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Table 3 Top ranked reasons for inconsistent use of ITNs from free listing and ranking activity

From: Understanding the gap between access and use: a qualitative study on barriers and facilitators to insecticide-treated net use in Ghana

 Central regionEastern regionNorthern region
Community leadersHeat
Rashes
Lack of education
Heat
Chemical is too strong and causes reaction
The net is short
Heat
Reaction to the insecticide
Itching
Under-five caretakersHeat
Do not see the need because of mosquito sprays, coils, fan, etc.
Laziness to hang the ITN
Heat
Reaction to the insecticide
Difficulty in hanging the net
Heat
Reaction to the insecticide
Lack of education
Participants > 49 yearsHeat
Discomfort
ITN material is too hard
Heat
Discomfort
Reaction to the insecticide
Lack of education
Laziness
Health workersBurning sensation (upon contact)
Difficulty in hanging the ITN
Heat
Lack of education
Heat
Reaction to the insecticide
Itching
Misconceptions about ITNs
Texture and shape of the ITN
No access to the ITN by women and children (husband seized the ITN)
Male 18–49 yearsInsecticide is too strong
Lack of education
Inability to hang the ITN
Heat
Insecticide is too strong
People just don’t like the ITN
Stubbornness
Heat
Itching/reaction to insecticide
Female 18–49 yearsHeat
Disruption of sexual activity
Burning sensation
Heat
Can’t breathe while under the ITN
Skin rashes
Heat
Laziness
Procrastination
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