Assessment of Insecticide-Treated Mosquito Net Possession, Utilization and the Associated Determinants among Pregnant Women in Rayaazebo District, Tigray Regional State, Northern Ethiopia

Belay, Mebrahtom (2007) Assessment of Insecticide-Treated Mosquito Net Possession, Utilization and the Associated Determinants among Pregnant Women in Rayaazebo District, Tigray Regional State, Northern Ethiopia. Masters thesis, Addis Ababa University.

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Abstract

Background: Malaria is one of the major health problems of the community in the world, mainly to children and pregnant women. The use of insecticide treated nets (ITNs) for protection against malarial is one of the major strategies currently applied in most developing countries. RayaAzebo is one of the target Districts in Ethiopia for ITNs intervention, but with limited evidences pertaining to its possession and utilization in the most vulnerable group like pregnant women. Objective: To assess the status of ITNs possession, utilization and determinant factors among pregnant women for malaria control. Methodology: A cross-sectional study was conducted in both urban and rural areas of Raya-Azebo District in Tigray Regional State. Using multistage stratified sampling method, 815 households with at least one pregnant woman were interviewed from randomly selected 21 Kushets from rural areas (90.6% pregnant women) and three Kushets from urban (9.4% pregnant women).The interview were regarding to possession and utilization of ITNs by the pregnant women. Four Focus Group Discussions (FGDs) were also held to generate important ideas for the study. In addition to this, direct observation about the proper utilization of ITNs by the pregnant women and children under-five was carried out during early morning. Data entry and analysis were done using SPSS version 10 soft ware. Result: ITNs possession and utilization of during the preceding night by pregnant women of the study area was 59% and 34.5%, respectively. Net re-impregnation rate in the areas was 96%. Educational status of the pregnant women, lack of radio at household level, gravidity, family size and number of living rooms were the most important factors that influenced possession and utilization of ITNs.Conclusions: Possession and utilization of ITNs by the study households were low. Educational level, radio possession, gravidity, family size, lack of access to ITNs, and way of distribution were the main determinants for possession and utilizations of ITNs. Improving the availability, sustainable integrating of the supply of ITNs to ant natal care (ANC) services and also to other sectors can be assured. Effective Information, Education and Communication (IEC) should be needed to enhance continuous uses of ITNs for protection of malaria in the highly risk group of the community.

Item Type: Thesis (Masters)
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Africana
Depositing User: Emmanuel Ndorimana
Date Deposited: 12 Jul 2018 11:50
Last Modified: 12 Jul 2018 11:50
URI: http://thesisbank.jhia.ac.ke/id/eprint/7425

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