Utilization of Insecticide Treated Nets Among Pregnant Women Attending Antenatal Clinics in Selected Hospitals in Igbo-Eze North Local Government Area- Enugu State- South-East, Nigeria

Abstract

Background: Malaria infection in pregnancy complicates about 32 million pregnancies each year in endemic areas in sub-Saharan Africa and can be life-threatening for both the mother and child (World Health Organization (WHO), 2017). The severe burden of disease has led to a global fight to control malaria. The World Malaria Report states that by the end of 2010, adequate insecticide-treated mosquito nets would have been delivered to sub-Saharan Africa to protect about 580 million people. This would protect 76% of the population at risk. More than 75 million people have received protection from indoor residual spray (WHO, 2017). Malaria increases the risk of adverse pregnancy outcomes for mothers, fetuses, and newborns. Aim: The study aimed to assess the utilization of insecticide treated nets among pregnant women attending antenatal clinics in some selected hospitals in Igbo-Eze North Local Government Area (LGA) of Enugu State. Method: This study adopted a cross sectional study design. The sample consists of Two hundred (200) pregnant women who attended antenatal clinics in the selected health centres of Igbo Eze North Local Government Area of Enugu State and were selected through a convenient sampling technique. The instruments for data collection were a self-structured questionnaire and an interview guide for those who could not read and write. Findings: Results showed high ownership of ITN with a poor level of utilization; no significant relationship between the pregnant women’s age, parity, and utilization of insecticide-treated net. Conclusions: The study concluded that high ownership of ITN does not translate to a good utilization level. It recommended a combination of subsidy and mass education campaigns to boost utilization.