Background Malaria is endemic in Guinea. The use of mosquito nets by women of childbearing age helps protect children under five from malaria. Aim To estimate the proportion of mosquito nets use and identify the factors explaining that use among women aged 15 to 49 in four regions of Guinea. Setting The study was carried out in Guinea specifically in Conakry, Boke, Kindia, and Labe regions. Methods We conducted a secondary analysis of a 2023 cross-sectional study, yielding a sample of 1,876 women. The outcome was mosquito net use the night before the survey. Simple logistic regressions assessed associations with independent variables were included in multivariate analysis. Results In our study, 64.23% of women slept under a mosquito net the night before the survey. Living in an urban area is associated with a reduced likelihood of sleeping under a mosquito net (OR = 0.54; 95% CI = 0.43–0.68). Believing that sleeping under a mosquito net poses no health risk significantly increases the likelihood of using it (OR = 2.14; 95% CI = 1.64–2.79), as does the belief that mosquito nets are very useful (OR = 2.33; 95% CI = 1.38–4.00). Conclusion These results suggest that communication strategies must focus on transforming women’s knowledge and attitudes by using approaches that are more engaging, participatory, and adapted to local realities. Contribution This study shows that knowledge and attitudes toward malaria matter when it comes to preventive practices like the use of mosquito nets among women in childbearing age.
Diallo et al. (Wed,) studied this question.