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Socio-demographic factors influencing the ownership and utilization of insecticide-treated bed nets among malaria vulnerable groups in the Buea Health District, Cameroon
BACKGROUND: Malaria remains a public health problem and the use of insecticide-treated bed nets (ITNs) against it in vulnerable groups (pregnant women and children <5 years) is recommended in Cameroon. This study was aimed at assessing the socio-demographic factors influencing the ownership and u...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4167508/ https://www.ncbi.nlm.nih.gov/pubmed/25204352 http://dx.doi.org/10.1186/1756-0500-7-624 |
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author | Kimbi, Helen Kuokuo Nkesa, Sarah Bi Ndamukong-Nyanga, Judith Lum Sumbele, Irene Ule Ngole Atashili, Julius Atanga, Mary Bi Suh |
author_facet | Kimbi, Helen Kuokuo Nkesa, Sarah Bi Ndamukong-Nyanga, Judith Lum Sumbele, Irene Ule Ngole Atashili, Julius Atanga, Mary Bi Suh |
author_sort | Kimbi, Helen Kuokuo |
collection | PubMed |
description | BACKGROUND: Malaria remains a public health problem and the use of insecticide-treated bed nets (ITNs) against it in vulnerable groups (pregnant women and children <5 years) is recommended in Cameroon. This study was aimed at assessing the socio-demographic factors influencing the ownership and utilization of ITNs among vulnerable groups in the Buea Health District (BHD). METHODS: In a cross-sectional survey a questionnaire was administered in households with at least a child <5 years and/pregnant woman in five health areas of the BHD. Information on demographic variables, household composition, mosquito bed net (MBN) ownership, utilization and factors influencing ownership and utilization was recorded. RESULTS: A total of 443 respondents were recruited and 208 (47.0%) possessed at least one MBN (total = 275 MBNs) with a median of 1.33 nets. Of the 275 nets found in households, 89 (32%) were potent ITNs and others had never been retreated/treated. Purchase of MBNs from the market was associated with marital status (P = 0.010) and urban settlement (P = 0.045). The number of respondents who did not know where to retreat/treat ITNs was significantly higher (P = 0.005) in urban than rural dwellers. The proportion of rural respondents who had once taken their MBNs for re-treatment was significantly higher (P = 0.002) than that of urban dwellers. MBN utilisation was 69.7% (95% confidence interval; CI = .63.2–75.6%). A total of 83.4%, 13.8% and 3.4% used MBNs throughout the year, during the rainy and dry seasons respectively. MBN use in children under five was associated with being from an urban area (P = 0.01). MBN use in pregnant women was associated with living in block-louver houses than in block-pane houses (P = 0.047). CONCLUSIONS: Utilization of MBN needs to be encouraged to match ownership while free distribution of ITNs to vulnerable groups needs to be continuous and consistent. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/1756-0500-7-624) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-4167508 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-41675082014-09-19 Socio-demographic factors influencing the ownership and utilization of insecticide-treated bed nets among malaria vulnerable groups in the Buea Health District, Cameroon Kimbi, Helen Kuokuo Nkesa, Sarah Bi Ndamukong-Nyanga, Judith Lum Sumbele, Irene Ule Ngole Atashili, Julius Atanga, Mary Bi Suh BMC Res Notes Research Article BACKGROUND: Malaria remains a public health problem and the use of insecticide-treated bed nets (ITNs) against it in vulnerable groups (pregnant women and children <5 years) is recommended in Cameroon. This study was aimed at assessing the socio-demographic factors influencing the ownership and utilization of ITNs among vulnerable groups in the Buea Health District (BHD). METHODS: In a cross-sectional survey a questionnaire was administered in households with at least a child <5 years and/pregnant woman in five health areas of the BHD. Information on demographic variables, household composition, mosquito bed net (MBN) ownership, utilization and factors influencing ownership and utilization was recorded. RESULTS: A total of 443 respondents were recruited and 208 (47.0%) possessed at least one MBN (total = 275 MBNs) with a median of 1.33 nets. Of the 275 nets found in households, 89 (32%) were potent ITNs and others had never been retreated/treated. Purchase of MBNs from the market was associated with marital status (P = 0.010) and urban settlement (P = 0.045). The number of respondents who did not know where to retreat/treat ITNs was significantly higher (P = 0.005) in urban than rural dwellers. The proportion of rural respondents who had once taken their MBNs for re-treatment was significantly higher (P = 0.002) than that of urban dwellers. MBN utilisation was 69.7% (95% confidence interval; CI = .63.2–75.6%). A total of 83.4%, 13.8% and 3.4% used MBNs throughout the year, during the rainy and dry seasons respectively. MBN use in children under five was associated with being from an urban area (P = 0.01). MBN use in pregnant women was associated with living in block-louver houses than in block-pane houses (P = 0.047). CONCLUSIONS: Utilization of MBN needs to be encouraged to match ownership while free distribution of ITNs to vulnerable groups needs to be continuous and consistent. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/1756-0500-7-624) contains supplementary material, which is available to authorized users. BioMed Central 2014-09-10 /pmc/articles/PMC4167508/ /pubmed/25204352 http://dx.doi.org/10.1186/1756-0500-7-624 Text en © Kimbi et al.; licensee BioMed Central Ltd. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Kimbi, Helen Kuokuo Nkesa, Sarah Bi Ndamukong-Nyanga, Judith Lum Sumbele, Irene Ule Ngole Atashili, Julius Atanga, Mary Bi Suh Socio-demographic factors influencing the ownership and utilization of insecticide-treated bed nets among malaria vulnerable groups in the Buea Health District, Cameroon |
title | Socio-demographic factors influencing the ownership and utilization of insecticide-treated bed nets among malaria vulnerable groups in the Buea Health District, Cameroon |
title_full | Socio-demographic factors influencing the ownership and utilization of insecticide-treated bed nets among malaria vulnerable groups in the Buea Health District, Cameroon |
title_fullStr | Socio-demographic factors influencing the ownership and utilization of insecticide-treated bed nets among malaria vulnerable groups in the Buea Health District, Cameroon |
title_full_unstemmed | Socio-demographic factors influencing the ownership and utilization of insecticide-treated bed nets among malaria vulnerable groups in the Buea Health District, Cameroon |
title_short | Socio-demographic factors influencing the ownership and utilization of insecticide-treated bed nets among malaria vulnerable groups in the Buea Health District, Cameroon |
title_sort | socio-demographic factors influencing the ownership and utilization of insecticide-treated bed nets among malaria vulnerable groups in the buea health district, cameroon |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4167508/ https://www.ncbi.nlm.nih.gov/pubmed/25204352 http://dx.doi.org/10.1186/1756-0500-7-624 |
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