Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Key Laboratory of Environmental Medicine Engineering, School of Public Health, Southeast University, Nanjing, Jiangsu Province, 210009, China.
BMC Pregnancy Childbirth. 2023 Jun 6;23(1):419. doi: 10.1186/s12884-023-05583-9.
In malaria-endemic countries such as Rwanda, the appropriate use of mosquito bed nets is an effective intervention for malaria prevention. Despite being one of the demographics most impacted by malaria, there is a dearth of literature on the usage of mosquito bed nets by pregnant women in Rwanda. The study aimed to assess the prevalence and associated factors for mosquito bed net use among pregnant women in Rwanda.
We used weighted data from the 2020 Rwanda Demographic and Health Survey of 870 pregnant women, and multistage stratified sampling was used to select participants. Multivariable logistic regression was conducted to determine the factors associated with mosquito bed net use, using SPSS (version 26).
Of the 870 pregnant women, 57.9% (95%CI: 54.6-61.1) used mosquito bed nets. However, 16.7% did not use bed nets among those owning bed nets. On one hand, older age (AOR = 1.59, 95%CI: 1.04-2.44), primary education (AOR = 1.18, 95%CI: 1.07-2.23), being married (AOR = 2.17, 95%CI: 1.43-3.20), being from Kigali region (AOR = 1.97, 95%CI: 1.19-3.91), partner's education (AOR = 1.22, 95%CI: 1.13-3.41), having recently visited a health facility (AOR = 2.07, 95%CI: 1.35-3.18), and being in the third pregnancy trimester (AOR = 2.14, 95%CI: 1.44-3.18) were positively associated with mosquito bed net use. On the other hand, low wealth index (AOR = 0.13, 95%CI: 0.07-0.24), and being from Eastern region (AOR = 0.42, 95% CI: 0.26-0.66) had a negative association.
About half of the pregnant women in Rwanda used mosquito bed nets and the usage was associated with various socio-demographics. There is a need for appropriate risk communication and continuous sensitisation to improve mosquito net use among pregnant women. Early antenatal care attendance and partner engagement in malaria prevention and mosquito net use, as well as consideration of household dynamics, are also crucial in improving not only mosquito net coverage but also utilization.
在疟疾流行的国家，如卢旺达，适当使用蚊帐是预防疟疾的有效干预措施。尽管孕妇是受疟疾影响最大的人群之一，但卢旺达孕妇使用蚊帐的情况却鲜有文献报道。本研究旨在评估卢旺达孕妇使用蚊帐的流行情况及其相关因素。
我们使用了 2020 年卢旺达人口与健康调查的 870 名孕妇的加权数据，采用多阶段分层抽样选择参与者。使用 SPSS（版本 26）进行多变量逻辑回归分析，以确定与蚊帐使用相关的因素。
在 870 名孕妇中，57.9%（95%CI：54.6-61.1）使用了蚊帐。然而，在拥有蚊帐的孕妇中，有 16.7%的人并未使用。一方面，年龄较大（AOR=1.59，95%CI：1.04-2.44）、接受过小学教育（AOR=1.18，95%CI：1.07-2.23）、已婚（AOR=2.17，95%CI：1.43-3.20）、来自基加利地区（AOR=1.97，95%CI：1.19-3.91）、伴侣受教育程度（AOR=1.22，95%CI：1.13-3.41）、最近去过卫生机构（AOR=2.07，95%CI：1.35-3.18）和处于妊娠第三个三个月（AOR=2.14，95%CI：1.44-3.18）与使用蚊帐呈正相关。另一方面，低财富指数（AOR=0.13，95%CI：0.07-0.24）和来自东部地区（AOR=0.42，95%CI：0.26-0.66）与使用蚊帐呈负相关。
卢旺达约一半的孕妇使用蚊帐，且使用情况与各种社会人口统计学因素有关。需要进行适当的风险沟通和持续宣传，以提高孕妇对蚊帐的使用。此外，还需要重视早期的产前保健，让伴侣参与疟疾预防和蚊帐使用，同时考虑家庭动态，这对于提高蚊帐覆盖率和利用率都至关重要。
