School of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
School of Midwifery, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Malar J. 2023 Aug 2;22(1):223. doi: 10.1186/s12936-023-04655-7.
Malaria infection during pregnancy endangers the pregnant woman, fetus, and newborn child. Thus, the use of an insecticide-treated net (ITN) is one of the most frequently advised methods for preventing malaria during pregnancy. Contrary findings have been reported in various studies on ITN utilization among pregnant women in Ethiopia. Therefore, this study was aimed to estimate the pooled prevalence of ITN utilization and its associated factors among pregnant women in Ethiopia.
Published articles from PubMed, Google Scholar, Science Direct, AJOL and Cochrane library were systematically searched. All cross-sectional studies on ITN utilization among pregnant women were included in this meta-analysis. To estimate the pooled prevalence and odds ratio, a random-effect model was used; and a subgroup analysis was performed to identify the possible source of heterogeneity. Begg's and Egger's tests were used to identify possible publication bias.
Ten cross-sectional studies with 7,161 participants were included. The pooled prevalence of ITN utilization among all pregnant women who had access to ITN in Ethiopia was 59.42% (95% CI 51.14, 67.69). Statistically significant heterogeneity was observed (I = 97.7%; p < 0.0001). Higher educational status (OR = 3.47, 95% CI 2.32, 5.2), pregnant women who had antenatal care visits (OR = 2.37, 95% CI 1.97, 2.65) and having good knowledge of malaria prevention practices (OR = 10.63, 95% CI 5.31, 21.29) were associated with ITN utilization among pregnant women.
The utilization of ITNs among pregnant women was much lower than the national target. Higher education status, attending ANC and a good level of knowledge were found to be independent predictors of ITN utilization. Improving women's understanding of ITNs will enhance their use, and the government and health sectors should encourage pregnant mothers to enroll in antenatal care.
疟疾感染会危及孕妇、胎儿和新生儿。因此，使用驱虫蚊帐（ITN）是预防孕妇疟疾的最常用方法之一。然而，在埃塞俄比亚，针对孕妇使用 ITN 的各种研究报告了相反的结果。因此，本研究旨在估计埃塞俄比亚孕妇使用 ITN 的总体流行率及其相关因素。
系统检索了 PubMed、Google Scholar、Science Direct、AJOL 和 Cochrane 图书馆的已发表文章。本荟萃分析纳入了所有关于孕妇使用 ITN 的横断面研究。为了估计总体流行率和比值比，使用了随机效应模型；并进行了亚组分析以确定可能的异质性来源。使用 Begg 和 Egger 检验来识别可能的发表偏倚。
纳入了 10 项横断面研究，共 7161 名参与者。在有条件获得 ITN 的所有孕妇中，使用 ITN 的总体流行率为 59.42%（95%CI 51.14, 67.69）。观察到统计学上显著的异质性（I = 97.7%；p < 0.0001）。较高的教育程度（OR = 3.47，95%CI 2.32, 5.2）、接受过产前保健的孕妇（OR = 2.37，95%CI 1.97, 2.65）和具有良好疟疾预防知识的孕妇（OR = 10.63，95%CI 5.31, 21.29）与孕妇使用 ITN 相关。
孕妇使用 ITN 的比例远低于国家目标。较高的教育程度、接受 ANC 和较高的知识水平被发现是使用 ITN 的独立预测因素。提高妇女对 ITN 的认识将增强其使用，政府和卫生部门应鼓励孕妇参加产前保健。
