Utilization and Associated Factors of Insecticide Treated Bed Net among Pregnant Women Attending Antenatal Clinic of Addis Zemen Hospital, North-Western Ethiopia: An Institutional Based Study

Abstract

Introduction Insecticide treated bed net (ITN) is one type of cost-effective vector control approach for the prevention of malaria. It has to be treated with insecticide and needs ongoing treatment with chemicals. Malaria infcetion during pregnancy is a amajor health problem in Ethiopia. Little is known about the utilization of ITN by pregnant women in the study area. This study was aimed to assess utilization and associated factors of insecticide-treated nets among pregnant women in Adis Zemen Hospital. Methods This hospital based cross-sectional study was conducted in Adis Zemen from May 1 to 30, 2018, among 226 pregnant mothers. After obtaining informed consent, data were collected using a pretested structured questionnaire via face to face interview. To reach the study unit, a systematic random sampling technique was used. The collected data were entered, cleaned, checked using Epi data version 3.1, and finally analyzed using SPSS version 20. Binary and multivariable logistic regressions were computed to identify significantly associated variables at 95% confidence interval. Result A total of 226 pregnant mothers attending antenatal clinics participated in making the response rate 100%. Among a total 226 subjects, 160(70.8%) of mothers had good utilization of insecticide bet net. Mothers who had an educational status of college and above were 2.8 times more likely to utilize insecticide-treated bed net than mothers who could not read and write (AOR; 2. 8: CI; 1.9, 6.5). Mothers whose age was >30 were 70% times less likely utilized insecticide-treated bed net than mothers whose age was 30 and less (AOR;.3: CI;.2,.6). Conclusion and Recommendation Utilization of insecticide-treated bed net by pregnant women is low in the study area. The participants' age, educational status, household monthly income, and husband educational status were significantly associated with utilization of insecticide-treated bed net. Different stakeholders shall give a special attention to awareness creation on advantageous of insecticide bed net.

Rural–urban variation in insecticide-treated net utilization among pregnant women: evidence from 2018 Nigeria Demographic and Health Survey

“…This independent variable was not considered per chance, instead, the selection was informed by debate on how location or environmental context informs ITN utilization [31][32][33]. Similarly, some covariates were included based on theoretical relevance and conclusions drawn about their association with ITN utilization [34][35][36]. These variables are age, education, wealth quintile, religion, marital status, health decision-making, pregnancy intendness or otherwise, health insurance and frequency of engagement with mass media (radio, television, newspaper) and region.…”

Individual and contextual correlates of mosquito net use among women in Nigeria

“…Attempts have been made by researchers to examine the factors influencing mosquito net use among women or caregivers that possessed mosquito nets. Some of the factors attributed to this include age, education, household wealth [11][12][13], household size, distance to health facility, ideational factors [10,14,15], knowledge about efficacy of mosquito nets to prevent malaria, source of knowledge of mosquito nets and socioeconomic class [16,17]. Only few of these studies considered the effects of contextual factors on mosquito net use.…”

Use of long-lasting insecticidal nets among women attending antenatal clinic at a tertiary hospital in Bayelsa State, Nigeria 2019

“…Similarly, in a study carried out in Ethiopia 24 age, educational status, occupation, income and husbands' educational status were predictors of LLIN utilization. This study indicates that financially empowering women may help to promote their health and general wellbeing.…”