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Household malaria knowledge and its association with bednet ownership in settings without large-scale distribution programs: Evidence from rural Madagascar.


ABSTRACT:

Background

Insecticide-treated bednets are effective at preventing malaria. This study focuses on household-level factors that are associated with bednet ownership in a rural area of Madagascar which had not been a recipient of large-scale ITN distribution.

Methods

Data were gathered on individual and household characteristics, malaria knowledge, household assets and bednet ownership. Principal components analysis was used to construct both a wealth index based on household assets and a malaria knowledge index based on responses to questions about malaria. Bivariate and multivariate regressions were used to determine predictors of household bednet ownership and malaria knowledge.

Results

Forty-seven of 560 households (8.4%) owned a bednet. In multivariate analysis, higher level of malaria knowledge among household members was the only variable significantly associated with bednet ownership (odds ratio 3.72, P?ConclusionIn this setting of limited supply of affordable bednets, malaria knowledge was associated with an increased probability of household bednet ownership. Further studies should determine how such malaria knowledge evolves and if malaria-specific education programs could help overcome the barriers to bednet ownership among at-risk households living outside the reach of large-scale bednet distribution programs.

SUBMITTER: Krezanoski PJ 

PROVIDER: S-EPMC4073249 | biostudies-literature | 2014 Jun

REPOSITORIES: biostudies-literature

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Publications

Household malaria knowledge and its association with bednet ownership in settings without large-scale distribution programs: Evidence from rural Madagascar.

Krezanoski Paul J PJ   Tsai Alexander C AC   Hamer Davidson H DH   Comfort Alison B AB   Bangsberg David R DR  

Journal of global health 20140601 1


<h4>Background</h4>Insecticide-treated bednets are effective at preventing malaria. This study focuses on household-level factors that are associated with bednet ownership in a rural area of Madagascar which had not been a recipient of large-scale ITN distribution.<h4>Methods</h4>Data were gathered on individual and household characteristics, malaria knowledge, household assets and bednet ownership. Principal components analysis was used to construct both a wealth index based on household assets  ...[more]

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