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Family, social and cultural determinants of long-lasting insecticidal net (LLIN) use in Madagascar: secondary analysis of three qualitative studies focused on children aged 5–15 years

hal.structure.identifierInstitut Pasteur de Madagascar
dc.contributor.authorNJATOSOA, Ammy Fiadanana
hal.structure.identifierInstitut Pasteur de Madagascar
hal.structure.identifierCentre population et développement [CEPED - UMR_D 196]
dc.contributor.authorMATTERN, Chiarella
hal.structure.identifierCentre population et développement [CEPED - UMR_D 196]
dc.contributor.authorPOURETTE, Dolorès
hal.structure.identifierUnité de Recherche sur le Paludisme [Antananarivo, Madagascar]
hal.structure.identifierOxford University Clinical Research Unit [Hanoi] [OUCRU]
dc.contributor.authorKESTEMAN, Thomas
hal.structure.identifierInstitut Pasteur de Madagascar
dc.contributor.authorRAKOTOMANANA, Elliot
hal.structure.identifierPopulation Services International Madagascar [Antananarivo]
dc.contributor.authorRAHAIVONDRAFAHITRA, Bakoly
hal.structure.identifierMinistère de la Santé Publique - Ministry of Public Health [Antananarivo, Madagascar]
dc.contributor.authorANDRIAMANANJARA, Mauricette
hal.structure.identifierInstitut Pasteur de Madagascar
dc.contributor.authorHARIMANANA, Aina
hal.structure.identifierU.S. President’s Malaria Initiative [Antananarivo] [PMI]
dc.contributor.authorRAZAFINDRAKOTO, Jocelyn
hal.structure.identifierInstitut Pasteur de Madagascar
dc.contributor.authorRABOANARY, Emma
hal.structure.identifierInstitut Pasteur de Madagascar
hal.structure.identifierInstitut international des sciences sociales [Antananarivo] [IISS]
dc.contributor.authorANDRIANASOLO, Andry
hal.structure.identifierInstitut Pasteur de Madagascar
hal.structure.identifierPrimum Vitare
dc.contributor.authorROGIER, Christophe
dc.date.issued2021-03-26
dc.identifier.issn1475-2875
dc.description.abstractEnBackgroundAlthough it is accepted that long-lasting insecticidal net (LLIN) use is an effective means to prevent malaria, children aged 5 to 15 years do not appear to be sufficiently protected in Madagascar; the malaria prevalence is highest in this age group. The purpose of this research is to summarize recent qualitative studies describing LLIN use among the Malagasy people with a focus on children aged 5–15 years.MethodsQualitative data from three studies on malaria conducted between 2012 and 2016 in 10 districts of Madagascar were analysed. These studies cover all malaria epidemiological profiles and 10 of the 18 existing ethnic groups in Madagascar. A thematic analysis was conducted on the collected data from semi-structured interviews, direct observation data, and informal interviews.ResultsA total of 192 semi-structured interviews were conducted. LLINs are generally perceived positively because they protect the health and well-being of users. However, regional representations of mosquito nets may contribute to LLIN lower use by children over 5 years of age including the association between married status and LLIN use, which leads to the refusal of unmarried young men to sleep under LLINs; the custom of covering the dead with a mosquito net, which leads to fear of LLIN use; and taboos governing sleeping spaces for siblings of opposite sexes, which leads to LLIN shortages in households. Children under 5 years of age are known to be the most vulnerable age group for acquiring malaria and, therefore, are prioritized for LLIN use when there are limited supplies in households. In contrast, children over 5 years of age, who are perceived to be at less risk for malaria, often sleep without LLINs.ConclusionsPerceptions, social practices and regional beliefs regarding LLINs and vulnerability to malaria contribute to the nonuse of LLINs among children over 5 years of age in Madagascar. Modifying LLIN policies to account for these factors may increase LLIN use in this age group and reduce disease burden.
dc.language.isoen
dc.publisherBioMed Central
dc.subject.enMalaria
dc.subject.enLLIN use
dc.subject.enChildren over five
dc.subject.enSociocultural factors
dc.subject.enMadagascar
dc.title.enFamily, social and cultural determinants of long-lasting insecticidal net (LLIN) use in Madagascar: secondary analysis of three qualitative studies focused on children aged 5–15 years
dc.typeArticle de revue
dc.identifier.doi10.1186/s12936-021-03705-2
dc.subject.halSciences de l'Homme et Société/Anthropologie biologique
dc.subject.halSciences de l'Homme et Société/Anthropologie sociale et ethnologie
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologie
bordeaux.journalMalaria Journal
bordeaux.volume20
bordeaux.issue1
bordeaux.peerReviewedoui
hal.identifierhal-03200228
hal.version1
hal.popularnon
hal.audienceInternationale
hal.origin.linkhttps://hal.archives-ouvertes.fr//hal-03200228v1
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Malaria%20Journal&rft.date=2021-03-26&rft.volume=20&rft.issue=1&rft.eissn=1475-2875&rft.issn=1475-2875&rft.au=NJATOSOA,%20Ammy%20Fiadanana&MATTERN,%20Chiarella&POURETTE,%20Dolor%C3%A8s&KESTEMAN,%20Thomas&RAKOTOMANANA,%20Elliot&rft.genre=article


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