Who sleeps under bednets in Ghana? A doer/non-doer analysis of malaria prevention behaviours
2006

Understanding Bednet Use for Malaria Prevention in Ghana

Sample size: 900 publication Evidence: moderate

Author Information

Author(s): De La Cruz Natalie, Crookston Benjamin, Dearden Kirk, Gray Bobbi, Ivins Natasha, Alder Stephen, Davis Robb

Primary Institution: Brigham Young University

Hypothesis

Mothers who practice optimal malaria prevention behaviours by having their child sleep under a bednet (doers) have a better understanding of the cause of malaria as well as appropriate protective methods.

Conclusion

Greater knowledge about malaria does not always translate into improved bednet use.

Supporting Evidence

  • Doers were significantly more likely to believe that sleeping under an ITN was protective against malaria.
  • Doers were 5.6 times more likely than non-doers to believe that dizziness is not a symptom of malaria.
  • Doers were more likely to come from food secure households.

Takeaway

This study looked at why some mothers in Ghana use bednets to protect their children from malaria while others do not. It found that just knowing about malaria doesn't always mean they will use bednets.

Methodology

The study used a quasi-experimental design with a sample of mothers from both clients and non-clients of a microfinance and health education program, analyzing their knowledge and practices regarding malaria prevention.

Limitations

The study did not collect information on a broad array of behavioral determinants such as cost and availability of bednets, and differences between regions may reflect variations in health care access and education.

Participant Demographics

Most respondents were women of reproductive age (15-49) with a child under six years old, primarily from the Central and Eastern regions of Ghana.

Digital Object Identifier (DOI)

10.1186/1475-2875-5-61

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