Evidence map›Paper›PMID 30695044›Full record

ArticlePloS one2019

Socio-economic and demographic disparities in ownership and use of insecticide-treated bed nets for preventing malaria among rural reproductive-aged women in northern Ghana.

Edmund Wedam Kanmiki, John Koku Awoonor-Williams, James F Phillips, Stephen Patrick Kachur, Sabastian F Achana, James Akazili, Ayaga A Bawah

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

40 citing papers in PubMed.

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  17. Relationship between Duffy Genotype/Phenotype and Prevalence ofTropical medicine and infectious disease · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Edmund Wedam KanmikiRegional Institute for Population Studies, University of Ghana, Accra, Ghana.ORCID 0000-0001-7175-5222
John Koku Awoonor-WilliamsPolicy, Planning, Monitoring and Evaluation Division, Ghana Health Service, Accra, Ghana.
James F PhillipsDepartment of Population and Family Health, Mailman School of Public Health, Columbia University, New York, United States of America.
Stephen Patrick KachurDepartment of Population and Family Health, Mailman School of Public Health, Columbia University, New York, United States of America.
Sabastian F AchanaNavrongo Health Research Center, Ghana Health Service, Upper East Region, Navrongo, Ghana.
James AkaziliNavrongo Health Research Center, Ghana Health Service, Upper East Region, Navrongo, Ghana.
Ayaga A BawahRegional Institute for Population Studies, University of Ghana, Accra, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalaria continues to be a leading cause of morbidity and mortality in most countries in Sub-Saharan Africa. Insecticide-treated bed nets (ITNs) is one of the cost-effective interventions for preventing malaria in endemic settings. Ghana has made tremendous efforts to ensure widespread ownership and use of ITNs. However, national coverage statistics can mask important inequities that demand targeted attention. This study assesses the disparities in ownership and utilization of ITNs among reproductive-aged women in a rural impoverished setting of Ghana.

methodsPopulation-based cross-sectional data of 3,993 women between the age of 15 and 49 years were collected in seven districts of the Upper East region of Ghana using a two-stage cluster sampling approach. Bivariate and multivariate regression models were used to assess the social, economic and demographic disparities in ownership and utilization of ITN and to compare utilization rates among women in households owning at least one ITN.

resultsAs high as 79% of respondents were found to own ITN while 62% of ITN owners used them the night preceding the survey. We identified disparities in both ownership and utilization of ITNs in wealth index, occupational status, religion, and district of residence. Respondents in the relative richest wealth quintile were 74% more likely to own ITNs compared to those in the poorest quintile (p-value< 0.001, CI = 1.29-2.34) however, they were 33% less likely to use ITNs compared to the poorest (p-value = 0.01, CI = 0.50-0.91).

conclusionInterventions aimed at preventing and controlling malaria through the use of bed nets in rural Ghana and other similar settings should give more attention to disadvantage populations such as the poor and unemployed. Tailored massages and educational campaigns are required to ensure consistent use of treated bed nets.

Indexed as

OwnershipAdolescentAdultCross-Sectional StudiesDemographyFamily CharacteristicsFemaleGhanaHealth Services AccessibilityHumansInsecticide-Treated BednetsMalariaMiddle AgedMosquito ControlRural PopulationSocioeconomic Factors

Identifiers

PMID30695044
PMCPMC6350974

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.