Communication for behavioural impact in enhancing utilization of insecticide-treated bed nets among mothers of under-five children in rural North Sudan: an experimental study
This article was published in the Malaria Journal [ © 2016 The Author(s).] and the definitive version is available at: http://doi.org/10.1186/s12936-016-1551-8 The Journal's website is at: https://malariajournal.biomedcentral.com/articles/10.1186/s12936-016-1551-8
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© 2016 BioMed Central Ltd.
2018
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10361-97172019-09-30T04:33:54Z Communication for behavioural impact in enhancing utilization of insecticide-treated bed nets among mothers of under-five children in rural North Sudan: an experimental study Elmosaad, Yousif Mohammed Elhadi, Magda Khan, Asif Malik, Elfatih Mohamed Mahmud, Ilias James P Grant School of Public Health, BRAC University Communication for behavioural impact Long-lasting insecticidal nets Malaria Rural population This article was published in the Malaria Journal [ © 2016 The Author(s).] and the definitive version is available at: http://doi.org/10.1186/s12936-016-1551-8 The Journal's website is at: https://malariajournal.biomedcentral.com/articles/10.1186/s12936-016-1551-8 Background: Malaria is the leading cause of morbidity and mortality in Sudan. The entire population is at risk of contracting malaria to different levels. This study aimed to assess the effectiveness of communication for behavioural impact (COMBI) strategy in enhancing the utilization of long-lasting insecticidal nets (LLINs) among mothers of under-five children in rural areas. Methods: A randomized community trial was conducted in rural area of Kosti locality, White Nile State, Sudan, among mothers of under-five children, from January 2013 to February 2014. A total of 761 mothers from 12 villages were randomly selected, 412 mothers from intervention villages and 349 were from comparison villages. Results: The knowledge of mothers, in intervention villages, about malaria vector, personal protective measures (PPM) against malaria, and efficacy of LLINs was significantly increased from 86.9 to 97.3 %; 45.9 to 92 % and 77.7 to 96.1 % respectively. Knowledge about usefulness of PPM, types of mosquito nets and efficacy of LLINs was significantly higher in intervention villages compared to comparison villages (p < 0.05), (η2 = 0.64). Mothers in intervention villages increasingly perceived, post-intervention, that malaria was a serious disease (99.3 %), a preventable disease (98.8 %) and also LLINs as an effective intervention in malaria prevention (92.2 %). This resulted in an increase in the utilization rate of LLINs from 19.2 to 82.8 % in intervention villages compared to comparison villages (p < 0.05) [OR = 4.6, 95 %, CI = (3.72-5.72)], (η2 = 0.64). The average of mothers' knowledge about malaria was increased by 64 % (η2 = 0.64), the use of LLINs was increased by 79 % (η2 = 0.79) and a positive attitude towards malaria was 2.25 times higher in intervention villages than among mothers in the comparison villages. Conclusions: These results established the usefulness of COMBI strategy for increasing awareness about malaria, developing a positive perception towards malaria prevention and, increasing the utilization of LLINs. Published 2018-03-22T05:25:39Z 2018-03-22T05:25:39Z 2016-10-18 Article Elmosaad, Y. M., Elhadi, M., Khan, A., Malik, E. M., & Mahmud, I. (2016). Communication for behavioural impact in enhancing utilization of insecticide-treated bed nets among mothers of under-five children in rural north sudan: An experimental study. Malaria Journal, 15(1)10.1186/s12936-016-1551-8 14752875 http://hdl.handle.net/10361/9717 http://doi.org/10.1186/s12936-016-1551-8 en https://malariajournal.biomedcentral.com/articles/10.1186/s12936-016-1551-8 application/pdf © 2016 BioMed Central Ltd. |
| institution |
Brac University |
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Institutional Repository |
| language |
English |
| topic |
Communication for behavioural impact Long-lasting insecticidal nets Malaria Rural population |
| spellingShingle |
Communication for behavioural impact Long-lasting insecticidal nets Malaria Rural population Elmosaad, Yousif Mohammed Elhadi, Magda Khan, Asif Malik, Elfatih Mohamed Mahmud, Ilias Communication for behavioural impact in enhancing utilization of insecticide-treated bed nets among mothers of under-five children in rural North Sudan: an experimental study |
| description |
This article was published in the Malaria Journal [ © 2016 The Author(s).] and the definitive version is available at: http://doi.org/10.1186/s12936-016-1551-8 The Journal's website is at: https://malariajournal.biomedcentral.com/articles/10.1186/s12936-016-1551-8 |
| author2 |
James P Grant School of Public Health, BRAC University |
| author_facet |
James P Grant School of Public Health, BRAC University Elmosaad, Yousif Mohammed Elhadi, Magda Khan, Asif Malik, Elfatih Mohamed Mahmud, Ilias |
| format |
Article |
| author |
Elmosaad, Yousif Mohammed Elhadi, Magda Khan, Asif Malik, Elfatih Mohamed Mahmud, Ilias |
| author_sort |
Elmosaad, Yousif Mohammed |
| title |
Communication for behavioural impact in enhancing utilization of insecticide-treated bed nets among mothers of under-five children in rural North Sudan: an experimental study |
| title_short |
Communication for behavioural impact in enhancing utilization of insecticide-treated bed nets among mothers of under-five children in rural North Sudan: an experimental study |
| title_full |
Communication for behavioural impact in enhancing utilization of insecticide-treated bed nets among mothers of under-five children in rural North Sudan: an experimental study |
| title_fullStr |
Communication for behavioural impact in enhancing utilization of insecticide-treated bed nets among mothers of under-five children in rural North Sudan: an experimental study |
| title_full_unstemmed |
Communication for behavioural impact in enhancing utilization of insecticide-treated bed nets among mothers of under-five children in rural North Sudan: an experimental study |
| title_sort |
communication for behavioural impact in enhancing utilization of insecticide-treated bed nets among mothers of under-five children in rural north sudan: an experimental study |
| publisher |
© 2016 BioMed Central Ltd. |
| publishDate |
2018 |
| url |
http://hdl.handle.net/10361/9717 http://doi.org/10.1186/s12936-016-1551-8 |
| work_keys_str_mv |
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