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Open Access 01-12-2012 | Research article

Determinants of insecticide-treated net ownership and utilization among pregnant women in Nigeria

Authors: Augustine Ankomah, Samson B Adebayo, Ekundayo D Arogundade, Jennifer Anyanti, Ernest Nwokolo, Olaronke Ladipo, Martin M Meremikwu

Published in: BMC Public Health | Issue 1/2012

Abstract

Background

Malaria during pregnancy is a major public health problem in Nigeria leading to increase in the risk of maternal mortality, low birth weight and infant mortality. This paper is aimed at highlighting key predictors of the ownership of insecticide treated nets (ITNs) and its use among pregnant women in Nigeria.

Methods

A total of 2348 pregnant women were selected by a multi-stage probability sampling technique. Structured interview schedule was used to elicit information on socio-demographic characteristics, ITN ownership, use, knowledge, behaviour and practices. Logistic regression was used to detect predictors of two indicators: ITN ownership, and ITN use in pregnancy among those who owned ITNs.

Results

ITN ownership was low; only 28.8% owned ITNs. Key predictors of ITN ownership included women who knew that ITNs prevent malaria (OR = 3.85; p < 0001); and registration at antenatal clinics (OR = 1.34; p = 0.003). The use of ITNs was equally low with only 7.5% of all pregnant women, and 25.7% of all pregnant women who owned ITNs sleeping under a net. The predictors of ITN use in pregnancy among women who owned ITNs (N = 677) identified by logistic regression were: urban residence (OR = 1.87; p = 0.001); knowledge that ITNs prevent malaria (OR = 2.93; p < 0001) and not holding misconceptions about malaria prevention (OR = 1.56; p = 0.036). Educational level was not significantly related to any of the two outcome variables. Although registration at ANC is significantly associated with ownership of a bednet (perhaps through free ITN distribution) this does not translate to significant use of ITNs.

Conclusions

ITN use lagged well behind ITN ownership. This seems to suggest that the current mass distribution of ITNs at antenatal facilities and community levels may not necessarily lead to use unless it is accompanied by behaviour change interventions that address the community level perceptions, misconceptions and positively position ITN as an effective prevention device to prevent malaria

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/12/105/prepub

Title: Determinants of insecticide-treated net ownership and utilization among pregnant women in Nigeria
Authors: Augustine Ankomah
Samson B Adebayo
Ekundayo D Arogundade
Jennifer Anyanti
Ernest Nwokolo
Olaronke Ladipo
Martin M Meremikwu
Publication date: 01-12-2012
Publisher: BioMed Central
Published in: BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/1471-2458-12-105

At a glance: The STEP trials

Springer Medicine

Determinants of insecticide-treated net ownership and utilization among pregnant women in Nigeria

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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