Darko Ernest, Tetteh John, Ayanore Martin Amogre, Damoah-Aferi Ishmael
Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
Wa Municipal Health Administration, Ghana.
Pan Afr Med J. 2019 Jun 4;33:81. doi: 10.11604/pamj.2019.33.81.16245. eCollection 2019.
An estimated 125 million pregnancies around the world are at risk of malaria infection every year. Insecticide Treated Bed Nets is a form of personal protection that has reportedly been shown to reduce severe disease and mortality due to malaria in endemic regions. This study investigated ownership and utilization of Long Lasting Insecticide Nets among pregnant women attending antenatal clinics in Wa Municipality of Ghana.
A cross-sectional study design was adopted to collect data among 394 pregnant women in six antenatal clinics. A two stage sampling technique was adopted and the data collection tool used was a semi-structured questionnaire. Descriptive and inferential statistics involving logistic regression were performed using Stata 14.
More (33.3%) of the pregnant women were aged between 25-29 years with no formal education (29.9%) whiles most (69.6%) of the pregnant women were in Islam religion. About 95.9% have heard about Long Lasting Insecticide Nets and its benefits. Intuitively, ownership of Long Lasting Insecticide Nets was 82.2% with 69.3% utilization of Long Lasting Insecticide Nets. Pregnant women aged 30-34 and 35 years and above were significant predictors, however, less likely to own Long Lasting Insecticide Nets compared to 15-19 years [AOR(95%CI)=0.29(0.10-0.87) and 0.08(0.01-0.72) respectively] whiles pregnant women aged 35 years and above were significantly less likely to utilize Long Lasting Insecticide Nets compared to 15-19 years [OR(95%CI)=0.12(0.03-0.48)].
The study found utilization of Long Lasting Insecticide Nets among pregnant in the Wa Municipality low as compared to the National Malaria Control Program target in Ghana although Long Lasting Insecticide Nets ownership was high. The study recommends that Public Health Nurses and Disease Control Officers should intensify sensitization on the importance and misconception of the use of Long Lasting Insecticide Nets during outreach clinics.
据估计,全球每年约有1.25亿例妊娠面临疟疾感染风险。经杀虫剂处理的蚊帐是一种个人防护形式,据报道,在疟疾流行地区,它已被证明可减少因疟疾导致的严重疾病和死亡。本研究调查了加纳瓦市产前诊所孕妇中长效杀虫剂蚊帐的拥有情况和使用情况。
采用横断面研究设计,在六个产前诊所的394名孕妇中收集数据。采用两阶段抽样技术,使用的数据收集工具是半结构化问卷。使用Stata 14进行涉及逻辑回归的描述性和推断性统计。
更多(33.3%)的孕妇年龄在25至29岁之间,未接受过正规教育的占29.9%,而大多数(69.6%)孕妇信奉伊斯兰教。约95.9%的孕妇听说过长效杀虫剂蚊帐及其益处。直观来看,长效杀虫剂蚊帐的拥有率为82.2%,使用率为69.3%。年龄在30至34岁以及35岁及以上的孕妇是显著的预测因素,然而,与15至19岁的孕妇相比,她们拥有长效杀虫剂蚊帐的可能性较小[AOR(95%CI)=0.29(0.10 - 0.87)和0.08(0.01 - 0.72)],而与15至19岁的孕妇相比,35岁及以上的孕妇使用长效杀虫剂蚊帐的可能性显著降低[OR(95%CI)=0.12(0.03 - 0.48)]。
研究发现,与加纳国家疟疾控制计划目标相比,瓦市孕妇中长效杀虫剂蚊帐的使用率较低,尽管长效杀虫剂蚊帐的拥有率较高。该研究建议,公共卫生护士和疾病控制官员应在义诊期间加强对长效杀虫剂蚊帐使用的重要性和误解的宣传。