Determinants of utilization of insecticide-treated nets for malaria prevention among children under five years of age in Ghana: A secondary analysis of the National Malaria Indicator Survey Data 2016
Abstract: Background: Insecticide-treated nets (ITNs) are one of the most effective prevention measures against malaria. Malaria is highly endemic in Ghana. The country implemented mass distribution campaigns of ITNs to cover 80% to 95% of the population but the rate of ITNs use among children under 5 years was 52%, which was lower than the universal coverage target of 100%. Objective: The objective of this study was to identify the socio-demographic factors associated with ITNs utilization among children under 5 years in Ghana. Methods: This was a secondary analysis from cross-sectional data of 3,029 children under five years obtained from Ghana Malaria Indicator Survey 2016. Logistic regression analysis was done to identify the determinants of ITNs utilization among children under 5 years in Ghana. Results: Size of the household, number of children ≤5 years old in the household, household wealth index, education level of mother, knowledge of mother on the protection of mosquito nets, place of residence, and region of residence were found to be significantly associated with ITNs utilization in children under 5 years. Conclusion: More interventions are needed to promote the use of ITNs to protect children against malaria. Interventions should focus on households with more than 7 members, households with more than 3 childrens ≤5 years, and on promoting girl’s education.
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