Use of long-lasting insecticidal nets among women attending antenatal clinic at a tertiary hospital in Bayelsa State, Ni
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Malaria Journal Open Access
RESEARCH
Use of long‑lasting insecticidal nets among women attending antenatal clinic at a tertiary hospital in Bayelsa State, Nigeria 2019 Maria Imaobong Ibegu1* , Khadeejah Liman Hamza3, Chukwuma David Umeokonkwo1,2, Tamuno‑Wari Numbere1, Adolphe Ndoreraho1 and Tukur Dahiru3
Abstract Background: Malaria in pregnancy remains a major contributor to maternal and infant morbidity and mortality despite scale up in interventions. Its prevention is one of the major interventions in reducing maternal and infant morbidity and mortality. The ownership, utilization and predictors of use of long-lasting insecticide-treated nets (LLINs) for malaria prevention among women attending antenatal clinic (ANC) at a tertiary hospital in Bayelsa State Nigeria was assessed. Methods: A cross-sectional study of 297 women recruited through systematic sampling was carried out. Informa‑ tion on sociodemographic characteristics, ownership, source and utilization of LLINs, were collected with a pre-tested structured interviewer-administered questionnaire. The relationship between use of LLIN and sociodemographic characteristics was examined using chi square and logistic regression at 5% level of significance. Results: The mean age of respondents was 28.8 ± 2.6 years. Most (59.2%) had tertiary education and were mainly (88.2%) urban dwellers. Two hundred and fifty (84.2%) owned LLINs, and 196 (78%) used LLIN the night prior to the interview. Almost half of the respondents purchased their LLINs. Those who purchased LLINs were 3 times more likely to have used it (OR: 3.13, 95% CI 1.62–6.04) compared to those that got it free. Those who were gainfully employed (OR: 3.16, 95% CI 1.59–6.29) and those who earned above the minimum wage (OR: 2.88, 95% CI 1.45–5.72) were 3 times more likely to have used LLIN in their index pregnancy. Conclusion: The use of LLIN as a preventive measure against malaria was relatively high among the participants in this study, though still below national target. The major factors determining the use of LLIN among these women were purchase of LLINs and being gainfully employed. It was recommended that efforts should be made to enforce the policy of free LLINs at ANC registration at the tertiary hospitals, as this would further drive up ownership and utilization rates. Keywords: Malaria, Long lasting insectidal nets, Antenatal care, Malaria in pregnancy, Nigeria
*Correspondence: [email protected] 1 Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria Full list of author information is available at the end of the article
Background Malaria is a leading cause of death and disease in many developing countries, where children and pregnant women are the most affected. In 2018, malaria caused an estimated 228 million clinical episodes, and 405,000 deaths, with an estimated 94% of the deaths occurring
© The Author(s) 2020. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and
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