ArticleMalaria journal2020
Rural-urban variation in insecticide-treated net utilization among pregnant women: evidence from 2018 Nigeria Demographic and Health Survey.
Article in Malaria journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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21 citing papers in PubMed, 23 citations in OpenAlex.
- The gap between having and using: socioeconomic inequalities in long-lasting insecticidal net coverage among children and adolescents in rural Guinea.Tropical medicine and health · 2026Article
- Impact of Insecticide-Treated Nets onTropical medicine and infectious disease · 2026Article
- Factors Associated With Insecticide-Treated Bed Net Possession and Utilization in Malaria Prevention Among Fulani Pregnant Women in the Savannah Hinterlands of Ghana: A Cross-Sectional Study.Health science reports · 2026Article
- Knowledge of malaria and preventive practices among Fulani pregnant women in the savannah Region of Northern Ghana.BMC research notes · 2026Article
- Factors associated with insecticide-treated net utilization among women of reproductive age in Ghana: a cross-sectional study.BMC public health · 2025Article
- A comparative analysis of the predictive influence of access to malaria messages on utilization of mosquito nets by under-five children in West Africa.BMC public health · 2025Article
- Article
- Facilitators and barriers of malaria prevention and treatment services to pregnant women in Ethiopia: a multi-level health system analysis, 2025.Malaria journal · 2025Article
- Social and behavioural considerations for responding to Anopheles stephensi in Africa: a scoping review.Malaria journal · 2025Article
- Between-and within-socioeconomic groups temporal inequality in the uptake of malaria prevention strategies among pregnant women and under-five children in Ghana (2003-2022).Malaria journal · 2025Article
- Ownership and utilization of mosquito bed net among pregnant women in Ghana: a national population-based survey.Tropical medicine and health · 2025Article
- Coverage and contextual factors associated with insecticide-treated net use among women of reproductive age in Nigeria: evidence from the 2021 malaria indicator survey data.PLOS global public health · 2025Article
- Assessment of household insecticide-treated bed net ownership, utilization, and associated factors in Kersa Woreda, Jimma Zone, Southwest Ethiopia.Journal of health, population, and nutrition · 2024Article
- Insecticide-treated net utilization and associated factors among pregnant women in East Africa: evidence from the recent national demographic and health surveys, 2011-2022.Malaria journal · 2023Article
- Utilization of insecticide-treated nets and associated factors among childbearing women in Northern Nigeria.Malaria journal · 2023Article
- Mosquito bed net use and associated factors among pregnant women in Rwanda: a nationwide survey.BMC pregnancy and childbirth · 2023Article
- Socio-demographic and economic inequity in the use of insecticide-treated bed nets during pregnancy: a survey-based case study of four sub-Saharan African countries with a high burden of malaria.Archives of public health = Archives belges de sante publique · 2023Article
- Factors associated with the ownership and use of insecticide-treated nets in Guinea: an analysis of the 2018 Demographic and Health Survey.Malaria journal · 2023Article
- Quality and Integrated Service Delivery: A Cross-Sectional Study of the Effects of Malaria and Antenatal Service Quality on Malaria Intervention Use in Sub-Saharan Africa.Tropical medicine and infectious disease · 2022Article
- Antenatal care positive responses to pregnant women in preventing and controlling malaria in pregnancy: the sub-Saharan African perspective.World journal of pediatrics : WJP · 2022Review
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4 authors at 4 institutions in 4 countries.
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Abstract
backgroundIn 2018, Nigeria accounted for the highest prevalence of malaria worldwide. Pregnant women and children under five years bear the highest risk of malaria. Geographical factors affect utilization of insecticide-treated nets (ITN), yet existing literature have paid little attention to the rural-urban dimension of ITN utilization in Nigeria. This study aimed at investigating the rural-urban variation in ITN utilization among pregnant women in Nigeria using data from the 2018 Demographic and Health Survey.
methodsA total of 2909 pregnant women were included in the study. The prevalence of ITN utilization for rural and urban pregnant women of Nigeria were presented with descriptive statistics. Chi-square test was employed to assess the association between residence, socio-demographic characteristics and ITN utilization at 95% level of significance. Subsequently, binary logistic regression was used to assess the influence of residence on ITN utilization.
resultsEight out of ten of the rural residents utilized ITN (86.1%) compared with 74.1% among urban residents. Relative to urban pregnant women, those in rural Nigeria had higher odds of utilizing ITNs both in the crude [cOR = 2.17, CI = 1.66-2.84] and adjusted models [aOR = 1.18, CI = 1.05-1.24]. Pregnant women aged 40-44 had lower odds of ITN utilization compared to those aged 15-19 [aOR = 0.63, CI = 0.44-0.92]. Poorer pregnant women had higher odds of ITN utilization compared with poorest pregnant women [aOR = 1.09, CI = 1.04-1.32]. Across regions, those in the south [aOR = 0.26, CI = 0.14-0.49] and south-west [aOR = 0.29, CI = 0.16-0.54] had lower odds of ITN use compared to their counterparts in the north-west region.
conclusionThe high use of ITNs among pregnant women in Nigeria may be due to the prioritization of rural communities by previous interventions. This is a dimension worth considering to enhance the attainment of the national anti-malarial initiatives. Since possession of ITN is not a guarantee for utilization, women in urban locations need constant reminder of ITN use through messages delivered at ANC and radio advertisements. Moreover, subsequent mass ITN campaigns ought to take cognizance of variations ITN use across regions and pragmatic steps be taken to increase the availability of ITN in households since there is a moderately high use in households with at least one ITN in Nigeria.
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