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The purpose of this paper is to explore how socio-cultural beliefs and practices could influence the knowledge, attitude and perception of insecticide-treated net (ITN) use in the control of malaria amongst pregnant women attending antenatal clinic.

Data were gathered using interviews and documentary review. Framework analysis was applied to classify emerging themes and the findings interpreted using the health belief model.

The findings showed that the pregnant women had appreciable knowledge, both the positive and negative attitudes and the perceptions of insecticide treated nets. To most of them, sleeping under an ITN would not affect pregnancy/cause abortion, but rather prevent mosquito bites and associated malaria.

The limitations include the sample size of participants and health facilities used. Lack of application of a quantitative research method meant that the authors could not quantify the findings to ensure generalisation to the entire population.

The findings suggest that health policy makers, implementers and health professionals need to appreciate the perception and the attitude of pregnant women when designing policy guidelines for the malaria control programme.

This paper helps to elucidate on how socio-cultural beliefs and practices could influence the knowledge, attitude and perception of ITN usage amongst both pregnant women and people in malaria endemic communities.

This paper suggests that health policy makers, implementers and health professionals have to devise strategies to address socio-cultural beliefs and practices in the scaling up of malaria control programmes.

Despite the efforts to improve the usage of insecticide-treated nets (ITNs) among pregnant women in endemic malaria countries like Ghana, its usage still remains low. Therefore, this study aims to assess the intention to use ITNs and actual usage behaviour among pregnant women in Ghana using the integrated model of behaviour prediction (IMBP) and explore factors preventing its usage.

A structured questionnaire was administered to 310 respondents using a convenience sampling technique, and the data were analysed using multiple regression. Exploratory data collected through an interview guide was analysed using Kvale and Brinkman’s (2015) five-step approach.

The findings indicate a significantly positive association between intention to use ITN and actual usage of ITN among pregnant women in Ghana. Attitude and normative beliefs were the most significant predictors of intention to use ITNs among pregnant women. The result further shows that despite the generally positive perception of the effectiveness of the ITN in malaria prevention and positive intention to use it, its actual usage remains low because of discomfort (primarily associated with heat, irritation, heat rashes, suffocation and vomiting, size and design, reactions to ITN’s chemicals and misconceptions about ITNs causing cancer. In this study, the implications are discussed.

This study applied the IMBP to ITNs usage intention among pregnant women in a developing market context and found the model to predict ITN usage intention effectively.

The purpose of this paper is to address the global dimensions of poverty, hunger, death, and disease.

The authors assemble the most recently available data on these four human scourges from reliable international sources.

Reducing the higher incidence of poverty, hunger, death, and disease in sub‐Saharan African countries depends critically on the extension of four revolutions – biological, intellectual, political, and scientific‐technological.

The paper selects and interprets these data from the perspectives of economics and paediatrics.

This study aims to estimate the magnitude of undernutrition and its associated factors [especially child health interventions at Child Welfare Clinics (CWCs)] among children in Techiman Municipality, Ghana.

A facility-based analytical cross-sectional design involving 403 mothers/caregivers with children. Simple random sampling was used to sample study sites and participants. Child health interventions were assessed by adapting items used in the Ghana Demographics and Health Survey. Weight and length of children were measured and used to calculate anthropometric z-scores based on World Health Organization guidelines. Test for associations was performed using bivariate analysis and multivariate logistic regression. Statistical significance was considered at p < 0.05.

The magnitudes of stunting, wasting and underweight were 20.6% [95% confidence interval (CI): 17–25], 11.4% (95% CI: 9–15), and 9.7% (95% CI: 7–13) respectively. Children aged 12–17 months [odds ratio (OR) = 3.1; CI: 1.3–7.5], male children (OR = 5.2; CI: 2.7–10.0) and children attending CWC 19–22 times (OR = 28.8; CI: 6.6–125) had increased odds of stunting. Additionally, belonging to households with one child under 5 (OR = 2.7; CI: 1.4–5.1) and using borehole/well water (OR = 2.7; CI: 1.4–5.3) were associated with increased odds of stunting. Similarly, being a female (OR = 3.5; CI: 1.6–8.0) and using borehole/well water (OR = 2.1; CI: 1.0–4.2) were associated with increased odds of underweight.

The magnitude of malnutrition, specifically stunting and wasting, exceeds the threshold for public health significance. CWC attendance frequency, age and sex of the child, number of children under five years old in households and water source were significantly associated with undernutrition.

Climate change affects the geographic and seasonal range of malaria incidence, especially, in poor tropical countries. This paper aims to attempt to conceptualize the potential economic repercussions of such effects with its focus on Ethiopia.

The paper is conceptual and descriptive in its design. It first reviews existing literature and evidence on the economic burdens of malaria, and the impacts of climate change on malaria disease. It then draws the economic implications of the expected malaria risk under the future climate. This is accompanied by a discussion on a set of methods that can be used to quantify the economic effects of malaria with or without climate change.

A review of available evidence shows that climate change is likely to increase the geographic and seasonal range of malaria incidence in Ethiopia. The economic consequences of even a marginal increase in malaria risk will be substantial as one considers the projected impacts of climate change through other channels, the current population exposed to malaria risk and the country’s health system, economic structure and level of investment. The potential effects have the potency to require more household and public spending for health, to perpetuate poverty and inequality and to strain agricultural and regional development.

This paper sheds light on the economic implications of climate change impacts on malaria, particularly, in Agrarian countries laying in the tropics. It illustrates how such impacts will interact with other impact channels of climate change, and thus evolve to influence the macro-economy. The paper also proposes a set of methods that can be used to quantify the potential economic effects of malaria. The paper seeks to stimulate future research on this important topic which rather has been neglected.

People donate to charities with the aim of improving society. Yet, many charities fail to use donations efficiently or have ineffective interventions. The authors explore the strategic operational priorities and processes that enable charities to efficiently implement their interventions and have a positive impact on society.

The authors first review the literature on charities to gain a deeper understanding of the current state of knowledge on charity operations. The authors then employ the lens of paradox theory and perform a qualitative investigation of six case studies to explore various aspects of the operations of charities that are known for being cost-effective.

The authors reveal how the strategic operational decisions of charities, as well as the processes they implement, help them resolve the tensions arising from the cost-effectiveness paradox. The authors show that cost-effective charities make strategic operational decisions that help maintain two diverging priorities: prioritizing the status quo and prioritizing change in how they deliver value. Another set of strategic decisions helps balance these two diverging priorities. The authors then show how these charities create and then maintain cost-effective operations.

The authors address recent calls for research on non-profit organizations in the field of operations management. To authors’ knowledge, it is the first in-depth study of exemplary charity operations. The results can be used by charity executives as a benchmarking tool when they develop and implement their charitable interventions and by government agencies and potential donors when they select charities for their donations. Finally, the results should have implications for other organizations trying to have a positive societal impact.

Clean cookstoves have emerged over the past half century as an important technological innovation to reduce indoor air pollution from cooking with traditional fuels. However, widespread adoption remains elusive, suggesting the need for other measures to accompany dissemination of clean cookstoves. Despite knowledge about health impacts of cookstove smoke and a body of evidence pointing to the efficacy of health education for supporting behaviour change, health messaging is relatively unexplored in the cookstove sector. This paper aims to present findings from action research in Cambodia that investigates how social innovation around positive and negative health messaging influences demand for clean biomass cookstoves.

An action research approach was taken, involving the design and implementation of a health marketing campaign alongside promotion of a clean burning biomass cookstove. Four communes were assigned as intervention communes and a fifth as the control group. Among the four intervention communes, two were provided with positive health messaging and the other two with negative health messaging. The methods included a baseline study of 381 households using structured surveys, roll-out of the health campaign, in-depth interviews with households and sales agents, ten focus group discussions with households and an endline structured survey of all 381 households.

Neither the type (positive/negative) nor the intensity of the health campaigns had a significant impact on stove sales. Sales results show no pattern in either variable, and sales in the control commune were not lower than in communes where health campaigns were used. However, health messaging did increase awareness about health impacts of cooking with traditional biomass burning stoves. For almost all communes, in particular those that received positive-tone messages, an increased awareness of the health impact of cooking with traditional biomass burning stoves was observed. Cookstove price and personal characteristics of individual sales agents were shown to be the strongest factors affecting sales.

The study relied on sales agents to deliver pre-assigned health messages. However, some sales agents did not follow instructions in delivering the messages, which made it difficult to compare the efficacy of the different campaign approaches. Due to a delay in the study, the campaign overlapped with the planting season when disposable incomes of famers is typically limited, reducing their ability to purchase a new cookstove. The 10-week duration of the campaign may not have been long enough to see an impact on sales, particularly for a product viewed as expensive for the average consumer.

The skill and motivation of individual sales agents can greatly affect cookstove marketing campaigns. The efficacy of individual sales agents appears to have been the strongest factor affecting sales, with the most successful sales agent using a combination of messages, including health information, to convince households to purchase the stoves. This warrants further study; designers of stove promotion campaigns might be able to learn from the behaviour and strategies of highly effective sales agents. Price continues to be an important factor influencing the adoption of clean cookstoves. In Cambodia, the main drivers of cookstove purchase (beside the sales agent) were availability of disposable income, time and fuel saved.

Health messaging was shown to have minimal effect on cookstove purchase. Indeed, it is clear that cookstove adoption is influenced by multiple factors linked in complex ways. This is a very important finding for public health workers, who need to think more broadly about how they achieve the public health goals associated with cleaner cooking through approaches that do not necessarily focus on individual health goals.

Although health messaging has shown promise as an approach for supporting behaviour change in other sectors, it has not been widely studies in the context of clean cookstove adoption. This paper contributes to filling this gap and suggests some lines of enquiry for future research. The study pioneered innovative methods such as action research, use of graphic images and using established local sales agents as means of communicating messages about the health risks of cooking smoke and the benefits of improved cookstoves.