title: Relationship between care-givers' misconceptions and non-use of ITNs by under-five Nigerian children.
abstract: BACKGROUND
  Malaria has been a major public health problem in Nigeria and many other sub-Saharan African countries. Insecticide-treated nets have shown to be cost-effective in the prevention of malaria, but the number of people that actually use these nets has remained generally low. Studies that explore the determinants of use of ITN are desirable.
  
  
  METHODS
  Structured questionnaires based on thematic areas were administered by trained interviewers to 7,223 care-givers of under-five children selected from all the six geo-political zones of Nigeria. Bivariate analysis and multinomial logit model were used to identify possible determinants of use of ITN.
  
  
  RESULTS
  Bivariate analysis showed that under-five children whose care-givers had some misconceptions about causes and prevention of malaria were significantly less likely to use ITN even though the household may own a net (p < 0.0001). Education and correct knowledge about modes of prevention of malaria, knowing that malaria is dangerous and malaria can kill were also significantly associated with use of ITN (p < 0.0001). Knowledge of symptoms of malaria did not influence use of ITN. Association of non-use of ITN with misconceptions about prevention of malaria persisted with logistic regression (Odds ratio 0.847; 95% CI 0.747 to 0.960).
  
  
  CONCLUSIONS
  Misconceptions about causes and prevention of malaria by caregivers adversely influence the use ITN by under-five children. Appropriate communication strategies should correct these misconceptions.
authors.affiliation: Department of Paediatrics, University of Calabar, Calabar, Nigeria.
authors.forename: Ekundayo D
authors.initials: ED
authors.lastname: Arogundade
authors.forename: Samson B
authors.initials: SB
authors.lastname: Adebayo
authors.forename: Jennifer
authors.initials: J
authors.lastname: Anyanti
authors.forename: Ernest
authors.initials: E
authors.lastname: Nwokolo
authors.forename: Olaronke
authors.initials: O
authors.lastname: Ladipo
authors.forename: Augustine
authors.initials: A
authors.lastname: Ankomah
authors.forename: Martin M
authors.initials: MM
authors.lastname: Meremikwu
mesh_terms: D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D017028:Caregivers; D002675:Child, Preschool; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D057148:Insecticide-Treated Bednets; D008288:Malaria / Q000517:prevention & control*; D009032:Mosquito Control / Q000379:methods*; D009549:Nigeria; D011795:Surveys and Questionnaires; D055815:Young Adult