Socio-demographic factors influencing the ownership and utilization of insecticide-treated bed nets among malaria vulnerable groups in the Buea Health District, Cameroon

  • Kimbi H
  • Nkesa S
  • Ndamukong-Nyanga J
 et al. 
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BACKGROUND: Malaria remains a public health problem and the use of insecticide-treated bed nets (ITNs) against it in vulnerable groups (pregnant women and children
METHODS: In a cross-sectional survey a questionnaire was administered in households with at least a child
RESULTS: A total of 443 respondents were recruited and 208 (47.0%) possessed at least one MBN (total = 275 MBNs) with a median of 1.33 nets. Of the 275 nets found in households, 89 (32%) were potent ITNs and others had never been retreated/treated. Purchase of MBNs from the market was associated with marital status (P = 0.010) and urban settlement (P = 0.045). The number of respondents who did not know where to retreat/treat ITNs was significantly higher (P = 0.005) in urban than rural dwellers. The proportion of rural respondents who had once taken their MBNs for re-treatment was significantly higher (P = 0.002) than that of urban dwellers. MBN utilisation was 69.7% (95% confidence interval; CI = .63.2-75.6%). A total of 83.4%, 13.8% and 3.4% used MBNs throughout the year, during the rainy and dry seasons respectively. MBN use in children under five was associated with being from an urban area (P = 0.01). MBN use in pregnant women was associated with living in block-louver houses than in block-pane houses (P = 0.047).

CONCLUSIONS: Utilization of MBN needs to be encouraged to match ownership while free distribution of ITNs to vulnerable groups needs to be continuous and consistent.

Author-supplied keywords

  • Bed nets
  • Cameroon
  • Children
  • Malaria
  • Pregnant women
  • Prevention

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  • Helen Kuokuo Kimbi

  • Sarah Bi Nkesa

  • Judith Lum Ndamukong-Nyanga

  • Irene Ule Ngole Sumbele

  • Julius Atashili

  • Mary Bi Suh Atanga

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