Assessing health-seeking behaviour and malaria prevention practices among communities in four districts of the Volta Region of Ghana
Abstract Background Malaria is a preventable disease that causes huge morbidity and mortality in malaria-endemic areas, especially among children and pregnant women. The malaria control programme focuses on the prevention of mosquito bites using insecticide-treated nets (ITNs) and mosquito aerosol s...
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oai:doaj.org-article:b13d6a6e760843daacfc8b0662bc60212021-11-28T12:30:49ZAssessing health-seeking behaviour and malaria prevention practices among communities in four districts of the Volta Region of Ghana10.1186/s12936-021-03986-71475-2875https://doaj.org/article/b13d6a6e760843daacfc8b0662bc60212021-11-01T00:00:00Zhttps://doi.org/10.1186/s12936-021-03986-7https://doaj.org/toc/1475-2875Abstract Background Malaria is a preventable disease that causes huge morbidity and mortality in malaria-endemic areas, especially among children and pregnant women. The malaria control programme focuses on the prevention of mosquito bites using insecticide-treated nets (ITNs) and mosquito aerosol sprays and coils, as well as prevention of severe disease among those infected through prompt and adequate treatment. The success of the malaria control programme in Ghana is dependent on the malaria prevention practices of people in the community. Therefore, this study evaluated the malaria prevention practices of participants in four districts of the Volta Region of Ghana. Methods This was a cross-sectional study conducted in Ketu South, Nkwanta South, Hohoe Municipality and Ho West districts of the Volta Region of Ghana. Questionnaire were administered to adults who consented to each household visited. Questions were asked on the socio-demographics and malaria prevention practices of the households. Data analysis was done using SPSS version 23 with frequency distribution done for all the variables. Pearson chi-square was used to determine the significant association between socio-demographics and malaria prevention practices, and Multivariate nominal logistic regression analysis was used to model the relationship between dichotomous dependent variables (ITN ownership and usage) and independent variables. Results Out of the 2493 participants; 2234 (89.6%) owned ITN and 1528 (68.4%) used ITN a night before this study, 768 (30.8%) used mosquito aerosol spray and 368 (15%) used mosquito coil. More females significantly owned ITN than males (1293, 92.4%, p ≤ 0.001). Participants from Ketu South had 1.5 times higher odds of owning an ITN compared to Ho West whose odds are not different from Nkwanta South or Hohoe (AOR, 1.56 [95% 1.09–2.22]; p = 0.01). In terms of ITN usage, participants in Nkwanta South were less likely to use ITN compared to the other districts; AOR, 0.434 [95% CI 0.31–0.62, p < 0.001]. Also, of the 668 participants that had a fever within the past 3 days, 268 (40.1%) visited a patent medicine store and 156 (23.4%) visited health facilities. Conclusion There is high ownership of ITNs, but relatively low utilization among the community members. Education on malaria prevention practices should be intensified and continuous among the population of the Volta Region to ensure the success of malaria control in the region.Verner N. OrishRaymond Saa-Eru MaalmanOtchere Y. DonkorBarbara Yordanis Henandez CeruantesEric OseiHubert AmuPrince Kubi AppiahKennedy Diema KonlanHadiru MumuniEunji KimSiwoo KimHajun JungJones Ofori-AmoahPhilip KofieMartin AdjuikRobert Kaba AlhassanErnestina Safoa DonkorFrancis Bruno ZottorMargaret KwekuPaul AmunaSo Yoo KimJohn Owusu Gyapongthe UHAS-Yonsei Project TeamBMCarticleMalariaInsecticide treated nets (ITNs)Malaria preventionControlSub-Saharan AfricaGhanaArctic medicine. Tropical medicineRC955-962Infectious and parasitic diseasesRC109-216ENMalaria Journal, Vol 20, Iss 1, Pp 1-13 (2021) |
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Malaria Insecticide treated nets (ITNs) Malaria prevention Control Sub-Saharan Africa Ghana Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Malaria Insecticide treated nets (ITNs) Malaria prevention Control Sub-Saharan Africa Ghana Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Verner N. Orish Raymond Saa-Eru Maalman Otchere Y. Donkor Barbara Yordanis Henandez Ceruantes Eric Osei Hubert Amu Prince Kubi Appiah Kennedy Diema Konlan Hadiru Mumuni Eunji Kim Siwoo Kim Hajun Jung Jones Ofori-Amoah Philip Kofie Martin Adjuik Robert Kaba Alhassan Ernestina Safoa Donkor Francis Bruno Zottor Margaret Kweku Paul Amuna So Yoo Kim John Owusu Gyapong the UHAS-Yonsei Project Team Assessing health-seeking behaviour and malaria prevention practices among communities in four districts of the Volta Region of Ghana |
description |
Abstract Background Malaria is a preventable disease that causes huge morbidity and mortality in malaria-endemic areas, especially among children and pregnant women. The malaria control programme focuses on the prevention of mosquito bites using insecticide-treated nets (ITNs) and mosquito aerosol sprays and coils, as well as prevention of severe disease among those infected through prompt and adequate treatment. The success of the malaria control programme in Ghana is dependent on the malaria prevention practices of people in the community. Therefore, this study evaluated the malaria prevention practices of participants in four districts of the Volta Region of Ghana. Methods This was a cross-sectional study conducted in Ketu South, Nkwanta South, Hohoe Municipality and Ho West districts of the Volta Region of Ghana. Questionnaire were administered to adults who consented to each household visited. Questions were asked on the socio-demographics and malaria prevention practices of the households. Data analysis was done using SPSS version 23 with frequency distribution done for all the variables. Pearson chi-square was used to determine the significant association between socio-demographics and malaria prevention practices, and Multivariate nominal logistic regression analysis was used to model the relationship between dichotomous dependent variables (ITN ownership and usage) and independent variables. Results Out of the 2493 participants; 2234 (89.6%) owned ITN and 1528 (68.4%) used ITN a night before this study, 768 (30.8%) used mosquito aerosol spray and 368 (15%) used mosquito coil. More females significantly owned ITN than males (1293, 92.4%, p ≤ 0.001). Participants from Ketu South had 1.5 times higher odds of owning an ITN compared to Ho West whose odds are not different from Nkwanta South or Hohoe (AOR, 1.56 [95% 1.09–2.22]; p = 0.01). In terms of ITN usage, participants in Nkwanta South were less likely to use ITN compared to the other districts; AOR, 0.434 [95% CI 0.31–0.62, p < 0.001]. Also, of the 668 participants that had a fever within the past 3 days, 268 (40.1%) visited a patent medicine store and 156 (23.4%) visited health facilities. Conclusion There is high ownership of ITNs, but relatively low utilization among the community members. Education on malaria prevention practices should be intensified and continuous among the population of the Volta Region to ensure the success of malaria control in the region. |
format |
article |
author |
Verner N. Orish Raymond Saa-Eru Maalman Otchere Y. Donkor Barbara Yordanis Henandez Ceruantes Eric Osei Hubert Amu Prince Kubi Appiah Kennedy Diema Konlan Hadiru Mumuni Eunji Kim Siwoo Kim Hajun Jung Jones Ofori-Amoah Philip Kofie Martin Adjuik Robert Kaba Alhassan Ernestina Safoa Donkor Francis Bruno Zottor Margaret Kweku Paul Amuna So Yoo Kim John Owusu Gyapong the UHAS-Yonsei Project Team |
author_facet |
Verner N. Orish Raymond Saa-Eru Maalman Otchere Y. Donkor Barbara Yordanis Henandez Ceruantes Eric Osei Hubert Amu Prince Kubi Appiah Kennedy Diema Konlan Hadiru Mumuni Eunji Kim Siwoo Kim Hajun Jung Jones Ofori-Amoah Philip Kofie Martin Adjuik Robert Kaba Alhassan Ernestina Safoa Donkor Francis Bruno Zottor Margaret Kweku Paul Amuna So Yoo Kim John Owusu Gyapong the UHAS-Yonsei Project Team |
author_sort |
Verner N. Orish |
title |
Assessing health-seeking behaviour and malaria prevention practices among communities in four districts of the Volta Region of Ghana |
title_short |
Assessing health-seeking behaviour and malaria prevention practices among communities in four districts of the Volta Region of Ghana |
title_full |
Assessing health-seeking behaviour and malaria prevention practices among communities in four districts of the Volta Region of Ghana |
title_fullStr |
Assessing health-seeking behaviour and malaria prevention practices among communities in four districts of the Volta Region of Ghana |
title_full_unstemmed |
Assessing health-seeking behaviour and malaria prevention practices among communities in four districts of the Volta Region of Ghana |
title_sort |
assessing health-seeking behaviour and malaria prevention practices among communities in four districts of the volta region of ghana |
publisher |
BMC |
publishDate |
2021 |
url |
https://doaj.org/article/b13d6a6e760843daacfc8b0662bc6021 |
work_keys_str_mv |
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