Prevalence and determinants of insecticide-treated net ownership among women of reproductive age in Nigeria: a mixed-effect insight from the 2021 malaria indicator survey.
Oluwakemi Christie Ogidan, Chimezie Igwegbe Nzoputam, Amadou Barrow, Michael Ekholuenetale
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引用次数: 0
Abstract
Background: Malaria continues to be a significant public health issue in Nigeria, which bears the highest burden of the disease globally. This study examined the prevalence and determinants of insecticide-treated net (ITN) ownership among women of reproductive age in Nigeria.
Methods: The individual woman questionnaire data from the 2021 Nigeria Malaria Indicator Survey (NMIS) was used. In total, 14,476 women of reproductive age (15-49 years) made up the study's sample that was analysed. The outcome variable in the study was ITN ownership. Percentage and multivariable multilevel binary logistic regression model were estimated at p < 0.05.
Results: The weighted prevalence of ITN ownership was 62.6% (95% CI 60.6-64.7%). Women aged 25-34 and 35-49 had 12% (aOR = 0.88; 95% CI 0.78-0.98) and 16% (aOR = 0.84; 95% CI 0.74-0.97) reduction in ITN ownership, when compared with women aged 15-24 years. Women who had 1-2 (aOR = 1.13; 95% CI 1.00-1.28), 3-4 (aOR = 1.28; 95% CI 1.11-1.46) and 5 and above living children (aOR = 1.35; 95% CI 1.15-1.58), had higher odds of ITN ownership when compared with those with no living child respectively. Women from non-poor households had higher odds of ITN ownership, when compared with their poor counterparts (aOR = 1.30; 95% CI 1.14-1.49). Women from North East (aOR = 4.52; 95% CI 3.08-6.63) and North West (aOR = 4.18; 95% CI 2.90-6.01) had higher odds of ITN ownership, while those from South East (aOR = 0.40; 95% CI 0.26-0.62) and South South (aOR = 0.59; 95% CI 0.41-0.85) had reductions in the odds of ITN ownership, when compared with women from North Central respectively.
Conclusion: Approximately two-third of Nigerian women reported ITN ownership. This underscore the need for targeted interventions to address barriers and improve ITN access. While free ITN distribution programmes have been effective, socioeconomic and demographic factors have remained contributory to ITN access. Enhanced strategies should focus on equitable distribution and improved access to ITN among groups to achieve better malaria control outcomes in Nigeria.
背景：疟疾在尼日利亚仍然是一个重大的公共卫生问题，尼日利亚是全球疟疾负担最重的国家。本研究调查了尼日利亚育龄妇女拥有驱虫蚊帐的流行情况和决定因素。方法：使用2021年尼日利亚疟疾指标调查（NMIS）女性个体问卷数据。研究分析了14476名育龄妇女（15-49岁）的样本。研究的结果变量是ITN所有权。结果：ITN拥有率加权患病率为62.6% （95% CI为60.6-64.7%）。25-34岁和35-49岁女性为12% (aOR = 0.88；95% CI 0.78-0.98)和16% (aOR = 0.84；95% CI 0.74-0.97)与15-24岁女性相比，ITN拥有率降低。1-2例(aOR = 1.13；95% CI 1.00-1.28), 3-4 (aOR = 1.28；95% CI 1.11-1.46)和5岁及以上存活儿童(aOR = 1.35；（95% CI 1.15-1.58），与没有子女的妇女相比，她们拥有ITN的几率更高。与贫困家庭的妇女相比，来自非贫困家庭的妇女拥有个人蚊帐的几率更高(aOR = 1.30；95% ci 1.14-1.49)。来自东北部的女性(aOR = 4.52；95% CI 3.08-6.63)和North West (aOR = 4.18；95% CI 2.90-6.01)的患者拥有ITN的几率更高，而来自东南部的患者(aOR = 0.40；95% CI 0.26-0.62)和South South (aOR = 0.59；（95% CI 0.41-0.85）分别与来自中北部的女性相比，拥有ITN的几率降低。结论：大约三分之二的尼日利亚妇女报告拥有ITN。这突出表明需要采取有针对性的干预措施，以消除障碍并改善获得ITN的机会。虽然免费分发蚊帐方案是有效的，但社会经济和人口因素仍然有助于获得蚊帐。加强的战略应侧重于公平分配和改善各群体获得驱虫蚊帐的机会，以便在尼日利亚取得更好的疟疾控制成果。
期刊介绍：
Malaria Journal is aimed at the scientific community interested in malaria in its broadest sense. It is the only journal that publishes exclusively articles on malaria and, as such, it aims to bring together knowledge from the different specialities involved in this very broad discipline, from the bench to the bedside and to the field.
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