Department of Public Health, School of Nursing and Midwifery, College of Health and Allied Science, University of Cape Coast, Cape Coast, Ghana.
Department of Adult Health, School of Nursing and Midwifery, College of Health and Allied Science, University of Cape Coast, Cape Coast, Ghana.
Malar J. 2024 Aug 10;23(1):238. doi: 10.1186/s12936-024-05072-0.
Insecticide-treated nets (ITNs) are pivotal tools for malaria prevention in endemic regions like Ghana. Understanding the protective factors and barriers influencing ITN ownership and usage is crucial for designing effective interventions. A scoping review was conducted to identify studies exploring protective factors and barriers related to ITN ownership and usage.
This review followed the guidelines by Askey and O'Malley. Search was done in four major databases including PubMed, Science Direct, PubMed CENTRAL, and JSTOR. Additional searches were done in Google Scholar and Google. Peer-reviewed and grey literature were included.
A total of 24 papers met the eligibility criteria and were included in the review. Included studies found regional disparities in ITN ownership and usage. Furthermore, included studies reported ownership rates between 97.8 and 28% and usage rates between 94 and 20%. Protective factors facilitating ITN ownership were marital status, higher educational attainment, higher income levels, and being aged 25 years or older. In contrast, the factors for its use included community-level campaigns advocating for ITN use and awareness, individuals with secondary education or higher and those residing in urban areas. Missed opportunities in free distribution exercises and the unavailability of subsidized ITNs at health facilities were barriers to ownership.
Understanding and addressing protective factors and barriers influencing ITN ownership and usage are crucial for enhancing malaria prevention strategies and achieving sustainable progress in combating malaria in endemic areas. Collaborative and evidence-based interventions are essential for addressing these challenges effectively.
在加纳等疟疾流行地区，经杀虫剂处理的蚊帐（ITN）是预防疟疾的重要工具。了解影响 ITN 拥有和使用的保护因素和障碍对于设计有效的干预措施至关重要。本研究进行了范围综述，以确定探索与 ITN 拥有和使用相关的保护因素和障碍的研究。
本综述遵循 Askey 和 O'Malley 的指南。在四个主要数据库（包括 PubMed、Science Direct、PubMed CENTRAL 和 JSTOR）中进行了搜索。此外，还在 Google Scholar 和 Google 中进行了额外的搜索。纳入了同行评议和灰色文献。
共有 24 篇论文符合入选标准并纳入综述。纳入的研究发现 ITN 拥有和使用存在地区差异。此外，纳入的研究报告的拥有率在 97.8%至 28%之间，使用率在 94%至 20%之间。促进 ITN 拥有的保护因素包括婚姻状况、较高的教育程度、较高的收入水平以及年龄在 25 岁或以上。相反，使用的因素包括社区层面宣传 ITN 使用和意识的运动、具有中等或高等教育程度的个体以及居住在城市地区的个体。免费分发活动中的错失机会和卫生设施中无法获得补贴的 ITN 是拥有的障碍。
了解和解决影响 ITN 拥有和使用的保护因素和障碍对于加强疟疾预防策略和在疟疾流行地区实现可持续进展至关重要。协作和基于证据的干预措施对于有效应对这些挑战至关重要。
