“People will say that I am proud”: a qualitative study of barriers to bed net use away from home in four Ugandan districts

Malaria Journal

Research

Dana Loll¹  Rachel Weber¹  Steven A Harvey²  April Monroe²  Yukyan Lam²  Denis Muhangi³  Asaph Turinde Kabali⁴ 

[1] Johns Hopkins Bloomberg School of Public Health Center for Communication Programs, 111 Market Place, Suite 310, 21202, Baltimore, MD, USA;Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, 21205, Baltimore, MD, USA;Makerere University, School of Social Sciences, P.O. Box 7062, Kampala, Uganda;Team Initiatives Ltd, P.O. Box 3963, Teachers House, Plot 28/30 Bombo Road, Kampala, Uganda;

关键词: Malaria;    Insecticide-Treated Bednet;    Sleeping outdoors;    Barriers;    Net use;    Qualitative research;    Funerals;    Conflict;    Uganda;   

DOI  :  10.1186/1475-2875-13-82

 received in 2013-12-12, accepted in 2014-02-24,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundDespite increased access and ownership, barriers to insecticide-treated bed net (ITN) use persist. While barriers within the home have been well documented, the challenges to net use when sleeping away from home remain relatively unexplored. This study examines common situations in which people sleep away from home and the barriers to ITN use in those situations.MethodsTo explore these issues, a group of researchers conducted 28 in-depth interviews and four focus groups amongst adults from net-owning households in four Ugandan districts.ResultsIn addition to sleeping outside during hot season, participants identified social events, livelihood activities, and times of difficulty as circumstances in which large numbers of people sleep away from home. Associated challenges to ITN use included social barriers such as fear of appearing proud, logistical barriers such as not having a place to hang a net, and resource limitations such as not having an extra net with which to travel. Social disapproval emerged as an important barrier to ITN use in public settings.ConclusionsUnique barriers to ITN use exist when people spend the night away from home. It is essential to identify and address these barriers in order to reduce malaria exposure in such situations. For events like funerals or religious “crusades” where large numbers of people sleep away from home, alternative approaches, such as spatial repellents may be more appropriate than ITNs. Additional research is required to identify the acceptability and feasibility of alternative prevention strategies in situations where ITNs are unlikely to be effective.

【 授权许可】

Unknown   
© Monroe et al.; licensee BioMed Central Ltd. 2014. 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 credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.