Insecticide-Treated Nets Utilization and Associated Factors Among Pregnant Women in Miesso Woreda, Eastern Ethiopia: Observational Study

Abstract

Background Even though most sub-Saharan Africa adopted the World Health organization guidelines for malaria prevention, the coverage of insecticide-treated nets by pregnant women is low, where 28 million pregnant women did not receive insecticide-treated nets services. Likewise, only 13–51.4% of pregnant women utilize insecticide-treated nets in Ethiopia. Methods A community-based cross-sectional study was conducted in Miesso woreda from April 01 to 30, 2017, among 424 pregnant women. A multi-stage cluster sampling technique was used to select the study participants. A structured interviewer-based administered questionnaire and observational checklist were used to collect the data. The collected data were entered into Epi data version 3.1 and exported to SPSS version 23 for analysis. Multiple logistic regression models were fitted to identify factors associated with insecticide-treated nets utilization. Adjusted odds ratios along 95% CI were estimated to measure the strength of the association and declared statistical significance at a p-value < 0.05. Results Of a total respondents, 39.9% (95% CI: 34.9–44.2%) utilize insecticide-treated nets. Pregnant women from rural (AOR = 2.05, 95% CI: 1.14, 3.38), employed women (AOR = 1.80, 95% CI: 1.13, 2.86), monthly income >1050 Ethiopian total birr (AOR = 2.02, 95% CI: 1.06, 3.84), third trimester pregnancy (AOR = 2.19, 95% CI: 1.09, 4.40), and having antenatal care for current pregnancy (AOR = 3.86, 95% CI: 1.63, 9.10) were factors significantly associated with insecticide-treated nets. Conclusion The utilization of insecticide-treated nets is relatively low. Residence, occupational status, monthly income, stage of pregnancy, and antenatal care status were factors significantly associated with insecticide-treated net utilization among pregnant women.

Multilevel Modelling of Individual, Community and Regional Level Factors Associated with Insecticide-Treated Net Usage among Pregnant Women in Ethiopia

“…The study found that 58.37% of pregnant women slept under a net. This result is consistent with previous studies [ 28 , 29 , 30 , 31 , 32 ]. Women’s educational level was associated with ITNs usage among pregnant women; those with secondary or higher educational levels were more likely to sleep under a net than those who had no education.…”

Mosquito bed net use and associated factors among pregnant women in Rwanda: a nationwide survey

“…When compared to women in the rst trimester, third-trimester pregnant women were twice as likely to use bed nets, and the usage of bed nets was in uenced by recent visits to a medical facility. This is similar to what was reported in similar studies from Ethiopia and Ghana where second and third trimester pregnant women had signi cantly more odds of using ITNs than rst-trimester counterparts [29,37]. The likely explanation is that early in pregnancy, particularly compared to later in pregnancy, women may not have attended a health facility for the opportunity to be taught or reminded of the necessity of sleeping under a mosquito net.…”

Utilization of Insecticide-Treated Nets in Households for Under-5 Children and Associated Factors in East Mesekan District, Gurage Zone, Southern Ethiopia

“…The findings of our study were not supported by a previous study, which found that having a family size of less than 5 increased the likelihood of using ITN compared to those respondents who had more than 5 or more children in other regions of Ethiopia. 11 , 30 But, an investigation carried out in Burkina Faso revealed that the size of families did not significantly affect the use of ITNs for children under the age of 5. 31 The possible explanation is that families frequently sleep in a single room, which could be a challenge due to a lack of convenient spaces that do not permit mosquito net hanging or because the sleeping room might be used for other purposes, as evidenced by studies conducted in Ethiopia and Uganda.…”

“…Our study’s findings were contradictory to those of a study conducted in Eastern Ethiopia. 30 This may be as a result of the ITNs they possessed being damaged, dirty, or difficult to hang in their home, as well as potential limitations in the questions we used to compute knowledge. There is a limitation to this study.…”