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2025 ; 24
(1
): 358
Nephropedia Template TP
gab.com Text
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Utilization of insecticide-treated nets for malaria prevention among children in
Africa: a systematic review and meta-analysis
#MMPMID41131520
Basiru A
; Alozieuwa UB
; Aboh MI
; Usman UY
; Nwaefulu ON
; Okeke OP
; Akinsolu FT
; Sobande OO
Malar J
2025[Oct]; 24
(1
): 358
PMID41131520
show ga
BACKGROUND: Despite the proven effectiveness of insecticide-treated nets (ITNs)
in reducing malaria incidence and mortality, their usage among children in Africa
remains inadequate. This systematic review and meta-analysis aimed to ascertain
the prevalence of ITN usage for malaria control among children in Africa.
METHODS: This review was registered with Prospero (CRD42023474978). A search was
conducted in Scopus, PubMed, and Google Scholar for publications between 2013 and
2023. The study population was children in Africa, the intervention was ITN
utilization, and the prevalence of ITN use was the outcome. The Jonna Briggs
Institute (JBI) criteria were used to evaluate the quality of the included
studies. A random effects model determined the overall pooled prevalence of ITN
utilization. A sub-group analysis was carried out based on regions of Africa.
Egger's Regression-based test was used to identify publication bias. RESULTS:
This review included 30 studies with 76,045 children, 50 households, and 1009
caregivers. Among the 30 included studies, 26 (86.7%) determined the ITN
utilization in children, three (10%) evaluated the use of ITN by caregivers of
children, and one (3.3%) article reported ITN utilization in households with
children. In addition, 28 (93.3%) studies were cross-sectional. The pooled
prevalence of ITN utilization was 69.50% with a 95% CI (64.5-74.5%).
Statistically significant heterogeneity was observed (I(2)?=?100%, p?=?0.001).
ITN utilization was highest in Central Africa (85.44%, 95% CI 85.3-85.6),
followed by Southern Africa (80.7%, 95%CI 80.6-80.9) and Eastern Africa (69.2%,
95%CI 63.8-74.6), and lowest in West Africa (67.0%, 95% CI 56.2-77.8).
CONCLUSION: The prevalence of ITN utilization among children in Africa is low and
varies by region. This utilization needs to be improved.
|*Insecticide-Treated Bednets/statistics & numerical data
[MESH]