Ownership and usage of insecticide-treated nets in Ghana: a scoping review of facilitators and barriers.

Journal: Malaria journal

Volume: 23

Issue: 1

Year of Publication: 2024

Affiliated Institutions:  Department of Public Health, School of Nursing and Midwifery, College of Health and Allied Science, University of Cape Coast, Cape Coast, Ghana. Department of Adult Health, School of Nursing and Midwifery, College of Health and Allied Science, University of Cape Coast, Cape Coast, Ghana. Department of Maternal and Child Health, School of Nursing and Midwifery, College of Health and Allied Science, University of Cape Coast, Cape Coast, Ghana. Department of Mental Health, School of Nursing and Midwifery, College of Health and Allied Science, University of Cape Coast, Cape Coast, Ghana. Department of Maternal and Child Health, School of Nursing and Midwifery, College of Health and Allied Science, University of Cape Coast, Cape Coast, Ghana. gifty.owusu@ucc.edu.gh. Department of Education and Psychology, Faculty of Educational Foundations, College of Education Studies, University of Cape Coast, Cape Coast, Ghana. Department of Health, Education and Recreation, College of Education Studies, University of Cape Coast, Cape Coast, Ghana. Biomedical and Clinical Research Centre, College of Health and Allied Science, University of Cape Coast, Cape Coast, Ghana.

Abstract summary 

Insecticide-treated nets (ITNs) are pivotal tools for malaria prevention in endemic regions like Ghana. Understanding the protective factors and barriers influencing ITN ownership and usage is crucial for designing effective interventions. A scoping review was conducted to identify studies exploring protective factors and barriers related to ITN ownership and usage.This review followed the guidelines by Askey and O'Malley. Search was done in four major databases including PubMed, Science Direct, PubMed CENTRAL, and JSTOR. Additional searches were done in Google Scholar and Google. Peer-reviewed and grey literature were included.A total of 24 papers met the eligibility criteria and were included in the review. Included studies found regional disparities in ITN ownership and usage. Furthermore, included studies reported ownership rates between 97.8 and 28% and usage rates between 94 and 20%. Protective factors facilitating ITN ownership were marital status, higher educational attainment, higher income levels, and being aged 25 years or older. In contrast, the factors for its use included community-level campaigns advocating for ITN use and awareness, individuals with secondary education or higher and those residing in urban areas. Missed opportunities in free distribution exercises and the unavailability of subsidized ITNs at health facilities were barriers to ownership.Understanding and addressing protective factors and barriers influencing ITN ownership and usage are crucial for enhancing malaria prevention strategies and achieving sustainable progress in combating malaria in endemic areas. Collaborative and evidence-based interventions are essential for addressing these challenges effectively.

Authors & Co-authors:  Doe Patience Fakornam PF Druye Andrews Adjei AA Azu Theodora Dedo TD Boso Christian Makafui CM Commey Isaac Tetteh IT Agyare Dorcas Frempomaa DF Agyeiwaa Joyce J Berchie Gifty Osei GO Opoku-Danso Rita R Owusu Gifty G Yeboa Naomi Kyeremaa NK Dzah Seth Selassie SS Davis Anita Efua AE Ofori Godson Obeng GO Akoto-Buabeng William W Odonkor Frank Offei FO Alhassan Amidu A Gyan Thomas Boateng TB Okantey Christiana C Ninnoni Jerry Paul JP Aboh Irene Korkoi IK Abraham Susanna Aba SA Amoadu Mustapha M

Study Outcome 

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Statistics
Citations :  Sarfo JO, Amoadu M, Kordorwu PY, Adams AK, Gyan TB, Osman AG, et al. Malaria amongst children under five in sub-Saharan Africa: a scoping review of prevalence, risk factors and preventive interventions. Eur J Med Res. 2023;28:80.
Authors :  23
Identifiers
Doi : 10.1186/s12936-024-05072-0
SSN : 1475-2875
Study Population
Male,Female
Mesh Terms
Ghana
Other Terms
Ghana;Insecticide treated net;Ownership;Scoping review;Utilisation
Study Design
Study Approach
Country of Study
Ghana
Publication Country
England