Regional variation and demographic factors associated with knowledge of malaria risk and prevention strategies among pregnant women in Nigeria

Iyanda, Ayodeji Emmanuel; Osayomi, Tolulope; Boakye, Kwadwo; Lu, Yongmei

doi:10.1080/03630242.2019.1643818

Cited by 10 publications

(11 citation statements)

References 23 publications

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“…As espoused by the Health Belief Model, adoption of a health protective behaviour, ITN use in this case, is a function of perceived risk of contracting malaria from mosquito bites and perception of severity/fatality of malaria [57]. In the case of malaria, these thoughts vary by region in the case of Nigeria as revealed by a study that investigated knowledge and preventive precautions of malaria [58]. Second, due to variation in temperature, geographical terrain, environmental factors and malaria prevention strategies across regions [58][59][60], there may be variations in intensity of mosquitoes across regions.…”

Section: Discussionmentioning

confidence: 99%

“…In the case of malaria, these thoughts vary by region in the case of Nigeria as revealed by a study that investigated knowledge and preventive precautions of malaria [58]. Second, due to variation in temperature, geographical terrain, environmental factors and malaria prevention strategies across regions [58][59][60], there may be variations in intensity of mosquitoes across regions. In that instance, ITN use is expected to be high in highly mosquito prevalent regions relative to less prevalent ones.…”

Section: Discussionmentioning

confidence: 99%

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Rural–urban variation in insecticide-treated net utilization among pregnant women: evidence from 2018 Nigeria Demographic and Health Survey

Ameyaw

Adde

Dare

et al. 2020

Malar J

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Background In 2018, Nigeria accounted for the highest prevalence of malaria worldwide. Pregnant women and children under five years bear the highest risk of malaria. Geographical factors affect utilization of insecticide-treated nets (ITN), yet existing literature have paid little attention to the rural–urban dimension of ITN utilization in Nigeria. This study aimed at investigating the rural–urban variation in ITN utilization among pregnant women in Nigeria using data from the 2018 Demographic and Health Survey. Methods A total of 2909 pregnant women were included in the study. The prevalence of ITN utilization for rural and urban pregnant women of Nigeria were presented with descriptive statistics. Chi-square test was employed to assess the association between residence, socio-demographic characteristics and ITN utilization at 95% level of significance. Subsequently, binary logistic regression was used to assess the influence of residence on ITN utilization. Results Eight out of ten of the rural residents utilized ITN (86.1%) compared with 74.1% among urban residents. Relative to urban pregnant women, those in rural Nigeria had higher odds of utilizing ITNs both in the crude [cOR = 2.17, CI = 1.66–2.84] and adjusted models [aOR = 1.18, CI = 1.05–1.24]. Pregnant women aged 40–44 had lower odds of ITN utilization compared to those aged 15–19 [aOR = 0.63, CI = 0.44–0.92]. Poorer pregnant women had higher odds of ITN utilization compared with poorest pregnant women [aOR = 1.09, CI = 1.04–1.32]. Across regions, those in the south [aOR = 0.26, CI = 0.14–0.49] and south-west [aOR = 0.29, CI = 0.16–0.54] had lower odds of ITN use compared to their counterparts in the north-west region. Conclusion The high use of ITNs among pregnant women in Nigeria may be due to the prioritization of rural communities by previous interventions. This is a dimension worth considering to enhance the attainment of the national anti-malarial initiatives. Since possession of ITN is not a guarantee for utilization, women in urban locations need constant reminder of ITN use through messages delivered at ANC and radio advertisements. Moreover, subsequent mass ITN campaigns ought to take cognizance of variations ITN use across regions and pragmatic steps be taken to increase the availability of ITN in households since there is a moderately high use in households with at least one ITN in Nigeria.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Rural–urban variation in insecticide-treated net utilization among pregnant women: evidence from 2018 Nigeria Demographic and Health Survey

Ameyaw

Adde

Dare

et al. 2020

Malar J

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“…Several studies have been undertaken to investigate malaria awareness globally [13][14][15]. Most of these studies focus on female participants [13,14].…”

Section: Introductionmentioning

confidence: 99%

“…Several studies have been undertaken to investigate malaria awareness globally [13][14][15]. Most of these studies focus on female participants [13,14]. One population-based study representing rural communities conducted in China in 2016 revealed malaria awareness was higher in males compared to females [15].…”

Section: Introductionmentioning

confidence: 99%

Ethnic Variation and its Association with Malaria Awareness: A Cross-sectional Study in the East Nusa Tenggara Province (Indonesia)

Guntur

Kingsley

Islam

2021

Preprint

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ObjectivesThis study aims to investigate ethnic variation and its association with malaria awareness in the East Nusa Tenggara Province (ENTP), Indonesia.MethodsA community-based cross-sectional study was conducted upon 1495 adults recruited by multi-stage cluster random sampling technique. A malaria awareness related questionnaire was used to collect data alongside a malaria awareness index (MAI). A logistic regression method was applied to quantify the strength of associations of factors associated with the awareness index.ResultsOf total participants, 33% were from Manggarai, 32.3% were from Atoni, 30.2% from Sumba ethnicity. The level of MAI was significantly different between these groups with the highest in Manggarai ethnicity (65.1%, 95% confidence interval (CI): 59.9 – 70.3) and the lowest in Sumba ethnicity (35%, 95% CI: 27.6 – 42.4). The most prominent factors influencing the MAI in Sumba and Manggarai ethnicity were education level, whilst it was socio-economic status (SES) in Atoni ethnicity. The level of MAI was significantly higher for adults with diploma or above education level (adjusted odds ratio (AOR): 21.4, 95% CI: 3.59 – 127.7-for Manggarai ; AOR: 6.94, 95% CI: 1.81 – 26.6 for Sumba). The level of MAI was significantly higher for adults living in high SES in Atoni (AOR 24.48, 95% CI: 8.79 – 68.21).ConclusionsPoorer education levels and low SES were more prominent factors contributing to lower levels of MAI in rural ENTP. Interventions should focus on improving malaria awareness to these groups to support the national commitment of the Indonesian government to achieve malaria elimination zone by 2030.

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“…This is because malaria accounts for about 60% of outpatient visits and 30% of hospitalizations, as well as 25% of infant mortality; 30% of under-5 mortality and 11% of maternal deaths of which children and pregnant women are the major population at risk (NMEP), 2010). According to Iyanda et al, (2020) malaria preventive behaviours among pregnant women is generally poor across the six geoｌpolitical zones in Nigeria. Sadly, malaria is a leading cause of illness and death in Nigeria, however, access to quality anti-malarial services remains low especially in the rural areas where there are poor and vulnerable people.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Malaria among Pregnant Women in Nigeria: A Scope Review of Literature

Emejuru¹,

Arimie²

2021

IJRP

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Background: Malaria in pregnancy remains a major contributor to maternal and infant morbidity and mortality despite scale up in interventions. Its prevention is one of the major interventions in reducing maternal and infant morbidity and mortality. It is known to cause higher rates of miscarriage, intrauterine death, premature delivery, low birth-weight babies, and neonatal deaths. Since pregnant women are most vulnerable to malaria, implementation of the appropriate prevention and control measures among this group is very important. Therefore, the current review was designed to assess the prevalence of malaria among pregnant women in Nigeria. Method: A systematic analysis of recent literature on the prevalence of malaria in pregnancy was carried out and the evidence synthes ized. The databases used were Google Scholar, MEDLINE and PubMed. Search terms used were "prevalence", "malaria", "pregnant women", and "Nigeria". Studies included were cross sectional studies published in different journals on the prevalence of malaria among pregnant women. The total population from the various studies analyzed was two thousand, eight hundred and sixty-six pregnant women between 15 and 45 years. All the women reside in rural and semi-urban areas in Nigeria. Findings: Among the six studies included in this analysis, the estimated pooled prevalence of malaria among pregnant women in Nigeria was 22% in North-Central, 41% in South-East, 26% in South-South, 4.3% in South-West, 41.6% in North-West and 36.74% in North-East. Conclusion: The current review showed that the pooled prevalence of malaria among pregnant women was relatively higher when compared with the prevalence of malaria in the general population. Therefore, the existing prevention and control measures should be strengthened; interventions on malaria prevention and control should focus on behavior change communication.

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Regional variation and demographic factors associated with knowledge of malaria risk and prevention strategies among pregnant women in Nigeria

Cited by 10 publications

References 23 publications

Rural–urban variation in insecticide-treated net utilization among pregnant women: evidence from 2018 Nigeria Demographic and Health Survey

Rural–urban variation in insecticide-treated net utilization among pregnant women: evidence from 2018 Nigeria Demographic and Health Survey

Ethnic Variation and its Association with Malaria Awareness: A Cross-sectional Study in the East Nusa Tenggara Province (Indonesia)

Prevalence of Malaria among Pregnant Women in Nigeria: A Scope Review of Literature

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