DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20170280

Barriers to sustained use of the insecticide treated bed net in the upper east region of Ghana

Konlan Kennedy Diema, Konlan Kennedy Dodam, Millicent Aarah-Bapuah, Abdulai Juliana Asibi

Abstract


Background: Barriers to sustainable use of the insecticide treated bed nets are responsible for the high incidence of malaria with a concomitant burden on the health delivery system in Ghana. The ITN has proven to be one of the most cost effective means of preventing malaria. This study identified the barriers to the sustainable use of the insecticide treated bed nets in the upper east region.

Methods: This was a mixed cross sectional descriptive study that used data from household representatives and interviews with malaria control officers in three randomly selected districts of the region.

Results: The study identified that apart from sleeping under the ITN and using it as window curtains and provision of warmth during cold weathers, the ITN is put in to other uses like nursing of seedlings, protecting chickens, fishing and fencing of animal pens. Major barriers to sustained use of the ITN included over complacency and the influence of male dominance. Cost of ITN, room shape and size, design of the ITN were identified as minor barriers to the use of the ITN.  

Conclusions: Health care practitioners, social environmental officers and preventive health care services providers should use behavior change communication methods in curtailing most of these barriers to the sustainable use of the ITN.

Keywords


Endemic, Insecticide treated bed net, Malaria, Usage

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References


President’s malaria initiative. https://www.pmi.gov/. 2009.

Baird JK, Agyei SO, Utz GC, Koram K, Barcus MJ, Jones TR, et al. Seasonal Malaria Attack Rates in Infants and Young Children In Northern Ghana. The American Society of Tropical Medicine and Hygiene. 2002;280-6.

Toe LP, Ole S, Kounbobr RD, Abdoulaye D, Yveline D, Tinga RG, et al. Decreased motivation in the use of insecticide treated nets in a malaria endemic area in Burkina Faso. Malaria J. 2009; 8:175.

Gyapong M, Gyapong JO, Amankwa J, Asedem J, Sory K. (june 1996). Introducing insecticide impregnated bednets in an area of low bednet usage: an exploratory study in north-east Ghana. Tropical Medicine and Int Health. 1996;1(3):328-33.

Pulford J, Hetzel MW, Bryant M, Siba PM, Mueller, I. (2011). Reported reasons for not using a mosquito net when one is available: a review of published literature. Malaria J. 2011;10:83.

Chukwuocha UM, Dozie IS, Onwuliri CE, Ukaga, CN, Nwoke BB, Nwankwo BO, et al. Perceptions on the use of insecticide treated nets in parts of imo river basin, nigeria: implications for preventing malaria in pregnancy. Afr J Reprod Health. 2010;14(1):117-28.

Ghana Health Service. Annual Report. http://www.ghanahealthservice.org/ghs-item-details.php?cid=5&scid=52&iid=89.

Ghana Statistical Service. The 2010 Population and Housing Census. Statistical Service. 2012.

Noboru M, Gabriel DO, Corge OS, Kyoko F, Satoshi K. (August 2008). Unforeseen misusess of bed nets in fishing villages along Lake Victoria. Bio Med central. 2008;7:165

Andrew LA, Brett SA, Angelina AJ, Annelies WS. An Exploratory study of treated be nets in Timor-leste: partterns of intended and alternative usage. malaria journal. Malaria J. 2011;10:199.

Aikins MK, Pickering H, Greenwood BM. (1994). Attitudes to malaria, traditional practices and bed nets (mosquito nets) as vector control measures: a comparative study in five West African countries. J Trop Med Hyg. 1994;97(2):81-6.

WHO Global Malaria Programme, Surveillance, Monitoring and Evaluation Unit, (January 2008): impact of long lasting insecticide- treated nets (LLIN) and artemisinin-based combination therapies (ACTs) measured using surveillance data, in four African countries.