ArticleMalaria journal2025
Prevalence and determinants of insecticide-treated net ownership among women of reproductive age in Nigeria: a mixed-effect insight from the 2021 malaria indicator survey.
Article in Malaria journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed.
- Insecticide-treated net utilization and associated factors among infants in Southwestern Nigeria.Malaria journal · 2026Article
- Socio-demographic predictors of insecticide-treated bed net ownership and utilization for protection against malaria by rural community members across five regions of Mainland Tanzania.Malaria journal · 2026Article
- Geospatial mapping of gender-sensitive malaria vulnerability and ITN usage barriers in Zamfara State, Nigeria.Malaria journal · 2026Article
- Spatial and temporal inequalities in malaria incidence and mortality among children aged 0-4 years in Nigeria: a subnational analysis, 2010-2019.Malaria journal · 2026Article
- Trends and inequalities in insecticide-treated net use among children under five in Ghana, 2003-2022: analysis of Demographic and Health Surveys using the WHO Health Equity Assessment Toolkit (HEAT).Tropical medicine and health · 2025Article
- Environmental and socio-economic determinants of malaria transmission in West Africa: a systematic review.One health outlook · 2025Review
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Abstract
backgroundMalaria continues to be a significant public health issue in Nigeria, which bears the highest burden of the disease globally. This study examined the prevalence and determinants of insecticide-treated net (ITN) ownership among women of reproductive age in Nigeria.
methodsThe individual woman questionnaire data from the 2021 Nigeria Malaria Indicator Survey (NMIS) was used. In total, 14,476 women of reproductive age (15-49 years) made up the study's sample that was analysed. The outcome variable in the study was ITN ownership. Percentage and multivariable multilevel binary logistic regression model were estimated at p < 0.05.
resultsThe weighted prevalence of ITN ownership was 62.6% (95% CI 60.6-64.7%). Women aged 25-34 and 35-49 had 12% (aOR = 0.88; 95% CI 0.78-0.98) and 16% (aOR = 0.84; 95% CI 0.74-0.97) reduction in ITN ownership, when compared with women aged 15-24 years. Women who had 1-2 (aOR = 1.13; 95% CI 1.00-1.28), 3-4 (aOR = 1.28; 95% CI 1.11-1.46) and 5 and above living children (aOR = 1.35; 95% CI 1.15-1.58), had higher odds of ITN ownership when compared with those with no living child respectively. Women from non-poor households had higher odds of ITN ownership, when compared with their poor counterparts (aOR = 1.30; 95% CI 1.14-1.49). Women from North East (aOR = 4.52; 95% CI 3.08-6.63) and North West (aOR = 4.18; 95% CI 2.90-6.01) had higher odds of ITN ownership, while those from South East (aOR = 0.40; 95% CI 0.26-0.62) and South South (aOR = 0.59; 95% CI 0.41-0.85) had reductions in the odds of ITN ownership, when compared with women from North Central respectively.
conclusionApproximately two-third of Nigerian women reported ITN ownership. This underscore the need for targeted interventions to address barriers and improve ITN access. While free ITN distribution programmes have been effective, socioeconomic and demographic factors have remained contributory to ITN access. Enhanced strategies should focus on equitable distribution and improved access to ITN among groups to achieve better malaria control outcomes in Nigeria.
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