Malaria in pregnancy is of global health concern. Free distributions of Insect-Repellent Preserved Nets (IRPNs) are introduced in Ghana to protect everyone particularly pregnant women from mosquito bites. This study aims at assessing the barriers and motivators to insecticide bed net use during gestation in the Kintampo Municipality. This study employed a descriptive cross-sectional study that used a mixed methods approach to conduct the study. Multi stage sampling technique was used. Proportionate sampling was used to determine the number of respondents from each facility. Purposive sampling technique was used to select partners of ANC attendees for a focus group discussion. Data was analysed using Stata version 15 and N-Vivo 12. Data triangulation techniques were used to merge the two data sources. Test of association between independent variables and dependent variable (ITN use) was examined using Chi-square test and logistic regression models to determine the strength of the relations. A p-value of ≤0.05 was deemed to be statistically significant. Majority of pregnant women 71.4% sleep under treated insecticides net. Motivators for bed net use were to prevent mosquito bites 228 (83.2%) and to provide privacy 17 (6.2%). Barriers to bed net use were heat 59 (55.7%) and inconvenience in sleeping under the net 4 (3.8%). There is high rate of insect repellent pickled net use amongst antenatal women. Household arrangements as well as bed nets hanging challenges in the room are barriers to net use. Key words: Malaria, mosquito nets, usage, motivators, barriers and pregnancy.
Background: A proven strategy for saving lives from vaccine-preventable diseases is the timely vaccination of the people. In Ghana, there is considerable hesitation about the Covid-19 vaccines due to anxieties and uncertainties about their safety. With varying perceptions and believes being developed about Covid-19 vaccines, there is a likely negative effect on vaccine acceptance or otherwise. This study aims to ascertain the levels of acceptance of potential Covid-19 vaccine among Ghanaian adults, to identify predictors of vaccine acceptance or hesitance. Methodology: A web based cross-sectional survey conducted among Ghanaians above 18 years, conducted between the month of February and March, 2021. Data were collected by administering online google forms (Questionnaire). The questionnaire was shared through social media platforms. A snowball sampling technique was used where researchers shared google forms to close friends and family. Analyses were conducted at p-value <0.05 using descriptive statistics, cross-tabulations and logistic regression. Results: A total of 350 responses were achieved by end of data collection. Out of these, only 348 were considered for analysis based on the inclusion and exclusion criteria. Majority of the respondents (65.2%) were male, a third (30%) of them live in rural areas and about 57.5% were married. Factors such as age, educational level, prior vaccine acceptance history, personal vulnerability and self-feeling of health were significantly associated with covid-19 vaccine acceptance. Conclusion: The results depict low acceptance rate for potential covid-19 vaccine among Ghanaians. Government and MoH should engage the media on its role in combating misinformation with regards the Covid-19 vaccine. Key words: coronavirus disease 2019 (Covid-19), vaccine, hesitance, acceptance.
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