Malaria knowledge and long-lasting insecticidal net use in rural communities of central Côte d'Ivoire

Malaria Journal

Research

Jürg Utzinger¹  Marcel Tanner¹  Giovanna Raso²  Constant VA Edi³  Allassane F Ouattara³  Benjamin G Koudou⁴  Mamadou Dagnogo⁵ 

[1] Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland;University of Basel, Basel, Switzerland;Département Environnement et Santé, Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, 01 BP 1303, Abidjan 01, Côte d'Ivoire;Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland;University of Basel, Basel, Switzerland;Département Environnement et Santé, Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, 01 BP 1303, Abidjan 01, Côte d'Ivoire;Laboratoire de Cytologie et de Biologie Animale, UFR Sciences de la Nature, Université d'Abobo-Adjamé, Abidjan, Côte d'Ivoire;Département Environnement et Santé, Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, 01 BP 1303, Abidjan 01, Côte d'Ivoire;Laboratoire de Cytologie et de Biologie Animale, UFR Sciences de la Nature, Université d'Abobo-Adjamé, Abidjan, Côte d'Ivoire;Vector Group, Liverpool School of Tropical Medicine, Liverpool, UK;Laboratoire de Cytologie et de Biologie Animale, UFR Sciences de la Nature, Université d'Abobo-Adjamé, Abidjan, Côte d'Ivoire;

关键词: Malaria;    Household Head;    Wealth Quintile;    National Malaria Control Programme;    Sulphadoxine Pyrimethamine;   

DOI  :  10.1186/1475-2875-10-288

 received in 2011-02-26, accepted in 2011-10-04,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundTo improve effectiveness of malaria control interventions, it is essential to deepen the knowledge of contextual factors that govern people's practice for preventive and curative measures. The aim of this study was to determine factors that influence the use of long-lasting insecticidal nets (LLINs) in three rural communities of Côte d'Ivoire, two of which benefited from recent interventions.MethodsThe study was carried out in 957 households in three villages (Bozi, N'Dakonankro and Yoho) located in central Côte d'Ivoire. Indicators of socioeconomic position (SEP), malaria knowledge and practice, placing special emphasis on LLINs, were investigated during a cross-sectional questionnaire survey. Principal component analysis was used to calculate the SEP of households by means of a list of household assets ownership. The concentration index was used to assess the direction of the association between SEP and a given variable. To compare groups or means, Fisher's exact test, χ2 and Kruskal-Wallis test were used, as appropriate.ResultsSignificant differences were found between SEP and reported malaria symptoms, such as fever or hot body, convulsion, anaemia and jaundice (yellow eyes). Individuals from the least poor group cited more often the use of bed nets and insecticide-treated nets (ITNs) compared to poorer groups. The mean number of individuals reporting the use of bed nets and LLINs was different between groups with different educational level. Moreover, the mean number of LLINs in a household was influenced by the presence of children below five years of age.ConclusionThe study not only confirmed that education and SEP play important roles in the prevention and control of malaria and promotion of health in general, but pointed at the basic essential knowledge and the key behavioural elements that should guide education and learning processes among the poorer segments of the population. In turn, such knowledge may change behaviour and lead to an increased utilization of LLINs.

【 授权许可】

Unknown   
© Ouattara et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.