Geopolitical zones differentials in intermittent preventive treatment in pregnancy (IPTp) and long lasting insecticidal nets (LLIN) utilization in Nigeria.

<h4>Background</h4>The coverage of long lasting insecticidal nets (LLIN) and intermittent preventive treatment of malaria in pregnancy (IPTp) uptake for the prevention of malaria commonly vary by geography. Many sub-Saharan Africa (SSA) countries, including Nigeria are adopting the use o...

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Autores principales:	Chinedu Chukwu, Herbert Onuoha, Kwala Adline Katty Okorafor, Oluwaseun Ojomo, Olugbenga A Mokuolu, Michael Ekholuenetale
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/2dccf9510e06402b8c7d4bb0d72a92e3
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spelling	oai:doaj.org-article:2dccf9510e06402b8c7d4bb0d72a92e32021-12-02T20:09:10ZGeopolitical zones differentials in intermittent preventive treatment in pregnancy (IPTp) and long lasting insecticidal nets (LLIN) utilization in Nigeria.1932-620310.1371/journal.pone.0254475https://doaj.org/article/2dccf9510e06402b8c7d4bb0d72a92e32021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254475https://doaj.org/toc/1932-6203<h4>Background</h4>The coverage of long lasting insecticidal nets (LLIN) and intermittent preventive treatment of malaria in pregnancy (IPTp) uptake for the prevention of malaria commonly vary by geography. Many sub-Saharan Africa (SSA) countries, including Nigeria are adopting the use of LLIN and IPTp to fight malaria. Albeit, the coverage of these interventions to prevent malaria across geographical divisions have been understudied in many countries. In this study, we aimed to explore the differentials in LLIN and IPTp uptake across Nigerian geopolitical zones.<h4>Methods</h4>We analyzed data from Nigeria Multiple Indicator Cluster Survey (MICS) 2016-17. The outcome variables were IPTp and LLIN uptake among women of childbearing age (15-49 years). A total sample of 24,344 women who had given birth were examined for IPTp use and 36,176 women for LLIN use. Percentages, Chi-square test and multivariable logit models plots were used to examine the geopolitical zones differentials in IPTp and LLIN utilization. Data was analyzed at 5% level of significance.<h4>Results</h4>The overall prevalence of IPTp was 76.0% in Nigeria. Moreover, there were differences across geopolitical zones: North Central (71.3%), North East (76.9%), North West (78.2%), South East (76.1%), South South (79.7%) and South West (72.4%) respectively. Furthermore, the prevalence of LLIN was 87.7%% in Nigeria. Also, there were differences across geopolitical zones: North Central (89.1%), North East (91.8%), North West (90.0%), South East (77.3%), South South (81.1%) and South West (69.8%) respectively. Women who have access to media use, married, educated and non-poor were more likely to uptake IPTp. On the other hand, rural dwellers and those with media use were more likely to use LLIN. Conversely, married, educated, non-poor and women aged 25-34 and 35+ were less likely to use LLIN.<h4>Conclusion</h4>Though the utilization of IPTp and LLIN was relatively high, full coverage are yet to be achieved. There was geopolitical zones differentials in the prevalence of IPTp and LLIN in Nigeria. Promoting the utilization of IPTp and LLINs across the six geopolitical zones through intensive health education and widespread mass media campaigns will help to achieve the full scale IPTp and LLIN utilization.Chinedu ChukwuHerbert OnuohaKwala Adline Katty OkoraforOluwaseun OjomoOlugbenga A MokuoluMichael EkholuenetalePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254475 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Chinedu Chukwu Herbert Onuoha Kwala Adline Katty Okorafor Oluwaseun Ojomo Olugbenga A Mokuolu Michael Ekholuenetale Geopolitical zones differentials in intermittent preventive treatment in pregnancy (IPTp) and long lasting insecticidal nets (LLIN) utilization in Nigeria.
description	<h4>Background</h4>The coverage of long lasting insecticidal nets (LLIN) and intermittent preventive treatment of malaria in pregnancy (IPTp) uptake for the prevention of malaria commonly vary by geography. Many sub-Saharan Africa (SSA) countries, including Nigeria are adopting the use of LLIN and IPTp to fight malaria. Albeit, the coverage of these interventions to prevent malaria across geographical divisions have been understudied in many countries. In this study, we aimed to explore the differentials in LLIN and IPTp uptake across Nigerian geopolitical zones.<h4>Methods</h4>We analyzed data from Nigeria Multiple Indicator Cluster Survey (MICS) 2016-17. The outcome variables were IPTp and LLIN uptake among women of childbearing age (15-49 years). A total sample of 24,344 women who had given birth were examined for IPTp use and 36,176 women for LLIN use. Percentages, Chi-square test and multivariable logit models plots were used to examine the geopolitical zones differentials in IPTp and LLIN utilization. Data was analyzed at 5% level of significance.<h4>Results</h4>The overall prevalence of IPTp was 76.0% in Nigeria. Moreover, there were differences across geopolitical zones: North Central (71.3%), North East (76.9%), North West (78.2%), South East (76.1%), South South (79.7%) and South West (72.4%) respectively. Furthermore, the prevalence of LLIN was 87.7%% in Nigeria. Also, there were differences across geopolitical zones: North Central (89.1%), North East (91.8%), North West (90.0%), South East (77.3%), South South (81.1%) and South West (69.8%) respectively. Women who have access to media use, married, educated and non-poor were more likely to uptake IPTp. On the other hand, rural dwellers and those with media use were more likely to use LLIN. Conversely, married, educated, non-poor and women aged 25-34 and 35+ were less likely to use LLIN.<h4>Conclusion</h4>Though the utilization of IPTp and LLIN was relatively high, full coverage are yet to be achieved. There was geopolitical zones differentials in the prevalence of IPTp and LLIN in Nigeria. Promoting the utilization of IPTp and LLINs across the six geopolitical zones through intensive health education and widespread mass media campaigns will help to achieve the full scale IPTp and LLIN utilization.
format	article
author	Chinedu Chukwu Herbert Onuoha Kwala Adline Katty Okorafor Oluwaseun Ojomo Olugbenga A Mokuolu Michael Ekholuenetale
author_facet	Chinedu Chukwu Herbert Onuoha Kwala Adline Katty Okorafor Oluwaseun Ojomo Olugbenga A Mokuolu Michael Ekholuenetale
author_sort	Chinedu Chukwu
title	Geopolitical zones differentials in intermittent preventive treatment in pregnancy (IPTp) and long lasting insecticidal nets (LLIN) utilization in Nigeria.
title_short	Geopolitical zones differentials in intermittent preventive treatment in pregnancy (IPTp) and long lasting insecticidal nets (LLIN) utilization in Nigeria.
title_full	Geopolitical zones differentials in intermittent preventive treatment in pregnancy (IPTp) and long lasting insecticidal nets (LLIN) utilization in Nigeria.
title_fullStr	Geopolitical zones differentials in intermittent preventive treatment in pregnancy (IPTp) and long lasting insecticidal nets (LLIN) utilization in Nigeria.
title_full_unstemmed	Geopolitical zones differentials in intermittent preventive treatment in pregnancy (IPTp) and long lasting insecticidal nets (LLIN) utilization in Nigeria.
title_sort	geopolitical zones differentials in intermittent preventive treatment in pregnancy (iptp) and long lasting insecticidal nets (llin) utilization in nigeria.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/2dccf9510e06402b8c7d4bb0d72a92e3
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Geopolitical zones differentials in intermittent preventive treatment in pregnancy (IPTp) and long lasting insecticidal nets (LLIN) utilization in Nigeria.

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