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Factors associated with non-use of insecticide-treated bed nets among pregnant women in Zambia

BACKGROUND: Despite the Zambian government’s efforts to ensure 80% use of insecticide-treated nets (ITNs) among pregnant women, ITN use remains critically low. Only 49% of pregnant women reported sleeping under an ITN in 2018 in the country. This study aims to determine the prevalence of, and the fa...

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Autores principales: Mwangu, Luwi Mercy, Mapuroma, Relebogile, Ibisomi, Latifat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9555102/
https://www.ncbi.nlm.nih.gov/pubmed/36221068
http://dx.doi.org/10.1186/s12936-022-04313-4
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author Mwangu, Luwi Mercy
Mapuroma, Relebogile
Ibisomi, Latifat
author_facet Mwangu, Luwi Mercy
Mapuroma, Relebogile
Ibisomi, Latifat
author_sort Mwangu, Luwi Mercy
collection PubMed
description BACKGROUND: Despite the Zambian government’s efforts to ensure 80% use of insecticide-treated nets (ITNs) among pregnant women, ITN use remains critically low. Only 49% of pregnant women reported sleeping under an ITN in 2018 in the country. This study aims to determine the prevalence of, and the factors associated with the non-use of ITNs among pregnant women in Zambia. METHODS: This study was a secondary analysis of the data collected during the 2018 Zambian Demographic and Health Survey. One thousand one hundred and thirty-eight (1 138) pregnant women were included in the study. The prevalence of the non-use of ITNs was computed and univariable and multivariable logistic regression models were fitted to determine the factors associated with the non-use of ITNs in the study population. RESULTS: The study found that 578 (50.8%) pregnant women reported not using an ITN the night before the survey. The results of the multivariable logistic regression indicated that, primary level education (OR = 2.13, 95% CI 1.23–3.68), ITN per household member (OR = 0.01, 95% CI 0.00–0.02), parity (OR = 0.83, 95% CI 0.70–0.99), moderate malaria prevalence provinces (OR = 0.34, 95% CI 0.23–0.50), high malaria prevalence provinces (OR = 0.26, 95% CI 0.18–0.39) and currently in a union (OR = 0.52, 95% CI 0.30–0.88) were significantly associated with the non-use of ITNs. CONCLUSION: This study showed a high prevalence of the non-use of ITNs among pregnant women in Zambia. Factors found to be associated with the non-use of ITNs in the study population are: ITN per household member, parity, education, marital status and malaria prevalence provinces. Addressing the identified factors will require intensification of ITN programming and other malaria preventive measures.
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spelling pubmed-95551022022-10-13 Factors associated with non-use of insecticide-treated bed nets among pregnant women in Zambia Mwangu, Luwi Mercy Mapuroma, Relebogile Ibisomi, Latifat Malar J Research BACKGROUND: Despite the Zambian government’s efforts to ensure 80% use of insecticide-treated nets (ITNs) among pregnant women, ITN use remains critically low. Only 49% of pregnant women reported sleeping under an ITN in 2018 in the country. This study aims to determine the prevalence of, and the factors associated with the non-use of ITNs among pregnant women in Zambia. METHODS: This study was a secondary analysis of the data collected during the 2018 Zambian Demographic and Health Survey. One thousand one hundred and thirty-eight (1 138) pregnant women were included in the study. The prevalence of the non-use of ITNs was computed and univariable and multivariable logistic regression models were fitted to determine the factors associated with the non-use of ITNs in the study population. RESULTS: The study found that 578 (50.8%) pregnant women reported not using an ITN the night before the survey. The results of the multivariable logistic regression indicated that, primary level education (OR = 2.13, 95% CI 1.23–3.68), ITN per household member (OR = 0.01, 95% CI 0.00–0.02), parity (OR = 0.83, 95% CI 0.70–0.99), moderate malaria prevalence provinces (OR = 0.34, 95% CI 0.23–0.50), high malaria prevalence provinces (OR = 0.26, 95% CI 0.18–0.39) and currently in a union (OR = 0.52, 95% CI 0.30–0.88) were significantly associated with the non-use of ITNs. CONCLUSION: This study showed a high prevalence of the non-use of ITNs among pregnant women in Zambia. Factors found to be associated with the non-use of ITNs in the study population are: ITN per household member, parity, education, marital status and malaria prevalence provinces. Addressing the identified factors will require intensification of ITN programming and other malaria preventive measures. BioMed Central 2022-10-11 /pmc/articles/PMC9555102/ /pubmed/36221068 http://dx.doi.org/10.1186/s12936-022-04313-4 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Mwangu, Luwi Mercy
Mapuroma, Relebogile
Ibisomi, Latifat
Factors associated with non-use of insecticide-treated bed nets among pregnant women in Zambia
title Factors associated with non-use of insecticide-treated bed nets among pregnant women in Zambia
title_full Factors associated with non-use of insecticide-treated bed nets among pregnant women in Zambia
title_fullStr Factors associated with non-use of insecticide-treated bed nets among pregnant women in Zambia
title_full_unstemmed Factors associated with non-use of insecticide-treated bed nets among pregnant women in Zambia
title_short Factors associated with non-use of insecticide-treated bed nets among pregnant women in Zambia
title_sort factors associated with non-use of insecticide-treated bed nets among pregnant women in zambia
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9555102/
https://www.ncbi.nlm.nih.gov/pubmed/36221068
http://dx.doi.org/10.1186/s12936-022-04313-4
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