scholarly journals Reproductive-Age Women’s Knowledge and Care Seeking for Malaria Prevention and Control in Ghana: Analysis of the 2016 Malaria Indicator Survey

2019 ◽  
Vol 2019 ◽  
pp. 1-17
Author(s):  
Martin Amogre Ayanore ◽  
John Tetteh ◽  
Asiwome Ameko ◽  
Wisdom Kudzo Axame ◽  
Robert Kaba Alhassan ◽  
...  

Introduction. Malaria is a major cause of morbidity and mortality worldwide, requiring individual and environmental level controls to prevent its adverse morbidity effects. This study examined reproductive-aged women’s knowledge and care-seeking practices for malaria prevention and control in Ghana. Methods. The 2016 Ghana Malaria Indicator Survey data for reproductive-age women was analysed (n=5,150). Multilevel mixed-effects logistic regression model was used to determine factors associated with reproductive-aged women’s knowledge and care-seeking practices for malaria. Results. 62.3%, 81.3%, and 64.6% knowledge levels on causes, signs/symptoms, and prevention of malaria were found, respectively, among respondents. Age, wealth and educational status, religion, region, and place of residence (rural) were found to significantly influence respondents’ knowledge of causes, signs/symptoms, and care-seeking practices for malaria. A 15% differential among Insecticide Treated Nets (ITNs) awareness and use was found. Increasing age (≥35 years) was associated with increasing knowledge of malaria. Regional variations were observed to significantly influence knowledge of malaria treatment. Conclusion. Though ownership of ITNs and knowledge of malaria prevention were high, it did not necessarily translate into use of ITNs. Thus, there is a need to intensify education on the importance and the role of ITNs use in the prevention of malaria.

2010 ◽  
Vol 9 (1) ◽  
pp. 58 ◽  
Author(s):  
Daddi Jima ◽  
Asefaw Getachew ◽  
Hana Bilak ◽  
Richard W Steketee ◽  
Paul M Emerson ◽  
...  

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Yohannes Kebede ◽  
Morankar Sudhakar ◽  
Guda Alemayehu ◽  
Lakew Abebe ◽  
Zewdie Birhanu

Abstract Background Insecticide-treated nets (ITNs) access-use has been pivotal monitoring indicator for malaria prevention and control, particularly in resource limited settings. The objective of the study was to compare ITN access-use based on universal household and population indicators and measures adapted to sleeping spaces. Methods A cross-sectional study was conducted in five districts of Jimma Zone, Ethiopia, March, 2019. 762 HHs were sampled for the survey. Multi-stage followed by simple random sampling used. Monitoring and evaluation reference group’s (MERG’s) indicators were used for measuring ITN access-use. MERG’s indicators are each adapted ITN access-use to sleeping spaces. Household (ownership, saturation and sufficiency) and population access and household members’ status of last night sleeping under ITN compared based on the two models. Differences of estimates of ITN access-use based on the two methods reported as magnitude of over/under estimations, at p-value < 0.05. Results Based on MERG’s approach, the study revealed household (HH) based indicators as such: HH ownership of at least 1 ITN (92.6%), sufficiency of ITN for every two people in HH (50.3%), and saturation of ITN for every 2 people in HHs with any ITN (54.6%). Moreover, population based indicators were: population with ITN access (P3 = 78.6%), people who slept under ITN previous night (63.0%), people who slept under ITN among who accessed it (73.1%), ITN use-gap (26.9%). Equivalent indicators of HH ownership, sufficiency, saturation, and people accessed at where they actually slept, and people slept under ITN among those accessed at where they slept estimated at 71.3%, 49.4%, 69.3%, 66.3%, and 92.1%, respectively. MERG’s approach over-estimated ownership, people’s access, and behaviour-failures by 21.3%, 12.3%, 19.0%, respectively. Over-estimation occurred for reasons such as many sleeping spaces lack ITN and > 2 people actually slept per sleeping space. Conclusions MERG’s universal indicators over estimated households and populations ITN access-use as a result of absence of measures capturing access-use values at spaces where people actually slept. Consequently, measures adapted to sleeping contexts revealed potential misdistributions practiced when the existing indicators are in use. Insertion of sleeping spaces into existing approach will be worthwhile and needs to be promoted as it improves curiosity in ITN distribution, produces closer estimates and prevents malaria prevention and control programmes from overlooking access-use challenges.


2022 ◽  
Author(s):  
Berhane Teklay Asfaha ◽  
Shewit Hailu Gebremariam ◽  
Gebremedhin Kinfe Gebremariam ◽  
Ataklti Gebretsadik Weldemariam

Abstract Background: Pregnancy complications are the biggest health problem for women in developing countries. Around 295,000 women worldwide die each year from pregnancy-related causes, and 86% of this maternal mortality occurs in developing countries.Objective: To assess knowledge about obstetric hazard signs among women of reproductive age living in the southeastern zone of the Tigray region, Ethiopia, 2021.Methods: A community-based quantitative cross-sectional survey was conducted in the southeastern zone of Tigray. A multi-level random sampling technique was implemented to select the total participants from 410 women of reproductive age. Two districts were selected at random and from these districts 12 Kebels were selected at random and the calculated sample size (410) was proportionally assigned to each Kebele selected. The data was collected through face-to-face / interview with a structured questionnaire from January 20 to February 20, 2021, after it had been ensured that all ethical requirements were met. The collected data was entered into Epidata version 4.2 and then exported to SPSS version 20 for analysis. Descriptive statistics with frequency, percentage, table and graph as well as crosstabs were used to present the results. Bivariate and multivariable analyses were used to examine the relationship. Odds ratios with 95% confidence intervals and P-values ​​<0.05 were used to determine the statistical association.Result: Four hundred and ten women of childbearing age participated in the study, which resulted in a response rate of 100%. Leakage of fluid per vagina was the most frequently cited obstetric hazard sign (61%). Overall, one hundred and seventy-two (42%) had a good knowledge of obstetric hazard signs. Educational status of the mother [AOR (95% CI = 2.7 (1.189–6.24)], place of birth [AOR (95% CI = 2.2 (1.6–3.432)] and with a history of ANC follow-up [AOR (95% CI = 2.4 (1.13–5.6)] were found to be independent predictors of women's knowledge of the obstetric hazard sign.Conclusion and recommendation: The mother's educational status, birth site and the history of ANC follow-up were independently related to the women's knowledge of obstetric hazard signs. Therefore, the provision of information, education and communication to women, families and the general community about obstetric hazard signs and related factors has been recommended.


2008 ◽  
Vol 40 (1) ◽  
pp. 115-135 ◽  
Author(s):  
WAKGARI DERESSA ◽  
AHMED ALI ◽  
DAMEN HAILEMARIAM

SummaryA range of activities are currently underway to improve access to malaria prevention and control interventions. As disease control strategies change over time, it is crucial to understand the health-seeking behaviour and the local socio-cultural context in which the changes in interventions operate. This paper reflects on how people in an area of seasonal malaria perceive the causes and transmission of the disease, and what prevention and treatment measures they practise to cope with the disease. It also highlights some of the challenges of malaria treatment for health care providers. The study was undertaken in 2003 in Adami Tulu District in south-central Ethiopia, where malaria is a major health problem. Pre-tested structured questionnaires and focus group discussions were conducted among men and women. Malaria, locally known as busa, was perceived as the most important cause of ill health in the area. Respondent’s perception and knowledge about the cause and transmission of the disease were relatively high. The newly introduced insecticide-treated nets were not popular in the area, and only 6·4% of households possessed at least one. The results showed that patients use multiple sources of health care for malaria treatment. Public health facilities, private clinics and community health workers were the main providers of malaria treatment. Despite higher treatment costs, people preferred to use private health care providers for malaria treatment due to the higher perceived quality of care they offer. In conclusion, effort in the prevention and control of malaria should be intensified through addressing not only public facilities, but also the private sector and community-based control interventions. Appropriate and relevant information on malaria should be disseminated to the local community. The authors propose the provision of effective antimalarial drugs and malaria prevention tools such as subsidized or free insecticide-treated nets.


2021 ◽  
Author(s):  
Tsigie Baye Aragie ◽  
Haileab Fekadu wolde

Abstract Background: In Ethiopia, the burden of malaria continues to cause a substantial number of morbidity and mortality. Communities’ practices of malaria prevention and control methods contribute immensely to sustainable control of malaria. This evidence is quite limited in the study area. Hence, this study aimed to assess Practice of malaria prevention and control methods and associated factors among rural household in west belessa district, northwest Ethiopia, 2019. Method: Community-based cross-sectional mixed quantitative and qualitative study was conducted from April to June 2019, in West Belessa district, North West Ethiopia. Multistage sampling was used to select a 740 sample size. A structured questionnaire was used for the quantitative component and a semi-structured questionnaire for the qualitative component. Quantitative data collected by interviewing and qualitative data using focus group discussion. Quantitative data was coded and entered using Epi info software and analyzed using SPSS. The binary logistic regression model was fitted to identify the associated factors. Odds Ratio with 95% Confidence Interval was used to assess the strength of association. The qualitative data was transcribed manually using the thematic approach.Result: A total 738 subjects included with 99.7% response rate. 50.9% of respondents had good practice of malaria prevention and control methods. LLINs and IRS were practiced by 21.1% and 80.5% respectively. Poorest wealth quintiles [AOR = 0.45, 95% CI: 0.27, 0.76], poor wealth quintiles [AOR=0.51, 95% CI: 0.30, 0.88], medium wealth quintiles [AOR = 0.24, 95% CI: 0.14, 0.42] and wealthy wealth quintile [AOR = 0.21, 95% CI: 0.12, 0.36], living in Menti Kebele [AOR = 3.88, 95% CI: 2.43,6.20], female sex [AOR = 0.65, 95% CI: 0.47, 0.90], illiterate educational status [AOR = 0.34, 95% CI 0.16, 0.72] knowledge level poor [AOR = 0.52, 95% CI: 0.36, 0.75] were significantly associated with good malaria prevention practice. All of the FGD participants participated at least one malaria prevention method. Conclusion: There were good IRS and environmental management malaria prevention practices, however, LLINs and other malaria prevention methods were poorly practiced. Wealth index, respondents living kebele, female sex, educational status, and respondents’ malaria prevention knowledge are predictors for the practice of malaria prevention.


2021 ◽  
Author(s):  
Yohannes Kebede ◽  
Morankar Sudhakar ◽  
Guda Alemayehu ◽  
Lakew Abebe ◽  
Zewdie Birhanu

Abstract Background: Insecticide treated nets (ITNs) access-use has been pivotal monitoring indicator for malaria prevention and control, particularly in resource limited settings. Objectives: To compare ITN access-use based on universal household and population indicators and measures adapted to sleeping spaces Methods: A cross-sectional study was conducted in five districts of Jimma Zone, Ethiopia, March, 2019. 762 HHs were sampled for the survey. We used multi-stage followed by simple random sampling. Monitoring and evaluation reference group’s (MERG’s) indicators were used for measuring ITN access-use. MERG’s indicators are each adapted ITN access-use to sleeping spaces. The data were analyzed using Statistical Package for Social Sciences (SPSS) version 20.0. Differences of estimates of ITN access-use based on the two methods reported as magnitude of over/under estimations, at p-value <0.05. Results: Based on MERG’s approach, the study revealed household (HH) based indicators as such: HH ownership of at least 1 ITN (92.6%), sufficiency of ITN for every two people in HH (50.3%), and saturation of ITN for every 2 people in HHs with any ITN (54.6%). Moreover, population based indicators were: population with ITN access (P3=78.6%), people who slept under ITN previous night (63.0%), people who slept under ITN among who accessed it (73.1%), ITN use-gap (26.9%). Equivalent indicators of HH ownership, sufficiency, saturation, people accessed at where they actually slept, and people slept under ITN among those who accessed where they slept estimated at 71.3%, 49.4%, 69.3%, 66.3%, and 92.1%, respectively. MERG’s approach over-estimated ownership, people’s access, and behavior-failures by 21.3%, 12.3%, 19.0%, respectively. Over-estimation occurred for reasons such as many sleeping spaces lack ITN and > 2 people actually sleep in one space. Conclusions: MERG’s universal indicators over estimated households and populations ITN access-use as a result of absence of measures capturing access-use values at spaces where people actually slept. Consequently, measures adapted to sleeping contexts revealed potential misdistributions practiced when the existing indicators are in use. Insertion of sleeping spaces into existing approach will be worthwhile and needs to be promoted as it improves curiosity in ITN distribution, produces closer estimates and prevents malaria prevention and control programs from overlooking access-use challenges.


2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Jonathan N. Hogarh ◽  
Thomas P. Agyekum ◽  
Crentsil Kofi Bempah ◽  
Emmanuel D. J. Owusu-Ansah ◽  
Silas W. Avicor ◽  
...  

2021 ◽  
Author(s):  
Asteray Ayenew ◽  
Mastewal Yechale ◽  
Azezu Nigussie ◽  
Nigusu Ayalew

Abstract Background: Menopause is the physical, hormonal, psychological, biological events in women menstruation ceases as their age turns to 50’s. It is an inevitable part of life in the reproductive life of every women. an appropriate understanding of women about menopause that certain physical, social, mental, and psychological changes occur during menopause and helps them with greater readiness to cope with these changes, to seek medical attention, and other healthy behaviors like exercise, taking vitamins and mineral as supplement. Therefore, the aim of this study was to assess rural women’s knowledge of concept of menopause, severity, and climacteric stage among women aged 40-65 years in Northwest, Ethiopia Methods: Community-based cross-sectional study design was employed from March 6 to 30/ 2020 in Motta district. Simple random sampling was used for the required sample size. The Data was collected by using structured, pre-tested, and interviewer-administered questionnaires and entered in to Epi data version 3.1 then exported to Statistical Package for Social Science version 25 for analysis. Bivariable and multivariable logistic regression was employed and variables with p-value < 0.05 with 95% confidence interval were identified as significant factors to the outcome variable. Results: the women’s knowledge of concept of menopause only 23.3%. The mean age of study participants were 50.98 ±7.89 years with the majority have no formal education and poor wealth index. The most prevalent types of menopausal symptoms reported were muscular weakness (79%) while hot flash (76.9%) and decrease sexual desire (52%) were also prevalent. Moreover, each of the menopausal symptoms were higher among postmenopausal women compared to perimenopause and premonopuse women. Women self-reported differing severity levels of symptoms with high severity reported in 19.1% of total MRS and 9.1% had a moderate score of menopausal symptoms. Urban dwellers [AOR =2.07, 95%CI=(1.12, 3.81)], college and above educational status [AOR=4.01,95%CI =(1.39, 11.54)], Women with rich wealth index [AOR= 5.98, 95%CI= (3.01, 11.87)], women had information about menopausal symptoms [AOR=3.76, 95%CI= (1.86, 7.59)], history of contraceptive use [AOR=3.26, 95%CI= (1.94, 5.48)], and severe score of menopausal symptoms [AOR=2.22, 95%CI=(1.17, 4.19)] were factors significantly associated with knowledge of menopausal symptoms among women aged 40 – 65 years.Conclusion: The knowledge of women regarding menopausal was low. Residency, educational status, wealth index, received information about menopausal symptoms, history of contraceptive use, and menopausal severity score was significantly associated with knowledge of menopause. Thus, to increase knowledge of women on menopause, health education programs need to be integrated in to menopausal health within the health care system. Additionally, it is better to focus on postreproductive health of the women as during reproductive period to ensure the well beings of the women in postreproductive life. Moreover, community based education regardless of the severity of menopause including rural women is recommended. Integrating the menopausal health services with other maternal health services, and empowering women on education is essential for better improving women’s health.


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