Factors associated with utilization of insecticide-treated nets in children seeking health care at a Ugandan Hospital: Perspective of child caregivers

Ziadah Nankinga, Joshua Kanaabi Muliira, Joan Kalyango, Joaniter Nankabirwa, Steven Kiwuwa, Denise Njama-Meya, Charles Karamagi

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

In Uganda malaria causes more morbidity and mortality than any other disease and children below 5 years contribute the biggest percentage of malaria related mortality. Insecticide treated nets (ITNs) are currently one of the most cost effective option for reducing malaria-related morbidity and mortality, however the factors affecting their utilization in Uganda are still not well understood. This study examined the prevalence and factors associated with ITN utilization among children of age 0-12 years seeking health care from a Ugandan hospital using caregiver's reports. A cross sectional design was used to collect data using a semi-structured questionnaire from 418 participants. Binary logistic regression was employed to determine predictors of ITN utilization. Results show that the prevalence of ITN utilization among children seeking health care was 34.2%. ITN utilization was higher among children of age 5 years [22.9, 95% CI 13.77-32.01]. Source of mosquito net (OR - 13.53, 95% CI - 6.47-28.27), formal employment by head of household (OR - 6.00, 95% CI - 1.95-18.48), sharing a bed with parent (s) (OR - 2.61, 95% CI - 1.21-5.63) and number of children below 12 years in a household (OR - 0.80, 95% CI - 0.65-0.99), were significant predictors of utilization. ITN utilization among children was below the set national target. The predictors identified by this study reveal opportunities that can be taken advantage of by malaria control programs to achieve the desired rates of utilization and subsequently malaria prevention in children.

Original languageEnglish
Pages (from-to)1006-1014
Number of pages9
JournalJournal of Community Health
Volume37
Issue number5
DOIs
Publication statusPublished - Oct 2012

Fingerprint

Insecticides
Caregivers
caregiver
Malaria
utilization
health care
Delivery of Health Care
Uganda
mortality
Mortality
Mosquito Nets
morbidity
Morbidity
Child Health
number of children
Cross-Sectional Studies
Logistic Models
Costs and Cost Analysis
parents
logistics

Keywords

  • Caregivers
  • Children
  • Insecticide treated nets
  • Malaria prevention
  • Utilization

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)

Cite this

Factors associated with utilization of insecticide-treated nets in children seeking health care at a Ugandan Hospital : Perspective of child caregivers. / Nankinga, Ziadah; Muliira, Joshua Kanaabi; Kalyango, Joan; Nankabirwa, Joaniter; Kiwuwa, Steven; Njama-Meya, Denise; Karamagi, Charles.

In: Journal of Community Health, Vol. 37, No. 5, 10.2012, p. 1006-1014.

Research output: Contribution to journalArticle

Nankinga, Ziadah ; Muliira, Joshua Kanaabi ; Kalyango, Joan ; Nankabirwa, Joaniter ; Kiwuwa, Steven ; Njama-Meya, Denise ; Karamagi, Charles. / Factors associated with utilization of insecticide-treated nets in children seeking health care at a Ugandan Hospital : Perspective of child caregivers. In: Journal of Community Health. 2012 ; Vol. 37, No. 5. pp. 1006-1014.
@article{e7649a1fa827425ca5248c64c2a8cab8,
title = "Factors associated with utilization of insecticide-treated nets in children seeking health care at a Ugandan Hospital: Perspective of child caregivers",
abstract = "In Uganda malaria causes more morbidity and mortality than any other disease and children below 5 years contribute the biggest percentage of malaria related mortality. Insecticide treated nets (ITNs) are currently one of the most cost effective option for reducing malaria-related morbidity and mortality, however the factors affecting their utilization in Uganda are still not well understood. This study examined the prevalence and factors associated with ITN utilization among children of age 0-12 years seeking health care from a Ugandan hospital using caregiver's reports. A cross sectional design was used to collect data using a semi-structured questionnaire from 418 participants. Binary logistic regression was employed to determine predictors of ITN utilization. Results show that the prevalence of ITN utilization among children seeking health care was 34.2{\%}. ITN utilization was higher among children of age 5 years [22.9, 95{\%} CI 13.77-32.01]. Source of mosquito net (OR - 13.53, 95{\%} CI - 6.47-28.27), formal employment by head of household (OR - 6.00, 95{\%} CI - 1.95-18.48), sharing a bed with parent (s) (OR - 2.61, 95{\%} CI - 1.21-5.63) and number of children below 12 years in a household (OR - 0.80, 95{\%} CI - 0.65-0.99), were significant predictors of utilization. ITN utilization among children was below the set national target. The predictors identified by this study reveal opportunities that can be taken advantage of by malaria control programs to achieve the desired rates of utilization and subsequently malaria prevention in children.",
keywords = "Caregivers, Children, Insecticide treated nets, Malaria prevention, Utilization",
author = "Ziadah Nankinga and Muliira, {Joshua Kanaabi} and Joan Kalyango and Joaniter Nankabirwa and Steven Kiwuwa and Denise Njama-Meya and Charles Karamagi",
year = "2012",
month = "10",
doi = "10.1007/s10900-012-9546-z",
language = "English",
volume = "37",
pages = "1006--1014",
journal = "Journal of Community Health",
issn = "0094-5145",
publisher = "Springer Netherlands",
number = "5",

}

TY - JOUR

T1 - Factors associated with utilization of insecticide-treated nets in children seeking health care at a Ugandan Hospital

T2 - Perspective of child caregivers

AU - Nankinga, Ziadah

AU - Muliira, Joshua Kanaabi

AU - Kalyango, Joan

AU - Nankabirwa, Joaniter

AU - Kiwuwa, Steven

AU - Njama-Meya, Denise

AU - Karamagi, Charles

PY - 2012/10

Y1 - 2012/10

N2 - In Uganda malaria causes more morbidity and mortality than any other disease and children below 5 years contribute the biggest percentage of malaria related mortality. Insecticide treated nets (ITNs) are currently one of the most cost effective option for reducing malaria-related morbidity and mortality, however the factors affecting their utilization in Uganda are still not well understood. This study examined the prevalence and factors associated with ITN utilization among children of age 0-12 years seeking health care from a Ugandan hospital using caregiver's reports. A cross sectional design was used to collect data using a semi-structured questionnaire from 418 participants. Binary logistic regression was employed to determine predictors of ITN utilization. Results show that the prevalence of ITN utilization among children seeking health care was 34.2%. ITN utilization was higher among children of age 5 years [22.9, 95% CI 13.77-32.01]. Source of mosquito net (OR - 13.53, 95% CI - 6.47-28.27), formal employment by head of household (OR - 6.00, 95% CI - 1.95-18.48), sharing a bed with parent (s) (OR - 2.61, 95% CI - 1.21-5.63) and number of children below 12 years in a household (OR - 0.80, 95% CI - 0.65-0.99), were significant predictors of utilization. ITN utilization among children was below the set national target. The predictors identified by this study reveal opportunities that can be taken advantage of by malaria control programs to achieve the desired rates of utilization and subsequently malaria prevention in children.

AB - In Uganda malaria causes more morbidity and mortality than any other disease and children below 5 years contribute the biggest percentage of malaria related mortality. Insecticide treated nets (ITNs) are currently one of the most cost effective option for reducing malaria-related morbidity and mortality, however the factors affecting their utilization in Uganda are still not well understood. This study examined the prevalence and factors associated with ITN utilization among children of age 0-12 years seeking health care from a Ugandan hospital using caregiver's reports. A cross sectional design was used to collect data using a semi-structured questionnaire from 418 participants. Binary logistic regression was employed to determine predictors of ITN utilization. Results show that the prevalence of ITN utilization among children seeking health care was 34.2%. ITN utilization was higher among children of age 5 years [22.9, 95% CI 13.77-32.01]. Source of mosquito net (OR - 13.53, 95% CI - 6.47-28.27), formal employment by head of household (OR - 6.00, 95% CI - 1.95-18.48), sharing a bed with parent (s) (OR - 2.61, 95% CI - 1.21-5.63) and number of children below 12 years in a household (OR - 0.80, 95% CI - 0.65-0.99), were significant predictors of utilization. ITN utilization among children was below the set national target. The predictors identified by this study reveal opportunities that can be taken advantage of by malaria control programs to achieve the desired rates of utilization and subsequently malaria prevention in children.

KW - Caregivers

KW - Children

KW - Insecticide treated nets

KW - Malaria prevention

KW - Utilization

UR - http://www.scopus.com/inward/record.url?scp=84866732361&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84866732361&partnerID=8YFLogxK

U2 - 10.1007/s10900-012-9546-z

DO - 10.1007/s10900-012-9546-z

M3 - Article

C2 - 22323100

AN - SCOPUS:84866732361

VL - 37

SP - 1006

EP - 1014

JO - Journal of Community Health

JF - Journal of Community Health

SN - 0094-5145

IS - 5

ER -