“You need to take care of it like you take care of your soul”: perceptions and behaviours related to mosquito net damage, care, and repair in Senegal.
Background: Net care and repair behaviours are essential for prolonging the durability of long-lasting insecticidal
nets. Increased net durability has implications for protection against malaria as well as cost savings from less
frequent net distributions. This study investigated behaviours and motivations for net care and repair behaviours in
Senegal with the aim of informing social and behaviour change communication (SBCC) programmes, using the
Health Belief Model as a framework.
Methods: Data were collected from 114 participants in eight regions of Senegal. Participants were eligible for the
study if they were at least 18 years old and if their household owned at least one net. These respondents included
56 in-depth interview respondents and eight focus groups with 58 participants. In addition, the qualitative data
were supplemented with observational questionnaire data from a total of 556 sleeping spaces. Of these spaces,
394 had an associated net.
Results: Reported net care and repair behaviours and motivations varied substantially within this sample. Children
and improper handling were seen as major sources of net damage and respondents often tried to prevent damage
by storing nets when not in use. Washing was seen as an additional method of care, but practices for washing
varied and may have been damaging to nets in some cases. Participants mentioned a sense of pride of having a
net in good condition and the uncertainty around when they could expect another net distribution as motivations
for net care. Net repair appeared to be a less common behaviour and was limited by the perspective that net
degradation was inevitable and that repairs themselves could weaken nets.
Conclusion: These findings can be understood using the Health Belief Model framework of perceived severity,
perceived susceptibility, perceived barriers, perceived benefits, self-efficacy, and cues to action. This model can
guide SBCC messages surrounding net care and repair to promote practices associated with net longevity. Such
messages should promote the benefits of intact nets and provide tools for overcoming barriers to care and repair.
Auteur(s) : Dana K Loll, Sara Berthe, Sylvain Landry Faye, et al.,
Année de publication : Août
Revue : Malaria Journal,
N° de volume : 13: 322.
Type : Article
Mise en ligne par : FAYE Sylvain Landry Birane