Skip to main content
Top
Published in: Malaria Journal 1/2005

Open Access 01-12-2005 | Research

Increasing coverage of insecticide-treated nets in rural Nigeria: implications of consumer knowledge, preferences and expenditures for malaria prevention

Authors: Obinna Onwujekwe, Benjamin Uzochukwu, Nkoli Ezumah, Elvis Shu

Published in: Malaria Journal | Issue 1/2005

Login to get access

Abstract

Background

The coverage of insecticide-treated nets (ITNs) remains low despite existing distribution strategies, hence, it was important to assess consumers' preferences for distribution of ITNs, as well as their perceptions and expenditures for malaria prevention and to examine the implications for scaling-up ITNs in rural Nigeria.

Methods

Nine focus group discussions (FGDs) and questionnaires to 798 respondents from three malaria hyper-endemic villages from Enugu state, south-east Nigeria were the study tools.

Results

There was a broad spectrum of malaria preventive tools being used by people. The average monthly expenditure on malaria prevention per household was 55.55 Naira ($0.4). More than 80% of the respondent had never purchased any form of untreated mosquito net. People mostly preferred centralized community-based sales of the ITNS, with instalment payments.

Conclusion

People were knowledgeable about malaria and the beneficial effects of using nets to protect themselves from the disease. The mostly preferred community-based distribution of ITNs implies that the strategy is a potential untapped additional channel for scaling-up ITNs in Nigeria and possibly other parts of sub-Saharan Africa.
Literature
1.
go back to reference World Health Organization (WHO): The African Malaria Report 2003. 2003, WHO/CDS/MAL/2003.1093. Geneva:WHO/UNICEF World Health Organization (WHO): The African Malaria Report 2003. 2003, WHO/CDS/MAL/2003.1093. Geneva:WHO/UNICEF
2.
go back to reference Onwujekwe OE, Chima RI, Okonkwo PO: Economic burden of malaria illness versus that of a combination of all other illnesses: A study in five malaria holo-endemic communities. Health Policy. 2000, 54: 143-159. 10.1016/S0168-8510(00)00105-6.CrossRefPubMed Onwujekwe OE, Chima RI, Okonkwo PO: Economic burden of malaria illness versus that of a combination of all other illnesses: A study in five malaria holo-endemic communities. Health Policy. 2000, 54: 143-159. 10.1016/S0168-8510(00)00105-6.CrossRefPubMed
3.
go back to reference Federal Ministry of Health: National Strategic Plan for Roll Back Malaria. 2001, Federal Ministry of Health, Abuja, Nigeria Federal Ministry of Health: National Strategic Plan for Roll Back Malaria. 2001, Federal Ministry of Health, Abuja, Nigeria
4.
go back to reference Onwujekwe OE, Chima RI, Shu EN, Okonkwo PO: Community-directed treatment with Ivermectin in two Nigerian communities: an analysis of first year start-up processes, costs and consequences. Health Policy. 2002, 62: 31-51. 10.1016/S0168-8510(01)00226-3.CrossRefPubMed Onwujekwe OE, Chima RI, Shu EN, Okonkwo PO: Community-directed treatment with Ivermectin in two Nigerian communities: an analysis of first year start-up processes, costs and consequences. Health Policy. 2002, 62: 31-51. 10.1016/S0168-8510(01)00226-3.CrossRefPubMed
5.
go back to reference Brieger WR, Ramakrishna J, Adeniyi JD: Community response to social marketing: filters for guinea worm control. International Quarterly for Community Health Education. 1989, 19: 17- Brieger WR, Ramakrishna J, Adeniyi JD: Community response to social marketing: filters for guinea worm control. International Quarterly for Community Health Education. 1989, 19: 17-
6.
go back to reference Kidane G, Morrow RH: Teaching mothers to provide home treatment in Tigray, Ethiopia: a randomized trial. Lancet. 2000, 356: 550-555. 10.1016/S0140-6736(00)02580-0.CrossRefPubMed Kidane G, Morrow RH: Teaching mothers to provide home treatment in Tigray, Ethiopia: a randomized trial. Lancet. 2000, 356: 550-555. 10.1016/S0140-6736(00)02580-0.CrossRefPubMed
7.
go back to reference Chavasse D, Reed C, Attawell K: Insecticide Treated Net Projects. A Handbook for Managers. 1999, London and Liverpool; Malaria Consortium Chavasse D, Reed C, Attawell K: Insecticide Treated Net Projects. A Handbook for Managers. 1999, London and Liverpool; Malaria Consortium
8.
go back to reference Armstrong-Schellenberg JRM, Abdulla S, Minja H, Nathan R, Mukasa O, Marchant TJ, Mponda H, Kikumbih N, Lyimo E, Manchester T, Tanner M, Lengeler C: KINET: a social marketing programme of treated nets and net treatment for malaria control in Tanzania, with evaluation of child health and long-term survival. Trans R Soc Trop Med Hyg. 1999, 93: 225-231. 10.1016/S0035-9203(99)90001-9.CrossRef Armstrong-Schellenberg JRM, Abdulla S, Minja H, Nathan R, Mukasa O, Marchant TJ, Mponda H, Kikumbih N, Lyimo E, Manchester T, Tanner M, Lengeler C: KINET: a social marketing programme of treated nets and net treatment for malaria control in Tanzania, with evaluation of child health and long-term survival. Trans R Soc Trop Med Hyg. 1999, 93: 225-231. 10.1016/S0035-9203(99)90001-9.CrossRef
9.
go back to reference Marchant T, Schellenberg JA, Edgar T, Nathan R, Abdulla S, Mukasa O, Mponda H, Lengeler C: Socially marketed insecticide-treated nets improve malaria and anaemia in pregnancy in southern Tanzania. Trop Med Int Health. 2002, 7: 149-158. 10.1046/j.1365-3156.2002.00840.x.CrossRefPubMed Marchant T, Schellenberg JA, Edgar T, Nathan R, Abdulla S, Mukasa O, Mponda H, Lengeler C: Socially marketed insecticide-treated nets improve malaria and anaemia in pregnancy in southern Tanzania. Trop Med Int Health. 2002, 7: 149-158. 10.1046/j.1365-3156.2002.00840.x.CrossRefPubMed
10.
go back to reference Nathan R, Masanja H, Mshinda H, Schellenberg JA, de Savigny D, Lengeler C, Tanner M, Victora CG: Mosquito nets and the poor: can social marketing redress inequities in access?. Trop Med Int Health. 2004, 9: 1121-1126. 10.1111/j.1365-3156.2004.01309.x.CrossRefPubMed Nathan R, Masanja H, Mshinda H, Schellenberg JA, de Savigny D, Lengeler C, Tanner M, Victora CG: Mosquito nets and the poor: can social marketing redress inequities in access?. Trop Med Int Health. 2004, 9: 1121-1126. 10.1111/j.1365-3156.2004.01309.x.CrossRefPubMed
11.
go back to reference Hanson K, Goodman C, Lines J, Meek S, Bradley D, Mills A: The economics of malaria control interventions. 2004, Geneva: Global Forum for Health Research Hanson K, Goodman C, Lines J, Meek S, Bradley D, Mills A: The economics of malaria control interventions. 2004, Geneva: Global Forum for Health Research
12.
go back to reference Lines J: Mosquito nets and insecticides for net treatment: a discussion of existing and potential distribution systems in Africa. Trop Med Int Health. 1996, 1: 616-632. 10.1046/j.1365-3156.1996.d01-97.x.CrossRefPubMed Lines J: Mosquito nets and insecticides for net treatment: a discussion of existing and potential distribution systems in Africa. Trop Med Int Health. 1996, 1: 616-632. 10.1046/j.1365-3156.1996.d01-97.x.CrossRefPubMed
13.
go back to reference Minja H, Schellenberg JA, Mukasa O, Nathan R, Abdulla S, Mponda H, Tanner M, Lengeler C, Obrist B: Introducing insecticide-treated nets in the Kilombero valley, Tanzania: the relevance of local knowledge and practice for an information, education and communication (IEC) campaign. Trop Med Int Health. 2001, 6: 614-623. 10.1046/j.1365-3156.2001.00755.x.CrossRefPubMed Minja H, Schellenberg JA, Mukasa O, Nathan R, Abdulla S, Mponda H, Tanner M, Lengeler C, Obrist B: Introducing insecticide-treated nets in the Kilombero valley, Tanzania: the relevance of local knowledge and practice for an information, education and communication (IEC) campaign. Trop Med Int Health. 2001, 6: 614-623. 10.1046/j.1365-3156.2001.00755.x.CrossRefPubMed
14.
go back to reference MVCU: Prevalence of malaria morbidity and mortality in Enugu state, 1995 to 1999. 2000, Malaria and Vectors Control Unit (MVCU). Ministry of Health, Enugu, Nigeria MVCU: Prevalence of malaria morbidity and mortality in Enugu state, 1995 to 1999. 2000, Malaria and Vectors Control Unit (MVCU). Ministry of Health, Enugu, Nigeria
15.
go back to reference Vyas S, Hanson K, Lines J: Assessing the impact of ITN scaling-up activities: Consumer marketing surveys in Nigeria. The Third MIM Pan-African Malaria Conference, Arusha, Tanzania. 2002, 246- Vyas S, Hanson K, Lines J: Assessing the impact of ITN scaling-up activities: Consumer marketing surveys in Nigeria. The Third MIM Pan-African Malaria Conference, Arusha, Tanzania. 2002, 246-
16.
go back to reference Mbofana FS: Use of insecticide-treated nets in Inharrime and Zavala districts, Mozambique: Knowledge, availability, affordability and acceptability. The Third MIM Pan-African Malaria Conference, Arusha, Tanzania. 2002, 287- Mbofana FS: Use of insecticide-treated nets in Inharrime and Zavala districts, Mozambique: Knowledge, availability, affordability and acceptability. The Third MIM Pan-African Malaria Conference, Arusha, Tanzania. 2002, 287-
17.
go back to reference Weaver M, Ndamobissi R, Kornfield R, Blewane C, Sathe A, Chapko M, Bendje N, Nguembi E, Senwara-Defiobona J: Willingness to pay for child survival: results of a national survey in a central African Republic. Soc Sci Med. 1996, 43: 985-998. 10.1016/0277-9536(96)00015-9.CrossRefPubMed Weaver M, Ndamobissi R, Kornfield R, Blewane C, Sathe A, Chapko M, Bendje N, Nguembi E, Senwara-Defiobona J: Willingness to pay for child survival: results of a national survey in a central African Republic. Soc Sci Med. 1996, 43: 985-998. 10.1016/0277-9536(96)00015-9.CrossRefPubMed
18.
go back to reference WHO: Scaling up insecticide-treated netting programmes in Africa: A strategic framework for co-ordinated national activity. 2002, Geneva, WHO/RBM WHO: Scaling up insecticide-treated netting programmes in Africa: A strategic framework for co-ordinated national activity. 2002, Geneva, WHO/RBM
19.
go back to reference Makemba AC, Winch PJ, Kamazima SR, Makame VR, Sengo F, Lubega PB, Minjas JN, Shiff CJ: Community-based sale, distribution and insecticide impregnation of mosquito nets in Bagamoyo District, Tanzania. Health Policy Plann. 1995, 10: 50-59.CrossRef Makemba AC, Winch PJ, Kamazima SR, Makame VR, Sengo F, Lubega PB, Minjas JN, Shiff CJ: Community-based sale, distribution and insecticide impregnation of mosquito nets in Bagamoyo District, Tanzania. Health Policy Plann. 1995, 10: 50-59.CrossRef
20.
go back to reference Kroeger A, Meyer R, Mancheno M, Gonzalez M, Pesse K: Operational aspects of bednet impregnation for community-based malaria control in Nicaragua, Ecuador, Peru and Colombia. Trop Med Int Health. 1997, 2: 589-602. 10.1046/j.1365-3156.1997.d01-319.x.CrossRefPubMed Kroeger A, Meyer R, Mancheno M, Gonzalez M, Pesse K: Operational aspects of bednet impregnation for community-based malaria control in Nicaragua, Ecuador, Peru and Colombia. Trop Med Int Health. 1997, 2: 589-602. 10.1046/j.1365-3156.1997.d01-319.x.CrossRefPubMed
Metadata
Title
Increasing coverage of insecticide-treated nets in rural Nigeria: implications of consumer knowledge, preferences and expenditures for malaria prevention
Authors
Obinna Onwujekwe
Benjamin Uzochukwu
Nkoli Ezumah
Elvis Shu
Publication date
01-12-2005
Publisher
BioMed Central
Published in
Malaria Journal / Issue 1/2005
Electronic ISSN: 1475-2875
DOI
https://doi.org/10.1186/1475-2875-4-29

Other articles of this Issue 1/2005

Malaria Journal 1/2005 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.