埃塞俄比亚西北部谢贝利贝伦塔区孕妇长效驱虫蚊帐的使用情况及相关因素
Long Lasting Insecticide-Treated Nets Utilization and Associated Factors Among Pregnant Women in Shebel Berenta District, Northwest Ethiopia.
作者信息
Getnet Yeshitla, Teym Abraham, Wubie Moges, Shiferaw Sintayehu, Tilahun Assaye Bayou, Aneley Zelalem, Mekonen Abera Habitamu, Temesgen Habtamu
机构信息
Department of Public Health, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
Department of Environmental Health, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
出版信息
Environ Health Insights. 2024 Oct 21;18:11786302241291957. doi: 10.1177/11786302241291957. eCollection 2024.
BACKGROUND
Insecticide-treated bed nets are cost-effective vector control methods for malaria prevention. Malaria during pregnancy poses a significant health problem in Ethiopia. This study aimed to assess insecticide-treated nets utilization and associated factors among pregnant women in Shebel Berenta District, Northwest Ethiopia.
OBJECTIVE
To assess insecticide-treated bed nets utilization and associated factors among pregnant women in Shebel Berenta District, Northwest Ethiopia, in 2023.
METHODS
A community-based cross-sectional study was conducted from March 15 to April 30, 2023, on 505 randomly selected pregnant women. Data were collected using a pre-tested structured questionnaire and observational checklist, analyzed with EpiData 3.1 and SPSS 25. Significant factors associated with long-lasting insecticide-treated nets were identified (P < .05, 95% CI) and were reported as statistically significant factors associated with the utilization of insecticide-treated bed nets.
RESULTS
The utilization of long-lasting insecticide-treated nets was 45.10% [95% CI: 40.5%-49.2%]. Mothers who had antenatal care follow-up (AOR = 3.359; 95%CI: 1.829, 6.166), mothers with illiterate educational status (AOR = 0.196; 95%CI: 0.064-0.603), and mothers who had received information (message) (AOR = 8.102; 95%CI: 3.942-16.653) were significantly associated with long lasting insecticide-treated net utilization.
CONCLUSION
Utilization of long lasting insecticide-treated nets by pregnant women was 45.1%, which was lower than the WHO standard. Attending antenatal care, receiving information (messages) about malaria and long lasting insecticide-treated net, and mother's being literate had a substantial impact on long lasting insecticide-treated net utilization. Therefore, efforts should be made to strengthen ANC service, health information and women's educational status to increase utilization of long lasting insecticide-treated nets.
背景
经杀虫剂处理的蚊帐是预防疟疾的经济有效病媒控制方法。孕期疟疾在埃塞俄比亚是一个重大的健康问题。本研究旨在评估埃塞俄比亚西北部舍贝尔贝伦塔区孕妇对经杀虫剂处理蚊帐的使用情况及其相关因素。
目的
评估2023年埃塞俄比亚西北部舍贝尔贝伦塔区孕妇对经杀虫剂处理蚊帐的使用情况及其相关因素。
方法
2023年3月15日至4月30日，对505名随机选取的孕妇开展了一项基于社区的横断面研究。使用预先测试的结构化问卷和观察清单收集数据，并用EpiData 3.1和SPSS 25进行分析。确定了与长效杀虫剂处理蚊帐相关的显著因素（P < 0.05，95%置信区间），并报告为与经杀虫剂处理蚊帐使用相关的统计学显著因素。
结果
长效杀虫剂处理蚊帐的使用率为45.10%[95%置信区间：40.5%-49.2%]。接受过产前检查的母亲（调整后比值比 = 3.359；95%置信区间：1.829，6.166）、文盲教育程度的母亲（调整后比值比 = 0.196；95%置信区间：0.064 - 0.603）以及收到过信息（消息）的母亲（调整后比值比 = 8.102；95%置信区间：3.942 - 16.653）与长效杀虫剂处理蚊帐的使用显著相关。
结论
孕妇对长效杀虫剂处理蚊帐的使用率为45.1%，低于世界卫生组织标准。参加产前检查、收到有关疟疾和长效杀虫剂处理蚊帐的信息（消息）以及母亲识字对长效杀虫剂处理蚊帐的使用有重大影响。因此，应努力加强产前保健服务、健康信息和妇女教育水平，以提高长效杀虫剂处理蚊帐的使用率。
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