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影响尼日利亚东南部埃努古孕妇使用杀虫剂处理过的蚊帐控制疟疾的因素。

Factors affecting usage of insecticide treated nets for malaria control by pregnant women in Enugu, South East Nigeria.

作者信息

Eleazar Clara, Emenuga Veronica, Udoh Iniekong

机构信息

Department of Microbiology, Faculty of Biological Sciences, University of Nigeria, Nsukka.

Department of Medical Laboratory Science, Faculty of Health Sciences and Technology; University of Nigeria, Enugu Campus.

出版信息

Afr J Reprod Health. 2022 Jan;26(1):76-81. doi: 10.29063/ajrh2022/v26i1.8.

DOI:10.29063/ajrh2022/v26i1.8
PMID:37585019
Abstract

The National Malaria Strategic Plan (NMSP) was set up to ensure transition from malaria control to malaria elimination in Nigeria. One of the targets was to reduce malaria-related mortality by 50% by the year 2020, by ensuring that at least 80% of the targeted populations utilize appropriate preventive measures. This study was aimed at reviewing the success of insecticide treated net (ITN) malaria control efforts and understanding the failures and the need to boost up the intervention measures. The research design used for this study was the descriptive method. Structured questionnaires were used to collect data from 316 pregnant women receiving antenatal care at the Federal Teaching Hospital Abakaliki. Amongst the respondents, 180 (57.0%) owned an ITN while 136 (43.0%) did not. A greater percentage (72.9%) of those who used the ITNs purchased their nets, only 8.4% of mothers who received their ITNs free of charge used the net (P=0.159). Dislike by spouses (63.3%), hot weather discomfort (17.8%) and forgetfulness (17.2%) were some of the factors that contributed to failures of net usage by the pregnant women. Cost Free distribution of ITN did not necessarily improve usage. Rather, success of this strategy will require carrying out more awareness campaign.

摘要

《国家疟疾战略计划》(NMSP)的设立是为了确保尼日利亚从疟疾控制过渡到疟疾消除。目标之一是到2020年将疟疾相关死亡率降低50%,确保至少80%的目标人群采取适当的预防措施。本研究旨在评估经杀虫剂处理蚊帐(ITN)控制疟疾措施的成效,了解其不足之处以及加强干预措施的必要性。本研究采用的研究设计为描述性方法。通过结构化问卷,从阿巴卡利基联邦教学医院接受产前护理的316名孕妇中收集数据。在受访者中,180人(57.0%)拥有经杀虫剂处理蚊帐,136人(43.0%)没有。使用经杀虫剂处理蚊帐者中,较大比例(72.9%)是自行购买蚊帐,只有8.4%免费获得经杀虫剂处理蚊帐的母亲使用了蚊帐(P = 0.159)。配偶不喜欢(63.3%)、天气炎热不适(17.8%)和健忘(17.2%)是导致孕妇蚊帐使用失败的部分因素。免费分发经杀虫剂处理蚊帐不一定能提高使用率。相反,该战略的成功需要开展更多的宣传活动。

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