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趋势的下降蚊帐利用率在孕妇在埃塞俄比亚:新的数据从阿尔巴明奇健康和人口监测系统,2010-2016。

Trend of declining bed net utilization among pregnant women in Ethiopia: new data from the Arba Minch Health and Demographic Surveillance System, 2010-2016.

机构信息

Department of Midwifery, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.

Department of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.

出版信息

Malar J. 2020 Apr 8;19(1):142. doi: 10.1186/s12936-020-03211-x.

DOI:10.1186/s12936-020-03211-x
PMID:32268903
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7140317/
Abstract

BACKGROUND

Bed net utilization is one of the important methods of malaria prevention. Malaria during pregnancy is one of the fatal diseases which mostly leads to the death of the mother and the fetus. Some of the complications of malaria during pregnancy are: intrauterine growth restrictions, intrauterine fetal death, and stillbirth. The main challenge of malaria treatment is that most of the anti-malarial drugs are not safe to use during pregnancy. The use of bed net is the most effective method of prevention of malaria during pregnancy. There is a paucity of information on bed net utilization among pregnant women in the study setting. Hence, this study aims to assess the trends of bed net utilization among pregnant women in Arba Minch Health and Demography Surveillance Site (HDSS), Southern Ethiopia.

METHODS

The study was conducted in the Arba Minch HDSS. The observation started in 2010 till 2016, using a repeated cross-sectional study design. The data was collected using interviewer administered questionnaire biannually with a total of 14 rounds of data collection from 2010 to 2016. A total of 2657 pregnant women were included in the study. Descriptive statistics such as frequency and proportion were used to present the findings of each variable.

RESULTS

Out of 2657 mothers included in the study, more than half, 1521 (63.6%), of the study participants were in the age group between 20 and 29 years. About one-third of the study population 793 (29.8) were having no schooling. The trend of bed net utilization decreased from 83.6% in 2010 to 36.5% in 2016.

CONCLUSION

The trends of bed net utilization decreased from 2010 to 2016 in Arba Minch HDSS. Utilization of bed net by pregnant women in the area need to be increased as it is malaria endemic. The government should strengthen the existing bed net distribution strategy. Further research is needed to investigate the cause of decreasing bed net utilization.

摘要

背景

蚊帐的使用是预防疟疾的重要方法之一。孕妇疟疾是导致母亲和胎儿死亡的致命疾病之一。孕妇疟疾的一些并发症包括:宫内生长受限、宫内胎儿死亡和死产。疟疾治疗的主要挑战是,大多数抗疟药物在怀孕期间使用不安全。使用蚊帐是预防孕妇疟疾的最有效方法。在研究环境中,关于孕妇使用蚊帐的信息很少。因此,本研究旨在评估埃塞俄比亚南部阿尔巴明奇健康和人口监测点(HDSS)孕妇使用蚊帐的趋势。

方法

该研究在阿尔巴明奇 HDSS 进行。观察于 2010 年开始,一直持续到 2016 年,使用重复的横断面研究设计。数据每两年通过访谈者管理的问卷收集一次,从 2010 年到 2016 年共进行了 14 轮数据收集。共有 2657 名孕妇参加了这项研究。使用频率和比例等描述性统计方法来呈现每个变量的发现。

结果

在纳入研究的 2657 名母亲中,超过一半,1521 名(63.6%)处于 20 至 29 岁之间的年龄组。大约三分之一的研究人群 793 名(29.8%)没有接受过学校教育。蚊帐使用率从 2010 年的 83.6%下降到 2016 年的 36.5%。

结论

在阿尔巴明奇 HDSS,从 2010 年到 2016 年,蚊帐使用率呈下降趋势。由于该地区疟疾流行,需要增加孕妇使用蚊帐的比例。政府应加强现有的蚊帐分发策略。需要进一步研究以调查蚊帐使用率下降的原因。

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