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Impact of insecticide-treated nets and indoor residual spraying on self-reported malaria prevalence among women of reproductive age in Ghana: implication for malaria control and elimination.
Alhassan, Yakubu; Dwomoh, Duah; Amuasi, Susan Ama; Nonvignon, Justice; Bonful, Harriet; Tetteh, Mary; Agyabeng, Kofi; Kotey, Martha; Yawson, Alfred E; Bosomprah, Samuel.
Afiliación
  • Alhassan Y; Department of Health Policy, Planning and Management, School of Public Health, University of Ghana, Accra, Ghana.
  • Dwomoh D; Department of Biostatistics, School of Public Health, University of Ghana, Accra, Ghana. duahdwomoh@ug.edu.gh.
  • Amuasi SA; Department of Physician Assistantship and Public Health, School of Medicine and Health Sciences, Central University College, Accra, Ghana.
  • Nonvignon J; Department of Health Policy, Planning and Management, School of Public Health, University of Ghana, Accra, Ghana.
  • Bonful H; Department of Epidemiology, School of Public Health, University of Ghana, Accra, Ghana.
  • Tetteh M; Department of Health Policy, Planning and Management, School of Public Health, University of Ghana, Accra, Ghana.
  • Agyabeng K; Department of Biostatistics, School of Public Health, University of Ghana, Accra, Ghana.
  • Kotey M; Department of Epidemiology, School of Public Health, University of Ghana, Accra, Ghana.
  • Yawson AE; Department of Community Health, University of Ghana Medical School, University of Ghana, Accra, Ghana.
  • Bosomprah S; Department of Biostatistics, School of Public Health, University of Ghana, Accra, Ghana.
Malar J ; 21(1): 120, 2022 Apr 12.
Article en En | MEDLINE | ID: mdl-35413832
BACKGROUND: The Global Fund alone contributed 56% of all international financing for malaria and has invested more than US$13.5 billion in malaria treatment, prevention, and control programmes by June 2021. These investments include interventions such as mosquito nets, indoor residual spraying, and preventive treatment for children and pregnant women. However, there is paucity of studies for assessment of such investments to a reduction in malaria prevalence. This study was aimed at quantifying the impact of household access to insecticide-treated nets (ITNs) and the indoor residual spraying (IRS) on self-reported malaria prevalence among women of reproductive age in Ghana. METHODS: The study analysed the 2016 Ghana Malaria Indicator Survey (MIS) data. The MIS is a nationwide survey that included women aged 15-49 years. Poisson regression model with inverse probability to treatment weighting was used to determine average treatment effect estimate of the two malaria interventions on self-reported malaria prevalence among women of reproductive age in Ghana. RESULTS: A total sample of 4861 women interviewed from the 2016 Ghana MIS was used for analysis. The prevalence of self-reported malaria in 2016 was 34.4% (95% CI [32.4%, 36.4%]). Approximately 80.0% of women lived in households with access to ITNs [Percentage (Pr) = 79.9%, (95% CI [78.0%, 81.7%])], 12.4% (95% CI [7.5%, 19.8%]) of the households had access to IRS and 11.4% (95% CI [7.0%, 18.0%]) of the households had access to both ITNs and IRS. Household access to only ITN contributed to 7.1 percentage point (pt) reduction in the self-reported malaria among women (95% CI [- 12.0%, - 2.1%], p = 0.005) whilst IRS at the households contributed to 6.8pt reduction in malaria prevalence (95% CI [- 12.0%, - 2.1%], p = 0.005). Households with access to both ITNs and IRS contributed to a 27.1pt reduction in self-reported malaria prevalence among women (95% CI [- 12.0%, - 2.1%], p = 0.005). CONCLUSION: Access to both ITNs and application of IRS at the household level contributed to a significant reduction in self-reported malaria prevalence among women of reproductive age in Ghana. This finding confirms the need for integration of malaria control interventions to facilitate attainment of malaria elimination in Ghana.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Mosquiteros Tratados con Insecticida / Insecticidas / Malaria Tipo de estudio: Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Child / Female / Humans / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Malar J Asunto de la revista: MEDICINA TROPICAL Año: 2022 Tipo del documento: Article País de afiliación: Ghana Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Mosquiteros Tratados con Insecticida / Insecticidas / Malaria Tipo de estudio: Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Child / Female / Humans / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Malar J Asunto de la revista: MEDICINA TROPICAL Año: 2022 Tipo del documento: Article País de afiliación: Ghana Pais de publicación: Reino Unido