MEASURE Evaluation, ICF, 530 Gaither Road, Suite 500, Rockville, MD, 20850, USA.
Save the Children, 899 North Capitol Street NE #900, Washington, DC, 20002, USA.
Malar J. 2019 Apr 6;18(1):121. doi: 10.1186/s12936-019-2750-x.
To reduce the malaria burden in Nigeria, the National Malaria Strategic Plan (NMSP) 2014‒2020 calls for the scale-up of prevention and treatment interventions, including social and behaviour change (SBC). SBC interventions can increase awareness and improve the demand for and uptake of malaria interventions. However, there is limited evidence supporting the implementation of SBC interventions to improve key malaria behaviours, such as insecticide-treated bed net (ITN) use, among children in Nigeria.
Using data from 2015 Nigeria Malaria Indicator Survey, this study used multiple logistic regression to assess the relationship between caregiver exposure to malaria messages and ITN use among children under five.
Caregiver exposure to ITN-related messages was significantly associated with ITN use among children under five (odds ratio [OR] = 1.63, p < 0.001).
The results suggest that caregiver exposure to topic-specific SBC messages improves the use of ITNs among children. Given these results, Nigeria should strive to scale up SBC interventions to help increase ITN use among children in line with the objectives of the NMSP. Further evidence is needed to determine which SBC interventions are the most effective and scalable in Nigeria.
为了减轻尼日利亚的疟疾负担，《国家疟疾战略计划（NMSP）2014-2020》呼吁扩大预防和治疗干预措施，包括社会和行为改变（SBC）。SBC 干预措施可以提高认识，增加对疟疾干预措施的需求和采用。然而，支持实施 SBC 干预措施以改善关键疟疾行为（如儿童使用驱虫蚊帐（ITN））的证据有限，尼日利亚就是如此。
本研究利用 2015 年尼日利亚疟疾指标调查的数据，采用多因素逻辑回归分析评估了照顾者接触疟疾信息与 5 岁以下儿童使用 ITN 之间的关系。
照顾者接触与 ITN 相关的信息与 5 岁以下儿童使用 ITN 显著相关（比值比[OR] = 1.63，p < 0.001）。
结果表明，照顾者接触特定主题的 SBC 信息可提高儿童使用 ITN 的意愿。鉴于这些结果，尼日利亚应努力扩大 SBC 干预措施，以帮助提高符合 NMSP 目标的儿童 ITN 使用量。需要进一步的证据来确定哪些 SBC 干预措施在尼日利亚最有效和最具可扩展性。
