{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T20:21:36Z","timestamp":1783023696008,"version":"3.54.6"},"reference-count":48,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aim<\/jats:title>\n                    <jats:p>Malaria poses a major threat to pregnant women in Ghana, especially among marginalized nomadic Fulani communities. This study examined factors influencing insecticide\u2010treated net (ITN) ownership and use among Fulani pregnant women in northern Ghana.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross\u2010sectional survey was carried out between April and June 2022 among Fulani pregnant women in the West Gonja Municipality. Recruitment combined a limited community census with peer\u2010assisted snowball sampling to capture this mobile population. Data were collected through structured, face\u2010to\u2010face interviews in local languages after obtaining informed consent. Multivariable binary logistic regression was applied to identify factors associated with ITN ownership and, among owners, predictors of utilization. Statistical significance was set at\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 159 participants, 54.7% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200987) reported owning an ITN. Among owners, usage was 52.9% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200946\/87). Predictors of ITN ownership included awareness that ITNs prevent malaria ([adjusted odds ratio, AOR]\u2009=\u20093.45, 95% [confidence interval, CI]: 1.33\u20138.94), prior counseling on ITN use (AOR\u2009=\u20094.52, 95% CI: 1.53\u201313.34), and lower wealth status (AOR\u2009=\u20090.21, 95% CI: 0.09\u20130.49). Utilization was linked to knowledge of malaria symptoms (AOR\u2009=\u20090.18, 95% CI: 0.05\u20130.64), having more than three children (AOR\u2009=\u20090.02, 95% CI: 0.002\u20130.12), and owning multiple ITNs (AOR\u2009=\u20090.07, 95% CI: 0.02\u20130.28).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ITN ownership and use among Fulani pregnant women were far below national and global targets. Possession did not translate into consistent use. Strengthened health education and tailored, mobile\u2010responsive distribution strategies are essential to improve malaria prevention in this underserved population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.72415","type":"journal-article","created":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T05:05:38Z","timestamp":1776747938000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated With Insecticide\u2010Treated Bed Net Possession and Utilization in Malaria Prevention Among Fulani Pregnant Women in the Savannah Hinterlands of Ghana: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1223-1765","authenticated-orcid":false,"given":"Yula","family":"Salifu","sequence":"first","affiliation":[{"name":"Department of Population and Reproductive Health, School of Public Health University for Development Studies Tamale Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4485-0165","authenticated-orcid":false,"given":"Joseph","family":"Lasong","sequence":"additional","affiliation":[{"name":"Department of Population and Reproductive Health, School of Public Health University for Development Studies Tamale Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleonora Bakintewune","family":"Wobi","sequence":"additional","affiliation":[{"name":"Department of Biomedical Laboratory Sciences, School of Allied Health Sciences University for Development Studies Tamale Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Torjim","family":"Salifu","sequence":"additional","affiliation":[{"name":"Department of Population and Reproductive Health, School of Public Health University for Development Studies Tamale Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bismark","family":"Nantomah","sequence":"additional","affiliation":[{"name":"Department of Population and Reproductive Health, School of Public Health University for Development Studies Tamale Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gordon","family":"Dandeebo","sequence":"additional","affiliation":[{"name":"Department of Sociology and Social Work, Faculty of Social Science and Arts SD\u2010Dombo, University of Business and Integrated Development Studies, WA Bamahu Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"key":"e_1_2_15_2_1","unstructured":"World Health Organisation. \u201cMalaria \u201d2024."},{"key":"e_1_2_15_3_1","unstructured":"World Health Organization (WHO) WHO Regional Office for Africa. \u201cLives at Risk: Malaria in Pregnancy \u201d2023."},{"key":"e_1_2_15_4_1","first-page":"CD000363","article-title":"Insecticide\u2010Treated Nets for Preventing Malaria","volume":"11","author":"Pryce J.","year":"2018","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_15_5_1","doi-asserted-by":"crossref","unstructured":"World Health Organization (WHO). \u201cWHO Guidelines for Malaria \u201d August 13 2025 https:\/\/doi.org\/10.2471\/B09514.","DOI":"10.2471\/B09514"},{"key":"e_1_2_15_6_1","unstructured":"Ghana Health Service. 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