Socio-demographic factors influencing the ownership and utilization of insecticide-treated bed nets among malaria vulnerable groups in the Buea Health District, CameroonReport as inadecuate




Socio-demographic factors influencing the ownership and utilization of insecticide-treated bed nets among malaria vulnerable groups in the Buea Health District, Cameroon - Download this document for free, or read online. Document in PDF available to download.

BMC Research Notes

, 7:624

Public Health

Abstract

BackgroundMalaria 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.

MethodsIn 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.

ResultsA 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.

ConclusionsUtilization of MBN needs to be encouraged to match ownership while free distribution of ITNs to vulnerable groups needs to be continuous and consistent.

KeywordsMalaria Prevention Bed nets Pregnant women Children Cameroon AbbreviationsANCAntenatal clinics

BHDBuea Health District

CRAsCommunity relay agents

CTUsCommunity treatment units

ITNsInsecticide-treated bed nets

LLINsLong lasting insecticide treated bed nets

MBNMosquito bed net

NMCPNational Malaria Control Program

RTURegional treatment units.

Electronic supplementary materialThe online version of this article doi:10.1186-1756-0500-7-624 contains supplementary material, which is available to authorized users.

Helen Kuokuo Kimbi, Sarah Bi Nkesa, Irene Ule Ngole Sumbele contributed equally to this work.

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Author: Helen Kuokuo Kimbi - Sarah Bi Nkesa - Judith Lum Ndamukong-Nyanga - Irene Ule Ngole Sumbele - Julius Atashili - Mary Bi

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