Insecticide-treated bed net utilization and associated factors among pregnant women in Ethiopia: a systematic review and meta-analysis

Kassie, Gizachew Ambaw; Adella, Getachew Asmare; Gebrekidan, Amanuel Yosef; Gebeyehu, Natnael Atnafu; Gesese, Molalegn Mesele; Abebe, Endeshaw Chekol; Mengstie, Misganaw Asmamaw; Seid, Mohammed Abdu; Tegegne, Kirubel Dagnaw; Feleke, Sefineh Fenta; Dejenie, Tadesse Asmamaw; Bantie, Berihun; Moges, Natnael; Kebede, Yenealem Solomon; Zemene, Melkamu Aderajew; Dessie, Anteneh Mengist; Anley, Denekew Tenaw; Asgedom, Yordanos Sisay

doi:10.1186/s12936-023-04655-7

Cited by 7 publications

(1 citation statement)

References 29 publications

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“…16 In Ethiopia, though, more than 40% of pregnant women lack access to ITN. 17 One of the public health issues that has an impact on pregnant women's and their unborn children's health is soiltransmitted helminthes (STHs). 18 These infections infected roughly 70% of pregnant women in Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Predictors of Knowledge and Attitude on Optimal Nutrition and Health Among Pregnant Women in Their First Trimester of Pregnancy

Gebremichael,

Lema

2023

IJWH

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Evidence has demonstrated that knowledge and attitudes are indicators of nutrition and health modification among pregnant women. As a result, the objective of this study was to assess the prevalence and predictors of knowledge and attitudes about optimal nutrition and health among pregnant women in their first trimester of pregnancy. Methods: A community-based cross-sectional study design was conducted between April 1 and June 1, 2018 among 750 pregnant women and sampled using the multi-stage sampling technique in the Ambo district of the West Shoa Zone, Ethiopia. Using a pretested, semi-structured questionnaire, data were gathered and analyzed using SPSS version 23. First, descriptive statistics were used, then bivariate and, finally, multivariable logistic regression analysis was used to assess the association of the predictors with the outcome variables. Results: Overall, 33.3% and 31.3% of pregnant women had good knowledge and favorable attitudes about optimal nutrition and health, respectively. Residence, the woman's and her husband's educational status, having > five household members, being in rich households, taking distance to reach a health institution, being multiparous, having information, and receiving counseling were significantly associated with pregnant women's knowledge on optimal nutrition and health. Also, a favorable association was found between a woman's attitude toward optimal nutrition and health and her and her husband's educational status, household wealth status, and the distance traveled to a health facility. Conclusion:The nutrition and health knowledge and attitudes of pregnant women in the study area were suboptimal. Improving knowledge and attitude during the first trimester of pregnancy is essential for suggesting nutrition and health-related behavior in the succeeding periods of pregnancy, which predominantly determine the pregnancy's outcomes.

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Section: Introductionmentioning

confidence: 99%

Prevalence and Predictors of Knowledge and Attitude on Optimal Nutrition and Health Among Pregnant Women in Their First Trimester of Pregnancy

Gebremichael,

Lema

2023

IJWH

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New Strides in Prevention of Malaria during Pregnancy Present Multitudinous Opportunities

Gill,

Anvikar

2024

ACS Infect. Dis.

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Pregnant women are at a higher risk of developing complications from malaria, a mosquito-borne disease caused by Plasmodium parasites, resulting in considerable maternal and infant morbidity and mortality. Malaria in pregnancy causes unfavorable and life-threatening outcomes for both the mother and fetus not limited to maternal anemia, hypoglycaemia, cerebral malaria, pulmonary edema, and puerperal sepsis. WHO recommends wideranging strategies for this detrimental but preventable disease; however, numerous challenges persist in ensuring high uptake of preventive therapies, effective usage of insecticide-treated bed nets, and early initiation and optimal antenatal care coverage for pregnant women. This work distils recent global advances in preventive strategies for malaria in pregnancy. We discuss three mainstay interventions by WHO, viz. intermittent preventive treatment of malaria in pregnancy (IPTp), utilization and outcomes of insecticide-treated bed nets (ITNs), and headways in malaria case management using therapeutic drugs. We cover multitudinous facets of antenatal care, WHO-advised community-based delivery of IPTp (c-IPTp), intermittent screening and treatment for malaria in pregnancy (ISTp), a malaria vaccine for pregnant women, and auxiliary factors that are crucial for improving prevention outcomes. Despite the reduction in malaria globally, malaria in pregnancy remains a prevalent issue in endemic areas, which warrants strengthening of preventative strategies. This work attempts to consolidate pivotal observations of the prevention of malaria during pregnancy by highlighting key advances, priority areas, new opportunities, research gaps, and challenges that need to be addressed to ensure improved outcomes in pregnant women infected with malaria.

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Long lasting insecticidal nets utilization and associated factors among households of West Arsi Zone, Oromia Region, Ethiopia

Elemo,

Worko,

Mama

et al. 2024

Sci Rep

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Long-lasting insecticide nets are often used as a physical barrier to prevent infection of malaria. In sub-Saharan Africa, one of the most important ways of lowering the malaria burden is the utilization of long-lasting insecticide-treated nets. However, there is no sufficient information on long-lasting insecticide utilization in Ethiopia. Therefore, the study was aimed to assess long-lasting insecticide net utilization and associated factors among households of West Arsi Zone, Oromia, Southern Ethiopia, 2023. A community-based cross-sectional study design was conducted in West Arsi Zone with a sample of 2808 households from May 01 to 30, 2023. Data were collected from households by using interviewer-administered structured questionnaires. Data were checked, coded, and entered into Epinfo version 7, cleaned, and analyzed by SPSS version 25. Descriptive analysis was used to present frequencies, proportions, and graphs. Binary logistic regression analysis was computed and the variables with p-values less than 0.25 were selected to be included in the multivariable model. The final model was interpreted using an adjusted odd ratio with a 95% confidence interval and p-value < 0.05 to declare the statistical association between the outcome and independent variables. About 2389 (86.2%) of households have long-lasting insecticide nets that can be used while sleeping. But the overall prevalence of long-lasting insecticide nets utilization was 69.9% with (95% CI 68.1–71.8). Being female as household head (AOR 1.69, 95% CI 1.33–4.15), number of separate rooms in the living house (AOR 1.80, 95% CI 1.23–2.29), duration of long-lasting insecticide nets used to be replaced (AOR 2.81, 95% CI 2.18–5.35), knowledge status of the respondents (AOR 3.68; 95% CI 2.48–6.97) were significantly associated with long-lasting insecticide nets utilization. The overall Household’s level of LLINs utilization was found to be low as compared to the national standard of Ethiopia, which is to be ≥ 85. The study identified that being female as household head, the number of separate rooms in the living house, the duration of long-lasting insecticide nets used to be replaced, knowledge status of the respondents were the predictors of long-lasting insecticide nets utilization among members of households. Thus, to improve the usage of LLINs, the West Arsi Zone Health Office and stakeholders should strengthen the long-term insecticide net utilization at the household level by educating the community with appropriate information.

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Insecticide-treated bed net utilization and associated factors among pregnant women in Ethiopia: a systematic review and meta-analysis

Cited by 7 publications

References 29 publications

Prevalence and Predictors of Knowledge and Attitude on Optimal Nutrition and Health Among Pregnant Women in Their First Trimester of Pregnancy

Prevalence and Predictors of Knowledge and Attitude on Optimal Nutrition and Health Among Pregnant Women in Their First Trimester of Pregnancy

New Strides in Prevention of Malaria during Pregnancy Present Multitudinous Opportunities

Long lasting insecticidal nets utilization and associated factors among households of West Arsi Zone, Oromia Region, Ethiopia

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