Long Lasting Insecticide-Treated Nets Utilization and Associated Factors Among Pregnant Women in Shebel Berenta District, Northwest Ethiopia

Overview

Journal Environ Health Insights

Publisher Sage Publications

Specialty Environmental Health

Date 2024 Nov 4

PMID 39494047

Authors

Yeshitla Getnet

Abraham Teym

Moges Wubie

Sintayehu Shiferaw

Bayou Tilahun Assaye

Zelalem Aneley

Habitamu Mekonen Abera

Habtamu Temesgen

Affiliations

Soon will be listed here.

Abstract

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.

References

Aluko J, Oluwatosin A . Utilization of insecticide treated nets during pregnancy among postpartum women in Ibadan, Nigeria: a cross-sectional study. BMC Pregnancy Childbirth. 2012; 12:21. PMC: 3352125. DOI: 10.1186/1471-2393-12-21. View

Girum T, Shumbej T, Shewangizaw M . Burden of malaria in Ethiopia, 2000-2016: findings from the Global Health Estimates 2016. Trop Dis Travel Med Vaccines. 2019; 5:11. PMC: 6626392. DOI: 10.1186/s40794-019-0090-z. View

Inungu J, Ankiba N, Minelli M, Mumford V, Bolekela D, Mukoso B . Use of Insecticide-Treated Mosquito Net among Pregnant Women and Guardians of Children under Five in the Democratic Republic of the Congo. Malar Res Treat. 2017; 2017:5923696. PMC: 5694996. DOI: 10.1155/2017/5923696. View

Obol J, Ononge S, Orach C . Utilisation of insecticide treated nets among pregnant women in Gulu: a post conflict district in northern Uganda. Afr Health Sci. 2014; 13(4):962-9. PMC: 4056512. DOI: 10.4314/ahs.v13i4.15. View

Negash K, Haileselassie B, Tasew A, Ahmed Y, Getachew M . Ownership and utilization of long-lasting insecticide-treated bed nets in Afar, northeast Ethiopia: a cross-sectional study. Pan Afr Med J. 2013; 13 Suppl 1:9. PMC: 3587018. View

Taffese H, Hemming-Schroeder E, Koepfli C, Tesfaye G, Lee M, Kazura J . Malaria epidemiology and interventions in Ethiopia from 2001 to 2016. Infect Dis Poverty. 2018; 7(1):103. PMC: 6217769. DOI: 10.1186/s40249-018-0487-3. View

Admasie A, Zemba A, Paulos W . Insecticide-Treated Nets Utilization and Associated Factors among under-5 Years Old Children in Mirab-Abaya District, Gamo-Gofa Zone, Ethiopia. Front Public Health. 2018; 6:7. PMC: 5799224. DOI: 10.3389/fpubh.2018.00007. View

Onyinyechi O, Ismail S, Nashriq Mohd Nazan A . Prevention of malaria in pregnancy through health education intervention programs on insecticide-treated nets use: a systematic review. BMC Public Health. 2024; 24(1):755. PMC: 10929229. DOI: 10.1186/s12889-024-17650-7. View

Belay M, Deressa W . Use of insecticide treated nets by pregnant women and associated factors in a pre-dominantly rural population in northern Ethiopia. Trop Med Int Health. 2008; 13(10):1303-13. DOI: 10.1111/j.1365-3156.2008.02159.x. View

10.

Fuge T, Ayanto S, Gurmamo F . Assessment of knowledge, attitude and practice about malaria and ITNs utilization among pregnant women in Shashogo District, Southern Ethiopia. Malar J. 2015; 14:235. PMC: 4475320. DOI: 10.1186/s12936-015-0755-7. View

11.

Zerdo Z, Bastiaens H, Anthierens S, Massebo F, Masne M, Biresaw G . Long-lasting insecticide-treated bed net ownership, utilization and associated factors among school-age children in Dara Mallo and Uba Debretsehay districts, Southern Ethiopia. Malar J. 2020; 19(1):369. PMC: 7559455. DOI: 10.1186/s12936-020-03437-9. View

12.

Boyce M, OMeara W . Use of malaria RDTs in various health contexts across sub-Saharan Africa: a systematic review. BMC Public Health. 2017; 17(1):470. PMC: 5437623. DOI: 10.1186/s12889-017-4398-1. View

13.

Jefferies M, Rauff B, Rashid H, Lam T, Rafiq S . Update on global epidemiology of viral hepatitis and preventive strategies. World J Clin Cases. 2018; 6(13):589-599. PMC: 6232563. DOI: 10.12998/wjcc.v6.i13.589. View

14.

Birhanu Z, Abebe L, Sudhakar M, Dissanayake G, Yihdego Y, Alemayehu G . Access to and use gaps of insecticide-treated nets among communities in Jimma Zone, southwestern Ethiopia: baseline results from malaria education interventions. BMC Public Health. 2015; 15:1304. PMC: 4693421. DOI: 10.1186/s12889-015-2677-2. View

15.

Yitayew A, Enyew H, Goshu Y . 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. Malar Res Treat. 2019; 2018:3647184. PMC: 6323465. DOI: 10.1155/2018/3647184. View

16.

Yang G, Kim D, Pham A, Paul C . A Meta-Regression Analysis of the Effectiveness of Mosquito Nets for Malaria Control: The Value of Long-Lasting Insecticide Nets. Int J Environ Res Public Health. 2018; 15(3). PMC: 5877091. DOI: 10.3390/ijerph15030546. View

17.

Alemu M, Asnake M, Lemma M, Melak M, Yenit M . Utilization of insecticide treated bed net and associated factors among households of Kola Diba town, North Gondar, Amhara region, Ethiopia. BMC Res Notes. 2018; 11(1):575. PMC: 6090723. DOI: 10.1186/s13104-018-3697-7. View

18.

Angesom T, Gebreyesus H, Gebremariam B . Long-Lasting Insecticidal Net Utilization and Associated Factors Among Pregnant Women in Asgede Tsimbla District, Northern Ethiopia, 2017. Environ Health Insights. 2020; 14:1178630220919393. PMC: 7263101. DOI: 10.1177/1178630220919393. View

19.

Tesfaye T, Alemu B, Egata G, Bekele H, Merga B, Eshetu B . Insecticide-Treated Nets Utilization and Associated Factors Among Pregnant Women in Miesso Woreda, Eastern Ethiopia: Observational Study. Int J Womens Health. 2022; 14:445-453. PMC: 8979939. DOI: 10.2147/IJWH.S357942. View

20.

Kumar R, Farzeen M, Hafeez A, Achakzai B, Vankwani M, Lal M . Effectiveness of a health education intervention on the use of long-lasting insecticidal nets for the prevention of malaria in pregnant women of Pakistan: a quasi-experimental study. Malar J. 2020; 19(1):232. PMC: 7325083. DOI: 10.1186/s12936-020-03298-2. View