Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria.
Department of Community Medicine, Faculty of Clinical Sciences, Ahmadu Bello University, Zaria, Kaduna, Nigeria.
Malar J. 2020 Dec 14;19(1):455. doi: 10.1186/s12936-020-03531-y.
Malaria in pregnancy remains a major contributor to maternal and infant morbidity and mortality despite scale up in interventions. Its prevention is one of the major interventions in reducing maternal and infant morbidity and mortality. The ownership, utilization and predictors of use of long-lasting insecticide-treated nets (LLINs) for malaria prevention among women attending antenatal clinic (ANC) at a tertiary hospital in Bayelsa State Nigeria was assessed.
A cross-sectional study of 297 women recruited through systematic sampling was carried out. Information on sociodemographic characteristics, ownership, source and utilization of LLINs, were collected with a pre-tested structured interviewer-administered questionnaire. The relationship between use of LLIN and sociodemographic characteristics was examined using chi square and logistic regression at 5% level of significance.
The mean age of respondents was 28.8 ± 2.6 years. Most (59.2%) had tertiary education and were mainly (88.2%) urban dwellers. Two hundred and fifty (84.2%) owned LLINs, and 196 (78%) used LLIN the night prior to the interview. Almost half of the respondents purchased their LLINs. Those who purchased LLINs were 3 times more likely to have used it (OR: 3.13, 95% CI 1.62-6.04) compared to those that got it free. Those who were gainfully employed (OR: 3.16, 95% CI 1.59-6.29) and those who earned above the minimum wage (OR: 2.88, 95% CI 1.45-5.72) were 3 times more likely to have used LLIN in their index pregnancy.
The use of LLIN as a preventive measure against malaria was relatively high among the participants in this study, though still below national target. The major factors determining the use of LLIN among these women were purchase of LLINs and being gainfully employed. It was recommended that efforts should be made to enforce the policy of free LLINs at ANC registration at the tertiary hospitals, as this would further drive up ownership and utilization rates.
尽管干预措施有所扩大，但妊娠疟疾仍然是孕产妇和婴儿发病率和死亡率的主要原因之一。预防疟疾是降低孕产妇和婴儿发病率和死亡率的主要干预措施之一。本研究评估了在尼日利亚巴耶尔萨州一家三级医院的产前诊所（ANC）就诊的妇女对长效驱虫蚊帐（LLIN）预防疟疾的拥有、使用情况及其使用的决定因素。
通过系统抽样对 297 名妇女进行了横断面研究。使用经过预测试的结构化访谈式调查问卷收集了社会人口统计学特征、LLIN 的拥有情况、来源和使用情况等信息。使用卡方检验和逻辑回归检验了 LLIN 使用与社会人口统计学特征之间的关系，检验水平为 5%。
受访者的平均年龄为 28.8±2.6 岁。大多数（59.2%）受过高等教育，主要（88.2%）居住在城市。250 名（84.2%）受访者拥有 LLIN，196 名（78%）在接受访谈前一晚使用过 LLIN。近一半的受访者购买了 LLIN。与获得免费 LLIN 的人相比，购买 LLIN 的人使用 LLIN 的可能性要高出 3 倍（OR：3.13，95%CI 1.62-6.04）。有收入的人（OR：3.16，95%CI 1.59-6.29）和收入高于最低工资的人（OR：2.88，95%CI 1.45-5.72）在其本次妊娠中使用 LLIN 的可能性是未就业的人的 3 倍。
在这项研究中，参与者使用 LLIN 作为预防疟疾的措施相对较高，尽管仍低于国家目标。这些妇女使用 LLIN 的主要决定因素是购买 LLIN 和有收入。建议在三级医院 ANC 注册时，应努力执行免费 LLIN 政策，这将进一步提高拥有率和使用率。
