Connecting-Africa | Find publications

Advanced search

Find:


Title Socio-demographic and economic inequity in the use of insecticide-treated bed nets during pregnancy: a survey-based case study of four sub-Saharan African countries with a high burden of malaria.
Full text https://escholarship.org/uc/item/3sr819gc
Date 2023
Author(s) Haileselassie, Werissaw; Adam, Ruth; Habtemichael, Mizan; David, Randy E; Solomon, Nabel; Workineh, Salle; Haider, Jemal; Belachew, Ayele; Deressa, Wakgari; Yan, Guiyun; Kassaw, Nigussie Assefa; Parker, Daniel M
Abstract Despite global investments in malaria eradication and mitigation efforts, including the dissemination of ITNs to vulnerable communities, the goal of widespread malaria control among pregnant women has yet to be realized in many African countries. One of the explanations forwarded for this is related to the adoption and regular use of ITNs by pregnant women. Based on the available DHS and MIS data from four malaria high burden African countries- according to WHO malaria report 2020- inequality was measured by applying both relative and absolute summary measures for the four dimensions of inequality: economic status, education, place of residence and region. By considering the number of subgroups in each variable, simple and complex summary measures were used.ITN utilization by pregnant women showed an increasing trend over time in all the four countries. There was also significant inequality (variability) in the ITN utilization among population groups. DRC, Mozambique and Uganda showed noticeable inequality that favors the richest population, whereas in Nigeria the inequality was observed among both the rich and the poor during different survey yearsIn conclusion, in all the four countries, there were significant regional variations or differences in ITN use among pregnant mothers across all dimensions of inequality in the survey years. Tailored cost-effective interventions could be considered to improve ITN utilization among pregnant women.
Subject(s) Equity; ITN; Malaria; Sub-Saharan Africa; Prevention; Clinical Research; Rare Diseases; Pediatric; Vector-Borne Diseases; Infection; Good Health and Well Being; Reduced Inequalities; Public Health and Health Services; Public Health
Coverage 64
Publisher eScholarship, University of California
Type of publication article
Format application/pdf
Source Archives of public health = Archives belges de sante publique, vol 81, iss 1
Rights public
Identifier qt3sr819gc
Repository Berkeley - University of California
Added to C-A: 2023-09-13;10:22:19