Who sleeps under bednets in Ghana? A doer/non-doer analysis of malaria prevention behaviours

<p>Abstract</p> <p>Background</p> <p>Malaria prevention programmes should be based in part on knowledge of why some individuals use bednets while others do not. This paper identifies factors and characteristics of women that affect bednet use among their children less t...

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Main Authors: Ivins Natasha, Gray Bobbi, Dearden Kirk, Crookston Benjamin, De La Cruz Natalie, Alder Stephen, Davis Robb
Format: Article
Language:English
Published: BMC 2006-07-01
Series:Malaria Journal
Online Access:http://www.malariajournal.com/content/5/1/61
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author Ivins Natasha
Gray Bobbi
Dearden Kirk
Crookston Benjamin
De La Cruz Natalie
Alder Stephen
Davis Robb
author_facet Ivins Natasha
Gray Bobbi
Dearden Kirk
Crookston Benjamin
De La Cruz Natalie
Alder Stephen
Davis Robb
author_sort Ivins Natasha
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Malaria prevention programmes should be based in part on knowledge of why some individuals use bednets while others do not. This paper identifies factors and characteristics of women that affect bednet use among their children less than five years of age in Ghana.</p> <p>Methods</p> <p>Data come from the baseline component of an evaluation of Freedom from Hunger's malaria curriculum. A quasi-experimental design was used to select clients (n = 516) of <it>Credit with Education </it>(an integrated package of microfinance and health education) and non-clients (n = 535). Chi-squares, Fisher's Exact tests and logistic regression were used to compare the characteristics of mothers whose children use bednets (doers) with those whose children do not (non-doers) and to identify factors associated with bednet use among children less than five years of age.</p> <p>Results</p> <p>The following factors were most closely associated with bednet use: region of residence; greater food security; and caregivers' beliefs about symptoms, causation and groups most vulnerable to malaria. Most respondents knew mosquitoes caused malaria; however, 20.6% of doers and 12.3% of non-doers (p = .0228) thought overworking oneself caused malaria. Ninety percent of doers and 77.0% of non-doers felt that sleeping under a net was protective against malaria (p = .0040). In addition, 16.5% of doers and 7.5% of non-doers (p = .0025) identified adult males as most vulnerable to malaria.</p> <p>Conclusion</p> <p>Greater knowledge about malaria does not always translate into improved bednet use. Though culturally-based ideas about malaria may vary between communities, integrating them into traditional health education messages may enhance the effectiveness of public health efforts.</p>
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spelling doaj.art-70d9d355f6654fdba113a6e836bd68062022-12-21T20:55:48ZengBMCMalaria Journal1475-28752006-07-01516110.1186/1475-2875-5-61Who sleeps under bednets in Ghana? A doer/non-doer analysis of malaria prevention behavioursIvins NatashaGray BobbiDearden KirkCrookston BenjaminDe La Cruz NatalieAlder StephenDavis Robb<p>Abstract</p> <p>Background</p> <p>Malaria prevention programmes should be based in part on knowledge of why some individuals use bednets while others do not. This paper identifies factors and characteristics of women that affect bednet use among their children less than five years of age in Ghana.</p> <p>Methods</p> <p>Data come from the baseline component of an evaluation of Freedom from Hunger's malaria curriculum. A quasi-experimental design was used to select clients (n = 516) of <it>Credit with Education </it>(an integrated package of microfinance and health education) and non-clients (n = 535). Chi-squares, Fisher's Exact tests and logistic regression were used to compare the characteristics of mothers whose children use bednets (doers) with those whose children do not (non-doers) and to identify factors associated with bednet use among children less than five years of age.</p> <p>Results</p> <p>The following factors were most closely associated with bednet use: region of residence; greater food security; and caregivers' beliefs about symptoms, causation and groups most vulnerable to malaria. Most respondents knew mosquitoes caused malaria; however, 20.6% of doers and 12.3% of non-doers (p = .0228) thought overworking oneself caused malaria. Ninety percent of doers and 77.0% of non-doers felt that sleeping under a net was protective against malaria (p = .0040). In addition, 16.5% of doers and 7.5% of non-doers (p = .0025) identified adult males as most vulnerable to malaria.</p> <p>Conclusion</p> <p>Greater knowledge about malaria does not always translate into improved bednet use. Though culturally-based ideas about malaria may vary between communities, integrating them into traditional health education messages may enhance the effectiveness of public health efforts.</p>http://www.malariajournal.com/content/5/1/61
spellingShingle Ivins Natasha
Gray Bobbi
Dearden Kirk
Crookston Benjamin
De La Cruz Natalie
Alder Stephen
Davis Robb
Who sleeps under bednets in Ghana? A doer/non-doer analysis of malaria prevention behaviours
Malaria Journal
title Who sleeps under bednets in Ghana? A doer/non-doer analysis of malaria prevention behaviours
title_full Who sleeps under bednets in Ghana? A doer/non-doer analysis of malaria prevention behaviours
title_fullStr Who sleeps under bednets in Ghana? A doer/non-doer analysis of malaria prevention behaviours
title_full_unstemmed Who sleeps under bednets in Ghana? A doer/non-doer analysis of malaria prevention behaviours
title_short Who sleeps under bednets in Ghana? A doer/non-doer analysis of malaria prevention behaviours
title_sort who sleeps under bednets in ghana a doer non doer analysis of malaria prevention behaviours
url http://www.malariajournal.com/content/5/1/61
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