Main Article Content
Background: Malaria is associated with increased morbidity and mortality and of public health concern. Long- lasting insecticide- treated bed nets (LLINs) is an effective method of prevention and control of malaria.
Aim: To determine the relationship between socio-demographic characteristics of antenatal clinic attendees and their knowledge, ownership and utilization of LLINs.
Methods: This was a secondary data analysis of a cross sectional study of 384 pregnant mothers receiving antenatal care in RSUTH over a 3-month period. Data were sorted, coded and analyzed using IBM Statistical Package for Social Sciences (SPSS) version 25.0. The association between socio-demographic characteristics, and knowledge, ownership and utilization of LLINs was carried out using Pearson Chi-square test and Fisher exact test where appropriate, at a statistical significance level of P < .05.
Results: Data of 384 pregnant women that participated in the study were analyzed. The strong predictors of knowledge of LLINs were participants’ educational status and religion (P < .001 and P < .001) respectively; followed by age [P = .010 (95%CI: .012, .016)] and occupation [P = .017 (95%CI: .020, .026)]. There was no significant association between ‘knowledge’, and parity [P = .37 (95% CI: .34, .36)], and gestational age [P = .35 (95% CI: .34, .36] of the participants. The strong predictors of ownership and utilization of LLINs were the participants’ age (P < .001) and occupation (P < .001); other statistically significant factors found were parity, educational status, and religion (P = .002, P = .015, P = .044) and (P = .007, P = .002, P = .024) respectively. Overall, there was no evidence of association between ownership and utilization of LLINs and gestational age [P = .212 (95% CI: .177, .192) and P = .392 (95% CI: .391, .410)] respectively.
Conclusion: Socio-demographic factors such as age, occupation, educational status and religion are predictors of knowledge, ownership and utilization of LLINs. As such, they are pertinent when planning enlightenment/ education programmes on the use of LLINs for malaria prevention and control.
Oladipupo B, Ladi-Akinyemi OB, Ogunyemi OA, Oluwole FA. A rural-urban comparison of ownership and utilization of long – lasting insecticide treated nets among pregnant women in Ogun State, Nigeria. Annals of Health Research. 2019;5(1):36-50.
Ejikeme NN, Onwe AB. Malaria in pregnancy. In: Umeora OUJ, Egbuji CC, Onyebuchi AK, Ezeonu PO, Editors. Our Teachers- A Comprehensive Textbook of Obstetrics and Gynaecology. 1st Ed. Enugu: ST. Benedict Printing and Publishing; 2017.
World Health Organisation Malaria Fact Sheet; 2020.
(Accessed 5th May, 2020)
World Health Organisation (WHO). WHO World Malaria Report; 2019.
(Accessed 5th May, 2020)
Musa OI, Salaudeen GA, Jumoh RO. Awareness and use of insecticide treated net among women attending Ante-natal Clinic in a Northern State of Nigeria. J Pak Med Association. 2009;59(6):354-358.
Tassew A, Hopkins R, Deressa W. Factors influencing the ownership and utilization of long-lasting insecticidal nets for malaria prevention in Ethiopia. Malar J. 2017;16: 262.
Omonijo A, Omonijo AO. Assessment of the status of awareness, ownership and usage of long-lasting insecticide treated nets after mass distribution in Ekiti State, Nigeria. Journal of Parasitology Research; 2019.
Kasinathan G, Sahu S, Vijayakuma T, Jambulingam P. Comparison of the efficacy of five types of long-lasting insecticidal nets against Anopheles fluviatilis, the primary malaria vector in East-Central India. Journal of Medical Entomology. 2014;51(4):785-94.
Ikiriza A, Andinda M, Kamukama R, Mugisa T, Rubaihayo J, Arseni RS. Factors associated with utilization of insecticide treated nets among residents of Kamwenge Town Council-Kamwenge District-Uganda. International Journal of Infectious Diseases and Therapy. 2019;4(1):1-6.
National Population Census Data 2006.
(Accessed 5th May, 2020)
Wekere FCC, Kua PL, Kalio DGB, Iwo-Amah RS. Assessing the awareness, ownership and utilization of insecticide- treated bed nets amongst antenatal clinic attendees: A tertiary hospital-based study. Asian Research Journal of Gynaecology and Obstetrics. 2020;3(1):21-29.
Balami AD, Said SM, Zulkefi NAM, Norsa’adah B, Audu B. Knowledge, monitoring, self–efficacy and their association with insecticide treated net use among pregnant women in a secondary Health Centre in Maiduguri. Malaria J. 2018;17(1):359.
Dariko E, Tetteh J, Ananore MA, Damoah-Aferi I. Socio-demographic determinants associated with ownership and use of long-lasting insecticide treated nets among pregnant women in Wu Municipality of Ghana. 2019;33:81.
Okoh CE, Doru CB, Awunor NS, Abah SO, Enahoro FO, Abejegah C, et al. Awareness, ownership and utilization of ITN in Abaro Community Delta State. Niger J Med. 2013;22(4):326-331.
Habimana A, Joseph Gikunju J, Magu D, Tuyizere M. Assessing knowledge and factors associated to long lasting insecticide nets use among pregnant women in Southern Rwanda. Rwanda Journal of Medicine and Health Sciences. 2020;3:1.
Aluko JO, Oluwatosin AO. Utilization of insecticide treated bed nets during pregnancy and among, postpartum women in Ibadan, Nigeria: A cross sectional study. BMC Preg and Child Birth. 2012;12:21.
Ugwu EO, Ezechukwu PC, Obi SN, Ugwu AO, Okeke TC. Utilization of insecticide treated bed nets among pregnant women in Enugu, South Eastern Nigeria. Niger J Clinc Pract. 2013;16(3):292-296.
Okoye CA, Isara AR. Awareness on the use of insecticide treated net among women attending antenatal care in a tertiary health facility in South-South Nigeria. Niger Med J. 2011;52:67-70.
Yitayew AE, Enyew HD, Goshu YA. 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. Malaria Research and Treatment. 2018;1-9.
Njoroge FK, Kimani VN, Ongore Dakwale WS. Utilization of insecticide treated nets among pregnant women in Kihfi district, Kenya. Afri Med J. 2009;86(2):314-322.
Ngimuh L, Fokam BE, Anchang-Kimbi KJ, Wanji S. Factors associated to the use of insecticide treated nets and intermittent preventive treatment for malaria control during pregnancy in Cameroon. Archives of Public Health. 2016;74:5.
Nkoka O, Chuang TW, Chuang KY, Chen YH. Factors associated with insecticide-treated net usage among women of childbearing age in Malawi: A multilevel analysis. Malar J. 2018;1:3.
Wekere FCC, Kua PL, Kalio DG, Iwo-Amah RS. Assessing the awareness, ownership and utilization of insecticide-treated bed nets amongst antenatal clinic attendees: A tertiary hospital-based study. Asian Research Journal of Gynaecology and Obstetrics. 2020;21-29.