Caregiver exposure to malaria social and behaviour change messages can improve bed net use among children in an endemic country: secondary analysis of the 2015 Nigeria Malaria Indicator Survey.


Journal

Malaria journal
ISSN: 1475-2875
Titre abrégé: Malar J
Pays: England
ID NLM: 101139802

Informations de publication

Date de publication:
06 Apr 2019
Historique:
received: 17 12 2018
accepted: 28 03 2019
entrez: 8 4 2019
pubmed: 8 4 2019
medline: 14 6 2019
Statut: epublish

Résumé

To reduce the malaria burden in Nigeria, the National Malaria Strategic Plan (NMSP) 2014‒2020 calls for the scale-up of prevention and treatment interventions, including social and behaviour change (SBC). SBC interventions can increase awareness and improve the demand for and uptake of malaria interventions. However, there is limited evidence supporting the implementation of SBC interventions to improve key malaria behaviours, such as insecticide-treated bed net (ITN) use, among children in Nigeria. Using data from 2015 Nigeria Malaria Indicator Survey, this study used multiple logistic regression to assess the relationship between caregiver exposure to malaria messages and ITN use among children under five. Caregiver exposure to ITN-related messages was significantly associated with ITN use among children under five (odds ratio [OR] = 1.63, p < 0.001). The results suggest that caregiver exposure to topic-specific SBC messages improves the use of ITNs among children. Given these results, Nigeria should strive to scale up SBC interventions to help increase ITN use among children in line with the objectives of the NMSP. Further evidence is needed to determine which SBC interventions are the most effective and scalable in Nigeria.

Sections du résumé

BACKGROUND BACKGROUND
To reduce the malaria burden in Nigeria, the National Malaria Strategic Plan (NMSP) 2014‒2020 calls for the scale-up of prevention and treatment interventions, including social and behaviour change (SBC). SBC interventions can increase awareness and improve the demand for and uptake of malaria interventions. However, there is limited evidence supporting the implementation of SBC interventions to improve key malaria behaviours, such as insecticide-treated bed net (ITN) use, among children in Nigeria.
METHODS METHODS
Using data from 2015 Nigeria Malaria Indicator Survey, this study used multiple logistic regression to assess the relationship between caregiver exposure to malaria messages and ITN use among children under five.
RESULTS RESULTS
Caregiver exposure to ITN-related messages was significantly associated with ITN use among children under five (odds ratio [OR] = 1.63, p < 0.001).
CONCLUSIONS CONCLUSIONS
The results suggest that caregiver exposure to topic-specific SBC messages improves the use of ITNs among children. Given these results, Nigeria should strive to scale up SBC interventions to help increase ITN use among children in line with the objectives of the NMSP. Further evidence is needed to determine which SBC interventions are the most effective and scalable in Nigeria.

Identifiants

pubmed: 30954073
doi: 10.1186/s12936-019-2750-x
pii: 10.1186/s12936-019-2750-x
pmc: PMC6451249
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

121

Subventions

Organisme : United States Agency for International Development
ID : AIDOAA-L-14-00004

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Auteurs

Kirsten Zalisk (K)

MEASURE Evaluation, ICF, 530 Gaither Road, Suite 500, Rockville, MD, 20850, USA. Kirsten.Zalisk@icf.com.

Samantha Herrera (S)

MEASURE Evaluation, ICF, 530 Gaither Road, Suite 500, Rockville, MD, 20850, USA.
Save the Children, 899 North Capitol Street NE #900, Washington, DC, 20002, USA.

Uwem Inyang (U)

President's Malaria Initiative/United States Agency for International Development, Plot 1075 Diplomatic Drive, Central District Area, Abuja, Nigeria.

Audu Bala Mohammed (AB)

National Malaria Elimination Programme, Federal Ministry of Health Nigeria, 1st Floor, Abia Plaza, 1 Avenue, Cadastral Zone A0, Central Business District, Abuja, Nigeria.

Perpetua Uhomoibhi (P)

National Malaria Elimination Programme, Federal Ministry of Health Nigeria, 1st Floor, Abia Plaza, 1 Avenue, Cadastral Zone A0, Central Business District, Abuja, Nigeria.

Yazoumé Yé (Y)

MEASURE Evaluation, ICF, 530 Gaither Road, Suite 500, Rockville, MD, 20850, USA.

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Classifications MeSH