANC and CWC across time, ecological zone, regions, districts, facility ownership, and facility type. Univariate and multivariate logistic regressions were performed to predict the odds of ANC and CWC issuing rates greater or equal to 80% for a given facility type or ownership. Results In 2021, 93% of women who attended their first antenatal care visit and 92% of children under five who received their second dose of the measles-rubella vaccine (MR2) had received an ITN. At the regional level, 94% of regions (n = 15/16) maintained the NSP target issuing rate of 80% throughout 2020 and 2021. While there were no clear differences in issuing rates between ecological zones, district-level differences were present across the six years. All health facility types performed at or above 80% in 2021 for both ANC and CWC. Odds ratios demonstrated differences in the likelihood of meeting the 80% issuing rate goal among different facility types as well as private versus public ownership when comparing ANC and CWC. Conclusion By 2021, Ghana had improved its ITN issuing rates since the initial year of analysis, surpassing the 80% target by issuing nets to over 90% of pregnant women and young children attending ANC and CWC. Future work can explore the reasons for ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 22 1 |
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op_collection_id |
ftdoajarticles |
language |
English |
topic |
Malaria ITN ANC EPI CWC Routine distribution Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Malaria ITN ANC EPI CWC Routine distribution Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Luigi Nuñez Malia Skjefte Obed E. Asamoah Prince Owusu Keziah Malm Jane E. Miller Successful implementation of ITN distribution through health facilities in Ghana |
topic_facet |
Malaria ITN ANC EPI CWC Routine distribution Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Global efforts to reduce malaria burden include distribution of insecticide-treated mosquito nets through mass campaigns and routine channels. Ghana’s National Malaria Elimination Programme (NMEP) distributes insecticide-treated bed nets (ITNs) through various channels, including to pregnant women at antenatal care (ANC) visits and children at vaccination visits through child welfare clinics (CWC). This study assessed historical ITN distribution throughout ANCs and CWCs across Ghana and the characteristics of high performing facilities. Methods Monthly data on routine ITN distribution was provided from Ghana’s national health information management system for the years 2016–2021. Analyses were conducted to assess the performance of ITN distribution at ANC and CWC across time, ecological zone, regions, districts, facility ownership, and facility type. Univariate and multivariate logistic regressions were performed to predict the odds of ANC and CWC issuing rates greater or equal to 80% for a given facility type or ownership. Results In 2021, 93% of women who attended their first antenatal care visit and 92% of children under five who received their second dose of the measles-rubella vaccine (MR2) had received an ITN. At the regional level, 94% of regions (n = 15/16) maintained the NSP target issuing rate of 80% throughout 2020 and 2021. While there were no clear differences in issuing rates between ecological zones, district-level differences were present across the six years. All health facility types performed at or above 80% in 2021 for both ANC and CWC. Odds ratios demonstrated differences in the likelihood of meeting the 80% issuing rate goal among different facility types as well as private versus public ownership when comparing ANC and CWC. Conclusion By 2021, Ghana had improved its ITN issuing rates since the initial year of analysis, surpassing the 80% target by issuing nets to over 90% of pregnant women and young children attending ANC and CWC. Future work can explore the reasons for ... |
format |
Article in Journal/Newspaper |
author |
Luigi Nuñez Malia Skjefte Obed E. Asamoah Prince Owusu Keziah Malm Jane E. Miller |
author_facet |
Luigi Nuñez Malia Skjefte Obed E. Asamoah Prince Owusu Keziah Malm Jane E. Miller |
author_sort |
Luigi Nuñez |
title |
Successful implementation of ITN distribution through health facilities in Ghana |
title_short |
Successful implementation of ITN distribution through health facilities in Ghana |
title_full |
Successful implementation of ITN distribution through health facilities in Ghana |
title_fullStr |
Successful implementation of ITN distribution through health facilities in Ghana |
title_full_unstemmed |
Successful implementation of ITN distribution through health facilities in Ghana |
title_sort |
successful implementation of itn distribution through health facilities in ghana |
publisher |
BMC |
publishDate |
2023 |
url |
https://doi.org/10.1186/s12936-023-04592-5 https://doaj.org/article/e54cc3036a004923939cc49a60f3d5c6 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 22, Iss 1, Pp 1-19 (2023) |
op_relation |
https://doi.org/10.1186/s12936-023-04592-5 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-023-04592-5 1475-2875 https://doaj.org/article/e54cc3036a004923939cc49a60f3d5c6 |
op_doi |
https://doi.org/10.1186/s12936-023-04592-5 |
container_title |
Malaria Journal |
container_volume |
22 |
container_issue |
1 |
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1776198855466942464 |