Table 4 Determinants of access and use
Determinants | Beliefs or factors | HBM constructs | Islands | |
|---|---|---|---|---|
Malaria risk | Â | Â | Â | |
Beliefs or factors associated with ITN access and use | Health consequences (death) | Severity | Am | An |
Social consequences (depopulation) | Severity | Â | An | |
Loss of acquired immunity | Susceptibility | Â | An | |
Human movement | Susceptibility | Am | An | |
Insufficient screening | Susceptibility | Â | An | |
Hot, wet (rainy) season | Susceptibility | Am | An | |
High mosquito density | Susceptibility | Am | An | |
The potential risks of malaria infections | Susceptibility | Am | An | |
Beliefs or factors associated with non-use | Cold, dry season | Susceptibility | Am | An |
Low mosquito density | Susceptibility | Am | An | |
Low risk of infection | Susceptibility | Am | An | |
The disappearance of malaria-infected anopheline mosquitoes | Susceptibility | Am | Â | |
The reduction in malaria incidence | Susceptibility | Am | Â | |
Intervention services (tools and services) | ||||
Beliefs or factors associated with ITN access and use | Free mass distribution (catch-up) | Cues | Am | An |
National campaigns | Cues | Am | An | |
Community-based campaigns | Cues | Â | An | |
ITN prevention (malaria) | Benefits | Am | An | |
ITN protection (mosquitoes) | Benefits | Am | An | |
ITN prevention (other diseases) | Benefits | Am | An | |
ITN protection (other pests) | Benefits | Â | An | |
Beliefs or factors associated with non-use | Time and cost to replace nets (keep-up) | Barriers | Am | An |
Insufficient or a lack of ITNs in the home | Barriers | Am | An | |
ITNs in poor condition | Barriers | Am | An | |
Inconvenience of hanging | Barriers | Am | An | |
Excessive heat in the net (discomfort) | Barriers | Am | An | |
Side effects of the chemical | Barriers | Am | An | |
Personal factors (modifying factors and self-efficacy) | ||||
Beliefs or factors associated with access and use | Willingness or confidence to use ITNs | Self-efficacy | Am | An |
Knowledge | Modifying factors | Am | An | |
Experiences (malaria history) | Modifying factors | Am | An | |
Healthy habits (consistent ITN use) | Modifying factors | Am | An | |
Motivation for ITN use in an effort to eliminate malaria (healthy life) | Modifying factors | Â | An | |
Beliefs or factors associated with non-use | Unwillingness to buy or use ITNs | Self-efficacy | Am | An |
The absence of financial resources | Modifying factors | Am | An | |
Insufficient knowledge | Modifying factors | Am | An | |