AI Article Synopsis
- Insecticide-treated bed nets (ITNs) are highly effective against malaria but have low usage rates among mothers in Gabon due to socio-economic factors.
- A study involving 397 mothers found that factors like living arrangements, sanitation facilities, and economic status negatively impacted bed net usage but positively influenced their maintenance condition.
- To increase ITN use in Lambaréné, targeted education and marketing strategies are essential, as poorer families tend to have more untreated nets that are often in poor condition.
Article Abstract
Background: Insecticide-treated bed nets (ITNs) range among the most effective measures of malaria prophylaxis, yet their implementation level in sub-Saharan Africa is still low. The goal of this study was to investigate the influence of socio-economic factors on the use of bed nets by mothers in Gabon.
Methods: A cross-sectional study was conducted completing pre-tested, interviewer-administered questionnaires exploring socioeconomic proxy measures with 397 mothers or guardians of young children. Respondents were grouped according to their socio-economic situation, using scores. The condition of the bed nets was evaluated during a home visit.
Results: Socio-economic factors of wellbeing were negatively associated with bed net use, such as living in a stone house (OR 0.26, 95% CI 0.14-0.48), running water in the house (OR 0.44, 95% CI 0.21-0.92), shower/flush toilet in the house (OR 0.39/0.34, 95% CI 0.21-0.75/0.16-0.73), ownership of a freezer (OR 0.50, 95% CI 0.26-0.96) and belonging to the highest group in the economic score (OR 0.32, 95% CI 0.15-0.67). In contrast, similar factors were positively associated with a good maintenance condition of the bed nets: higher monthly income (OR 5.64, 95% CI 2.41-13.19) and belonging to the highest group in the economic score (OR 2.55, 95% CI 1.19 - 5.45).
Conclusion: Among the poorest families in Lambaréné the coverage with untreated nets (UTNs) is the highest, but the condition of these UTNs is the worst. To achieve a broad implementation of ITNs in Lambaréné, there is an urgent need for educational programmes as well as need-tailored marketing strategies for ITNs.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2358918 | PMC |
| http://dx.doi.org/10.1186/1475-2875-7-60 | DOI Listing |
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