Factors affecting usage of insecticide treated nets for malaria control by pregnant women in Enugu, South East Nigeria

Clara Eleazar, Veronica Emenuga, Iniekong Udoh

Abstract

The National Malaria Strategic Plan (NMSP) was set up to ensure transition from malaria control to malaria elimination in Nigeria. One of the targets was to reduce malaria-related mortality by 50% by the year 2020, by ensuring that at least 80% of the targeted populations utilize appropriate preventive measures. This study was aimed at reviewing the success of insecticide treated net (ITN) malaria control efforts and understanding the failures and the need to boost up the intervention measures. The research design used for this study was the descriptive method. Structured questionnaires were used to collect data from 316 pregnant women receiving antenatal care at the Federal Teaching Hospital Abakaliki. Amongst the respondents, 180 (57.0%) owned an ITN while 136 (43.0%) did not. A greater percentage (72.9%) of those who used the ITNs purchased their nets, only 8.4% of mothers who received their ITNs free of charge used the net (P=0.159). Dislike by spouses (63.3%), hot weather discomfort (17.8%) and forgetfulness (17.2%) were some of the factors that contributed to failures of net usage by the pregnant women. Cost Free distribution of ITN did not necessarily improve usage. Rather, success of this strategy will require carrying out more awareness campaign. (Afr J Reprod Health 2022; 26[1]: 76-81).

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References

Reyburn H. New WHO guidelines for the treatment of

malaria. British Medical Journal. 2010; 340:2637.

Chen I, Clarke SE, Gosling R, Hamainza B, Killeen G and

Magill A. "Asymptomatic" Malaria: A Chronic and

Debilitating Infection That Should be Treated. PLoS.

; 1:1942.

Aluko A and Abimbola S. Treatment seeking for malaria in

Otitikpupa Nigeria. Acta Tropica 2007; 95: 324–

Pell WA, Philips HP, Kuile FO, Terlow DJ and Vulule JM.

Community wide effects of permethrine treated bed

nets on child mortality and malaria Morbidity:

Western Kenya American Medical Journal of

Tropical and Medical Hygeine. 2011; 68:12-127.

Sachs J. Insecticide-treated bed nets and curtains for

preventing malaria. Cochrane Database of

Systematic Review. 2002

WHO World malaria report 2014. Geneva: World Health

Organization; 2014.

Abebe IO, Omojowolo C and Shittu S. How do rural

households perceive and prioritize malaria and

mosquito nets? A study in five communities in

Nigeria Public Health. 2007; 14:407-410.

Schantz-Dunn J and Nour MN. Malaria and Pregnancy: A

Global Health. Rev Obstet Gynecol. 2009; 2: 186–

National Demographical Health Survey () Federal Republic

of Nigeria. Official Lagos Government notice.

;21:31-85

Sampath W, Adaoye BW and Adefarasin K. Malaria treated

and policy in three Regions in The role of insecticide

treated nets. Future health systems working paper

Nigeria Series. 1998; 7: 11.

Mugisha F and Arinaitwe J. Sleeping arrangements and

mosquito net use among under-five: results from the

Uganda Demographic and Health Survey. Malaria

Journal. 2003; 2:40.

Malaria Control Programme. Strategic plan 2009–2013: “a

road map for malaria control in Nigeria”, abridged

version. Abuja: Yaliam Press Ltd, Nigeria Federal

Ministry of Health National.

Hoiberg DH ed. "Abakaliki". Encyclopædia Britannica.1:

A-ak Bayes 2010; 15th ed. Chicago, IL: Encyclopædia Britannica, Inc.

Valeria F, Wayere Q and Zukerberg P. Impact of spatial

distribution of permethrine-impregnated bed nets on

child mortality in rural northen Ghana. American

Journal of Tropical Medicine and Hygiene. 2002; 59:

-85.

Nganda RY, Drakeley C and Reyburn H and Marchant T.

Knowledge of malaria influences the use of insecticide treated nets but not intermittent presumptive treatment by pregnant women in Tanzania Malaria Journal. 2004;3: 42.

Nigeria distributes 10million ITNs in five years. WHO

Bulletin. 2007. Available from http: www3.alliancehpsr.org/en

Ambrose EE, Mazigo HD, Heukelbac J, gabone O and

Mwizamholya DI. Reported knowledge, attitudes and practices regarding malaria and mosquito net use among women seeking antenatal care in southwestern Tanzania. Tanzania Journal of Health Research.2013;13:3.

Rettifor A, Taylor E, Nku D, Durall S, Tabala M and

Mwandagalirwa K . Free Distribution of Insecticide

Treated bednets to pregnant women in Kinshasha. An effective way to achieve 80% use by women and their newborns – Tropical Medicine for International Health 2009; 14: 20 -8.

Insecticide-treated nets to reduce the risk of malaria in

pregnant women. July 2018.

Singh M, Brown G and Rogerson SJ. Ownership and use

of insecticide-treated nets during pregnancy in subSaharan Africa: a review. PMC. 2013 1; 12:268.

Ene J, Adongo P, Falakowayoro Z and Bintu S .

Acceptability and use of insecticide impregnated bed nets in northern Ghana. Tropical Medicine and International Health 2004; 1: 147 – 54.

Adebayo AM, Akinyemi OO, Cadmus EO. Ownership and

utilisation of insecticide-treated mosquito nets among caregivers of under-five children and pregnant women in a rural community in Southwest Nigeria. Journal of Preventive Medicine and Hygeine. 2014; 55: 58–64.

Asa N. Factors influencing the utilization of insecticide

treated nets among pregnant women in Kinshasha.

Acta Tropica 2004; 48:17-24

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