Review of Determinants of Low Insecticide Treated Net Utilization and Interventions to Improve Utilization Among Under-Fives in Ghana: An In-depth Review

Dina Barffo; Roland Kuuzagr Nuotol; Raouf Alebshehy; Nura Musa Shuaib; Jato Denis Mbako

doi:doi:10.11648/j.cajph.20210701.11

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Review of Determinants of Low Insecticide Treated Net Utilization and Interventions to Improve Utilization Among Under-Fives in Ghana: An In-depth Review

Dina Barffo, Roland Kuuzagr Nuotol, Raouf Alebshehy, Nura Musa Shuaib, Jato Denis Mbako

Published in Central African Journal of Public Health (Volume 7, Issue 1)

Received: 9 October 2020 Accepted: 19 December 2020 Published: 12 January 2021

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Abstract

Malaria continues to be a public health challenge in Ghana, especially among children under five years. World Health Organization recommends 80% usage of insecticide treated nets as it is one of the most effectiveness means of preventing malaria. However, usage of insecticide treated nets is only 47% among this vulnerable group in Ghana, which is below the recommended rate. This in-depth review aims to explore factors contributing to low net utilization among under-fives in Ghana and analyze interventions that have improved utilization in countries of similar context and discuss their applicability in Ghana. This review was based on secondary data. Using a conceptual framework, factors leading to low net usage among under-fives and interventions that have proved to increase usage in other countries were obtained from databases such as Global Health, Medline, PubMed and Web of Science and websites of organisations such as Ministry of Health, Ghana Health Service, Ministry of Education and World Health Organization. A feasibility assessment tool was applied in analysing each intervention identified and appraised based on their feasibility in Ghana. Increasing age of a child, lack of mechanisms for monitoring net usage at home, large family size, negative perception and attitude towards its usage and lack of education on its correct usage emerged as factors contributing to low net usage among children under five in Ghana. Having analysed these factors, in addition to feasible interventions in addressing low usage, malaria stakeholders in Ghana need to evaluate these interventions to assess how appropriate and applicable they are in Ghana to increase net usage among under-fives.

Published in	Central African Journal of Public Health (Volume 7, Issue 1)
DOI	10.11648/j.cajph.20210701.11
Page(s)	1-10
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Malaria, Under-fives, Insecticide Treated Net, Utilization

References

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Dina Barffo, Roland Kuuzagr Nuotol, Raouf Alebshehy, Nura Musa Shuaib, Jato Denis Mbako. (2021). Review of Determinants of Low Insecticide Treated Net Utilization and Interventions to Improve Utilization Among Under-Fives in Ghana: An In-depth Review. Central African Journal of Public Health, 7(1), 1-10. https://doi.org/10.11648/j.cajph.20210701.11

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ACS Style

Dina Barffo; Roland Kuuzagr Nuotol; Raouf Alebshehy; Nura Musa Shuaib; Jato Denis Mbako. Review of Determinants of Low Insecticide Treated Net Utilization and Interventions to Improve Utilization Among Under-Fives in Ghana: An In-depth Review. Cent. Afr. J. Public Health 2021, 7(1), 1-10. doi: 10.11648/j.cajph.20210701.11

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AMA Style

Dina Barffo, Roland Kuuzagr Nuotol, Raouf Alebshehy, Nura Musa Shuaib, Jato Denis Mbako. Review of Determinants of Low Insecticide Treated Net Utilization and Interventions to Improve Utilization Among Under-Fives in Ghana: An In-depth Review. Cent Afr J Public Health. 2021;7(1):1-10. doi: 10.11648/j.cajph.20210701.11

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@article{10.11648/j.cajph.20210701.11,
  author = {Dina Barffo and Roland Kuuzagr Nuotol and Raouf Alebshehy and Nura Musa Shuaib and Jato Denis Mbako},
  title = {Review of Determinants of Low Insecticide Treated Net Utilization and Interventions to Improve Utilization Among Under-Fives in Ghana: An In-depth Review},
  journal = {Central African Journal of Public Health},
  volume = {7},
  number = {1},
  pages = {1-10},
  doi = {10.11648/j.cajph.20210701.11},
  url = {https://doi.org/10.11648/j.cajph.20210701.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20210701.11},
  abstract = {Malaria continues to be a public health challenge in Ghana, especially among children under five years. World Health Organization recommends 80% usage of insecticide treated nets as it is one of the most effectiveness means of preventing malaria. However, usage of insecticide treated nets is only 47% among this vulnerable group in Ghana, which is below the recommended rate. This in-depth review aims to explore factors contributing to low net utilization among under-fives in Ghana and analyze interventions that have improved utilization in countries of similar context and discuss their applicability in Ghana. This review was based on secondary data. Using a conceptual framework, factors leading to low net usage among under-fives and interventions that have proved to increase usage in other countries were obtained from databases such as Global Health, Medline, PubMed and Web of Science and websites of organisations such as Ministry of Health, Ghana Health Service, Ministry of Education and World Health Organization. A feasibility assessment tool was applied in analysing each intervention identified and appraised based on their feasibility in Ghana. Increasing age of a child, lack of mechanisms for monitoring net usage at home, large family size, negative perception and attitude towards its usage and lack of education on its correct usage emerged as factors contributing to low net usage among children under five in Ghana. Having analysed these factors, in addition to feasible interventions in addressing low usage, malaria stakeholders in Ghana need to evaluate these interventions to assess how appropriate and applicable they are in Ghana to increase net usage among under-fives.},
 year = {2021}
}

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TY  - JOUR
T1  - Review of Determinants of Low Insecticide Treated Net Utilization and Interventions to Improve Utilization Among Under-Fives in Ghana: An In-depth Review
AU  - Dina Barffo
AU  - Roland Kuuzagr Nuotol
AU  - Raouf Alebshehy
AU  - Nura Musa Shuaib
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PY  - 2021
N1  - https://doi.org/10.11648/j.cajph.20210701.11
DO  - 10.11648/j.cajph.20210701.11
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 1
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PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20210701.11
AB  - Malaria continues to be a public health challenge in Ghana, especially among children under five years. World Health Organization recommends 80% usage of insecticide treated nets as it is one of the most effectiveness means of preventing malaria. However, usage of insecticide treated nets is only 47% among this vulnerable group in Ghana, which is below the recommended rate. This in-depth review aims to explore factors contributing to low net utilization among under-fives in Ghana and analyze interventions that have improved utilization in countries of similar context and discuss their applicability in Ghana. This review was based on secondary data. Using a conceptual framework, factors leading to low net usage among under-fives and interventions that have proved to increase usage in other countries were obtained from databases such as Global Health, Medline, PubMed and Web of Science and websites of organisations such as Ministry of Health, Ghana Health Service, Ministry of Education and World Health Organization. A feasibility assessment tool was applied in analysing each intervention identified and appraised based on their feasibility in Ghana. Increasing age of a child, lack of mechanisms for monitoring net usage at home, large family size, negative perception and attitude towards its usage and lack of education on its correct usage emerged as factors contributing to low net usage among children under five in Ghana. Having analysed these factors, in addition to feasible interventions in addressing low usage, malaria stakeholders in Ghana need to evaluate these interventions to assess how appropriate and applicable they are in Ghana to increase net usage among under-fives.
VL  - 7
IS  - 1
ER  -

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Author Information

Dina Barffo

Department of Community Medicine, National Health Service, Epsom, United Kingdom
Roland Kuuzagr Nuotol

Department of Community Health, Kintampo College of Health, Kintampo, Ghana
Raouf Alebshehy

Department of Health, University of Bath, Bath, United Kingdom
Nura Musa Shuaib

Department of Public Health, Ministry of Health, Dutse, Nigeria
Jato Denis Mbako

Department of Health Care, Integrated Health for All Foundation, Yaounde, Cameroon

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Dina Barffo, Roland Kuuzagr Nuotol, Raouf Alebshehy, Nura Musa Shuaib, Jato Denis Mbako. (2021). Review of Determinants of Low Insecticide Treated Net Utilization and Interventions to Improve Utilization Among Under-Fives in Ghana: An In-depth Review. Central African Journal of Public Health, 7(1), 1-10. https://doi.org/10.11648/j.cajph.20210701.11

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ACS Style

Dina Barffo; Roland Kuuzagr Nuotol; Raouf Alebshehy; Nura Musa Shuaib; Jato Denis Mbako. Review of Determinants of Low Insecticide Treated Net Utilization and Interventions to Improve Utilization Among Under-Fives in Ghana: An In-depth Review. Cent. Afr. J. Public Health 2021, 7(1), 1-10. doi: 10.11648/j.cajph.20210701.11

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AMA Style

Dina Barffo, Roland Kuuzagr Nuotol, Raouf Alebshehy, Nura Musa Shuaib, Jato Denis Mbako. Review of Determinants of Low Insecticide Treated Net Utilization and Interventions to Improve Utilization Among Under-Fives in Ghana: An In-depth Review. Cent Afr J Public Health. 2021;7(1):1-10. doi: 10.11648/j.cajph.20210701.11

Copy | Download

@article{10.11648/j.cajph.20210701.11,
  author = {Dina Barffo and Roland Kuuzagr Nuotol and Raouf Alebshehy and Nura Musa Shuaib and Jato Denis Mbako},
  title = {Review of Determinants of Low Insecticide Treated Net Utilization and Interventions to Improve Utilization Among Under-Fives in Ghana: An In-depth Review},
  journal = {Central African Journal of Public Health},
  volume = {7},
  number = {1},
  pages = {1-10},
  doi = {10.11648/j.cajph.20210701.11},
  url = {https://doi.org/10.11648/j.cajph.20210701.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20210701.11},
  abstract = {Malaria continues to be a public health challenge in Ghana, especially among children under five years. World Health Organization recommends 80% usage of insecticide treated nets as it is one of the most effectiveness means of preventing malaria. However, usage of insecticide treated nets is only 47% among this vulnerable group in Ghana, which is below the recommended rate. This in-depth review aims to explore factors contributing to low net utilization among under-fives in Ghana and analyze interventions that have improved utilization in countries of similar context and discuss their applicability in Ghana. This review was based on secondary data. Using a conceptual framework, factors leading to low net usage among under-fives and interventions that have proved to increase usage in other countries were obtained from databases such as Global Health, Medline, PubMed and Web of Science and websites of organisations such as Ministry of Health, Ghana Health Service, Ministry of Education and World Health Organization. A feasibility assessment tool was applied in analysing each intervention identified and appraised based on their feasibility in Ghana. Increasing age of a child, lack of mechanisms for monitoring net usage at home, large family size, negative perception and attitude towards its usage and lack of education on its correct usage emerged as factors contributing to low net usage among children under five in Ghana. Having analysed these factors, in addition to feasible interventions in addressing low usage, malaria stakeholders in Ghana need to evaluate these interventions to assess how appropriate and applicable they are in Ghana to increase net usage among under-fives.},
 year = {2021}
}

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TY  - JOUR
T1  - Review of Determinants of Low Insecticide Treated Net Utilization and Interventions to Improve Utilization Among Under-Fives in Ghana: An In-depth Review
AU  - Dina Barffo
AU  - Roland Kuuzagr Nuotol
AU  - Raouf Alebshehy
AU  - Nura Musa Shuaib
AU  - Jato Denis Mbako
Y1  - 2021/01/12
PY  - 2021
N1  - https://doi.org/10.11648/j.cajph.20210701.11
DO  - 10.11648/j.cajph.20210701.11
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 1
EP  - 10
PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20210701.11
AB  - Malaria continues to be a public health challenge in Ghana, especially among children under five years. World Health Organization recommends 80% usage of insecticide treated nets as it is one of the most effectiveness means of preventing malaria. However, usage of insecticide treated nets is only 47% among this vulnerable group in Ghana, which is below the recommended rate. This in-depth review aims to explore factors contributing to low net utilization among under-fives in Ghana and analyze interventions that have improved utilization in countries of similar context and discuss their applicability in Ghana. This review was based on secondary data. Using a conceptual framework, factors leading to low net usage among under-fives and interventions that have proved to increase usage in other countries were obtained from databases such as Global Health, Medline, PubMed and Web of Science and websites of organisations such as Ministry of Health, Ghana Health Service, Ministry of Education and World Health Organization. A feasibility assessment tool was applied in analysing each intervention identified and appraised based on their feasibility in Ghana. Increasing age of a child, lack of mechanisms for monitoring net usage at home, large family size, negative perception and attitude towards its usage and lack of education on its correct usage emerged as factors contributing to low net usage among children under five in Ghana. Having analysed these factors, in addition to feasible interventions in addressing low usage, malaria stakeholders in Ghana need to evaluate these interventions to assess how appropriate and applicable they are in Ghana to increase net usage among under-fives.
VL  - 7
IS  - 1
ER  -

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