Kuse Kenenisa Abdisa, Chikako Teshita Uke, Bacha Reta Habtamu, Hagan John Elvis, Seidu Abdul-Aziz, Ahinkorah Bright Opoku
Department of Statistics, Bule Hora University, Bule Hora P.O. Box 144, Ethiopia.
Wondo Genet College of Forestry and Natural Resource, Hawassa University, Hawassa P.O. Box 05, Ethiopia.
Healthcare (Basel). 2022 Jul 29;10(8):1418. doi: 10.3390/healthcare10081418.
Pregnant women who are infected with malaria usually have more severe symptoms and negative health outcomes than women who are not pregnant, with higher rates of miscarriage, intrauterine demise, premature delivery, low-birth-weight neonates, and neonatal death. Based on evidence from the 2016 Ethiopia Demographic and Health Survey, this study assessed the variation in insecticide-treated nets (ITNs) usage and its associated factors among pregnant women in Ethiopia.
Data from a total of 1122 women who were pregnant at the time of the survey were included in the final analysis. Bivariate and multilevel analyses were conducted. Multilevel modeling with fixed and random coefficients was used to estimate the variation in pregnant women's ITNs usage across communities (residence areas) and regions of Ethiopia.
Out of the total 1122 pregnant women, 58.37% slept under a net and 41.63% did not sleep under nets. Significant variations were observed in pregnant women's ITNs usage across communities (residence areas) and regions of Ethiopia, with between variations in pregnant women's ITNs usage across communities (residence areas) and regions. In addition, the region, place of residence, wealth index, educational level, and age of the women as well as whether they believed that mosquito bites cause malaria were significant factors in pregnant women's usage of ITNs. Pregnant women in Ethiopia had moderate usage of ITNs with varied risk factors at the individual, community, and regional levels.
Based on the factors identified, there is a need to implement and/or strengthen programs (e.g., regular sensitization) that intensify high coverage of ITNs for effective malaria prevention in Ethiopia, especially among pregnant women who do not use ITNs.
感染疟疾的孕妇通常比未怀孕的女性症状更严重，健康结局更差，流产、宫内死亡、早产、低体重新生儿和新生儿死亡的发生率更高。基于2016年埃塞俄比亚人口与健康调查的证据，本研究评估了埃塞俄比亚孕妇中经杀虫剂处理蚊帐（ITN）的使用差异及其相关因素。
最终分析纳入了调查时共有1122名怀孕女性的数据。进行了双变量和多水平分析。使用固定和随机系数的多水平模型来估计埃塞俄比亚各社区（居住地区）和各地区孕妇ITN使用情况的差异。
在总共1122名孕妇中，58.37%睡在蚊帐下，41.63%不睡在蚊帐下。在埃塞俄比亚各社区（居住地区）和各地区，孕妇ITN的使用情况存在显著差异，各社区（居住地区）和各地区孕妇ITN使用情况之间也存在差异。此外，地区、居住地点、财富指数、教育水平、女性年龄以及她们是否认为蚊虫叮咬会导致疟疾是孕妇使用ITN的重要因素。埃塞俄比亚孕妇对ITN的使用情况中等，在个体、社区和地区层面存在多种风险因素。
基于所确定的因素，有必要实施和/或加强各项计划（如定期宣传），以提高ITN的高覆盖率，从而在埃塞俄比亚有效预防疟疾，特别是在不使用ITN的孕妇中。
