Comorbid anxiety and depression: Prevalence and associated factors among pregnant women in Arba Minch zuria district, Gamo zone, southern Ethiopia

IntroductionPrenatal anxiety and depression are major health problems all over the world. The negative sequela of prenatal comorbid anxiety and depression (CAD) has been suggested to be higher than that of anxiety or depression alone. CAD increases the odds of preterm birth, low birth weight, prolonged labor, operative deliveries, postpartum psychiatric disorders and long term cognitive impairment for the newborn. Despite its significant ill consequences, there is a dearth of studies in low-and middle-income countries. So far, to the best of our knowledge, no study assessed the prevalence of CAD in Ethiopia. Hence, the purpose of this study was to assess CAD and associated factors among pregnant women in Arba Minch Zuria district, Gamo zone, southern Ethiopia.MethodsA community-based cross-sectional study was conducted among 676 pregnant women from January 01 to November 30, 2019. Patient Health Questionnaire 9-item (PHQ-9) and Generalized Anxiety Disorder 7-item (GAD-7) scales were used to assess depression and anxiety respectively. The data were collected electronically using an open data kit (ODK) collect android application and analyzed using Stata version 15.0. Bivariate and multivariable analyses were carried out to identify factors associated with CAD using binary logistic regression. Statistical significance was set at p-value < 0.05.ResultsA total of 667 women were involved. The prevalence of CAD was 10.04% [95% confidence interval (CI): 7.76, 12.33]. Being married [adjusted odds ratio (AOR): 0.16, 95% CI: 0.05, 0.56], categorized in the highest wealth quintile [AOR: 2.83, 95% CI: 1.17, 6.84], having medical illness [AOR: 3.56, 95% CI: 1.68, 7.54], encountering pregnancy danger signs [AOR: 2.66, 95% CI: 1.06, 6.67], experiencing life-threatening events [AOR: 2.11, 95% CI: 1.15, 3.92] and household food insecurity [AOR: 3.51, 95% CI: 1.85, 6.64] were significantly associated with CAD.ConclusionsIn general, one in every ten women faced CAD in the study area. Nutritional interventions, early identification and treatment of pregnancy-related illness and medical ailments, prenatal mental health problems screening and interventions are imperative to minimize the risk of CAD in pregnant women.

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Food Aversion During Pregnancy and Its Association With Nutritional Status of Pregnant Women in Boricha Woreda, Sidama Zone, Southern Ethiopia, 2019. A Community Based Mixed Crossectional Study Design

10.21203/rs.3.rs-124356/v1 ◽

2020 ◽

Author(s):

Abel Yalew ◽

Wondwosen T/Silasie ◽

Anchamo Anato ◽

Anteneh Fikrie

Keyword(s):

Nutritional Status ◽

Pregnant Women ◽

Qualitative Data ◽

Maternal Nutrition ◽

Statistical Significance ◽

Southern Ethiopia ◽

P Value ◽

Food Aversion ◽

Community Based ◽

High Prevalence

Abstract Background: Despite high prevalence, food aversions are closely linked to the dietary intake of pregnant women. Thus, understanding this behavior is important in addressing the issue of maternal nutrition. Therefore, the aim of this study is to provide information on the prevalence and associated factors of food aversion and its relationship with the nutritional status of pregnant women in Boricha Woreda, Sidama Zone, Southern Ethiopia, 2019.Methods: A community based mixed cross sectional study was conducted among 505 randomly selected pregnant mothers at Boricha Woreda, Southern Ethiopia from June 1-20, 2019. Pre-tested and structured face-to-face interview questionnaire and focus group discussion guide were used to collect quantitative and qualitative data respectively. The quantitative data were cleaned, coded and entered into Epi Info version 7.1.4.0 and then exported to SPSS IBM version 20 for further analysis. The qualitative data were analyzed manually using a content analysis.The bi-variable and multivariable logistic regression was used to identify the possible factors of food aversion. Pearson’s Chi-square test was used to assess the relationship between food aversion and nutritional status of pregnant women. AOR with the respective 95% CIs was used to declare statistical significance.Results: Nearly, seven-in-ten (69.2%) of the pregnant women were averted of at least one food. Cereal (45.9%) and enset (44.2%) were averted by majority of the participants. The mean (±SD) MUAC measurement was 22.7 (±2.4) cm. For age group 19 – 23 [AOR= 2.36, 95%CI (1.32 – 4.21)] and 24 – 28 of years [AOR= 2.84, 95% CI (1.61 – 5.01)], nausea [AOR= 1.70, 95%CI (1.10 – 2.65)] and having additional meal [AOR= 1.70, 95% CI (1.06 – 2.73)] were significantly associated with food aversion. Maternal nutritional status and food aversion was statistically significant (p-value=0.008).Conclusion: High prevalence of food aversions (69.2%) and under nutrition (34.6%) among pregnant women is found. Therefore, the Woreda Health Office needs to intensify the integration of maternal nutrition into ANC services and training of health providers as well as critical appraisal of health extension workers should also be considered.

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The Magnitude of Nutritional Underweight and Associated Factors Among Children Aged 6-59 Months in Wonsho Woreda, Sidama Zone Southern Ethiopia

The Open Public Health Journal ◽

10.2174/1874944501610010007 ◽

2017 ◽

Vol 10 (1) ◽

pp. 7-16 ◽

Cited By ~ 2

Author(s):

Rahel Gamecha ◽

Tsegaye Demissie ◽

Amha Admasie

Keyword(s):

Associated Factors ◽

Dietary Diversity ◽

Statistical Significance ◽

Anthropometric Measurements ◽

World Health ◽

Southern Ethiopia ◽

P Value ◽

Cluster Sampling ◽

Public Health Burden ◽

Under Nutrition

Background: Childhood under-nutrition is a major global health problem. Although the rate of under-nutrition in southern Ethiopia has substantially declined in the last decade, but it still remains the major causes of morbidity and mortality of children under-five years. Unfortunately, there was no study in this study area with respect to this topic of interest and therefore, this study was carried out to assess the magnitude of underweight and associated factors among children aged 6-59 months. Methods: A community based cross sectional study was conducted in Wonsho Woreda, Southern Ethiopia. A total of 595 randomly selected child mother pairs were selected using cluster sampling method. Data were collected using a face-to-face interview and children anthropometric measurements. Child Dietary Diversity Score (DDS) was determined. World Health Organization Anthro software was used to convert anthropometric measurements into Z-scores. The data was analyzed using Epidata version 3.1 and SPSS version 20. Bivariate and multivariable logistic regression model was used. A statistical significance was declared at p-value less than 0.05. Result: The overall prevalence of underweight was 122(20.5%) (95% CI, 17.3-23.8%), meanwhile, the prevalence of severe and moderate underweight was 7.1% and 13.4% respectively. Male children were 1.78 times more likely to be underweight than female children (AOR=1.78; 95%CI=1.17, 2.70). Unimmunized, children were 2.45 times more likely to be underweight (AOR=2.45; 95%CI=1.41, 4.24). Conclusion: Prevalence of nutritional underweight was high in the study area. Driving factors of underweight were investigated and therefore, strong stakeholders’ collaboration is compulsory to address the future public health burden.

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Intention to use maternity waiting home and associated factors among pregnant women in Gamo Gofa zone, Southern Ethiopia, 2019

PLoS ONE ◽

10.1371/journal.pone.0251196 ◽

2021 ◽

Vol 16 (5) ◽

pp. e0251196

Author(s):

Wubishet Gezimu ◽

Yibelu Bazezew Bitewa ◽

Mekuanint Taddele Tesema ◽

Tewodros Eshete Wonde

Keyword(s):

Pregnant Women ◽

Maternal Employment ◽

Associated Factors ◽

Southern Ethiopia ◽

Bivariate Analysis ◽

P Value ◽

Perceived Behavioral Control ◽

Intention To Use ◽

Maternity Waiting Homes ◽

Maternity Waiting Home

Background A maternity waiting home is a temporary residence in which pregnant women from remote areas wait for their childbirth. It is an approach targeted to advance access to emergency obstetric care services especially, in hard-to-reach areas to escalate institutional delivery to reduce complications that occur during childbirth. Apart from the availability of this service, the intention of pregnant women to utilize the existing service is very important to achieve its goals. Thus, this study aimed to assess the intention to use maternity waiting homes and associated factors among pregnant women. Methods Community-based cross-sectional study was conducted among 605 pregnant women using a multistage sampling technique from March 10 to April 10, 2019, by using a structured questionnaire through a face-to-face interview. The collected data was entered into Epi-Data version 3.1 and analyzed using the SPSS version 24 statistical package. Logistic regression analysis was used to test the association. All variables at p-value < 0.25 in bivariate analysis were entered into multivariate analysis. Lastly, a significant association was declared at a P-value of < 0.05 with 95% CI. Results In this study, the intention to use maternity waiting homes was 295(48.8%, 95%CI: 47%-55%)). Occupation (government employee) (AOR:2.87,95%CI: 1.54–5.36), previous childbirth history (AOR:2.1,95%CI:1.22–3.57), past experience in maternity waiting home use AOR:4.35,95%CI:2.63–7.18), direct (AOR:1.57,95%CI:1.01–2.47) and indirect (AOR: 2.18, 1.38,3.44) subject norms and direct (AOR:3.00,95%CI:2.03–4.43), and indirect (AOR = 1.84,95%CI:1.25–2.71) perceived behavioral control of respondents were significantly associated variables with intention to use maternity waiting home. Conclusion The magnitude of intention to use maternity waiting homes among pregnant women is low. Community disapproval, low self-efficacy, maternal employment, history of previous birth, and past experiences of MWHs utilization are predictors of intention to use MWHs, and intervention programs, such as health education, strengthening and integration of community in health system programs need to be provided.

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Prevalence of Depression and Its Associated Factors among Orphan Children in Orphanages in Ilu Abba Bor Zone, South West Ethiopia

Psychiatry Journal ◽

10.1155/2018/6865085 ◽

2018 ◽

Vol 2018 ◽

pp. 1-7 ◽

Cited By ~ 4

Author(s):

Gemechu Shiferaw ◽

Lemi Bacha ◽

Dereje Tsegaye

Keyword(s):

Odds Ratio ◽

Associated Factors ◽

Adjusted Odds Ratio ◽

Response Rate ◽

Statistical Significance ◽

Sub Saharan Africa ◽

P Value ◽

Medical Illness ◽

Cross Sectional ◽

Prevalence Of Depression

Introduction. Orphans are the special group of children who are generally deprived and prone to develop psychiatric disorders even those reared in well-run institutions. These children and adolescents living as orphans or in stigmatized environments are vulnerable because of the loss of parent figures. The HIV/AIDS epidemic has contributed to a drastic increase in the number of orphans and vulnerable children and other causes in sub-Saharan Africa. However, little is known about the prevalence of depression and associated factors among orphanage children in areas such as Ethiopia. Objective. The aim of this study was to assess the prevalence of depression and its associated factors among orphans in Ilu Abba Bor Zone orphanages, 2016. Methods. An institutional based cross-sectional study was conducted among orphan children in orphanages at Mettu and Gore. A total of 220 orphans were included from the two orphanages and make the response rate of 98.2%. Pretested semistructured questionnaire was used for interviewing the study participants. The collected data were coded, entered into EPI-INFO 7.0. Software, and exported to SPSS version 20 for statistical analysis. The strength of association between variables was assessed using crude and Adjusted Odds Ratio by running logistic regression and the cut-off point for declaring statistical significance was P- value <0.05 or 95% confidence interval which does not contain the null value. Results. A total of 216 orphan children were interviewed with response rate of 98.2%. The overall prevalence of depression was 24.1%. The mean age of participants was 14.2 years ± 9.90 SDs and range from 11 to 17 years. Sex [Adjusted Odds Ratio = 3.29, 95% CI (1.41, 7.46)]; age [Adjusted Odds Ratio=2.09,95% CI (3.7; 5.01)]; duration of stay in foster care [Adjusted Odds Ratio= 2.08 (1.01; 8.33)]; previous physical abuse [Adjusted Odds Ratio= 3.1 (2.1; 5.06)]; having medical illness [Adjusted Odds Ratio=1.94,95% CI (2.01;3.56)]; orphan status [Adjusted Odds Ratio=2.5,95% CI (1.62; 3.56)]; and suicidal tendency [Adjusted Odds Ratio= 4.8 (3.41; 9.03)] were independent predictors of depression among orphans in orphanages. Conclusion and Recommendations. Prevalence of depression was high among orphans and this finding suggests that screening for depression and mental and psychological care should be integrated into routine health care provided to orphans and that there is a further need to establish preventive measures against depression.

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Knowledge, attitudes, and practices of face mask utilization and associated factors in COVID-19 pandemic among Wachemo University Students, Southern Ethiopia: A cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0257609 ◽

2021 ◽

Vol 16 (9) ◽

pp. e0257609

Author(s):

Yilma Markos Larebo ◽

Desta Erkalo Abame

Keyword(s):

Associated Factors ◽

Public Awareness ◽

Statistical Significance ◽

Face Mask ◽

Cross Sectional Study ◽

Southern Ethiopia ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Attitudes And Practices

Introduction The widespread use of face masks by the general public may help to prevent the spread of viruses. Face masks are thought to be a good strategy to protect against respiratory diseases such as the Coronavirus. Identifying student knowledge, attitude, and practice about the use of face masks is crucial to detect vulnerabilities and respond rapidly to avoid the spread of the infection. This study aimed to determine the knowledge, attitude, and practices of face mask utilization and associated factors in the COVID-19 pandemic among college students. Methods A cross-sectional study was performed from February to March 2021 among 764 students from Wachemo University, Southern Ethiopia. A multistage sampling technique was used in the study. The sample size for each department was allocated in proportion to the number of students in that department, and each respondent was chosen using a simple random sampling procedure. Data were collected using a pre-tested self-administered questionnaire and analyzed using SPSS version 26. To predict the relationship between the predictor and outcome variables, a logistic regression model was used. At a p-value of 0.05, statistical significance was declared. Results The study showed that the overall knowledge of the students was 223 (29.2%), their attitude was 673 (88.1%), and their practice was 684 (89.5%). The students from the college natural and computational sciences (AOR: 0.23; 95%CI: 0.13, 0.40) and students having good knowledge (AOR = 4.40; 95%CI; 2.13, 9.14) were found to be independently associated with face mask utilization. Conclusion When compared to other researches, the knowledge about the usage of face masks in this study was low, but the attitudes and practices were high. Authorities in areas that are in danger of a COVID-19 pandemic should plan and implement public awareness and education initiatives.

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Prevalence of Scabies and Its Associated Factors Among School-Age Children in Arba Minch Zuria District, Southern Ethiopia, 2018.

10.21203/rs.3.rs-88911/v1 ◽

2020 ◽

Author(s):

Eyayou Girma ◽

Chuchu Churko ◽

Amsalu Alagaw ◽

Desta Haftu ◽

Abayneh Tunje ◽

...

Keyword(s):

Associated Factors ◽

Statistical Significance ◽

School Age Children ◽

Southern Ethiopia ◽

P Value ◽

School Age ◽

Odds Ratios ◽

Cross Sectional ◽

Skin Contact ◽

History Of

Abstract Background: Scabies, a common human skin disease with a prevalence range of 0.2% to 71.4% in the world. It can have a considerable impact on general health leading to illness and death not only through the direct effect of its infestation and as a result of secondary bacterial infection. This study aimed to assess the prevalence of scabies and its associated factors among school-age children in Arba Minch Zuria district, Gamo zone, Southern Ethiopia.Methods: A community-based cross-sectional study was carried out in 825 school-age children from February 20 to March 30, 2018. A multi-stage sampling technique was used to select study populations. Logistic regression analysis was used to identify factors associated with scabies. Findings were presented using 95% CI of Crude Odds Ratios (COR) and Adjusted Odds Ratios (AOR). To declare statistical significance, a p-value of less than 0.05 was used. Result: A total of 825 children participated in the study with a response rate of 97.6%. The overall prevalence of scabies was 16.4% [95% CI: 13.9%, 18.9%]. Overcrowding index, family history of itching in the past two weeks, wealth index, knowledge of scabies, climatic zone (living in the highland area), frequency of washing body, frequency of washing clothes, fingernails cutting practice, history of skin contact with scabies patient, washing hair more than once weekly, and sharing of clothes were significantly associated scabies disease.Conclusion: In conclusion, the prevalence of scabies in Arba Minch lies at 16.4% in the global scabies range from 0.2% to 71.4%. The prevalence was highest in highlands followed by midland and then lowland. This represents a significant scabies burden which we recommend warrants health service intervention.

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Prevalence and factors associated with anxiety and depression amongst hospitalised COVID-19 patients in Laquintinie Hospital Douala, Cameroon

PLoS ONE ◽

10.1371/journal.pone.0260819 ◽

2021 ◽

Vol 16 (12) ◽

pp. e0260819

Author(s):

Stewart Ndutard Ngasa ◽

Leticia Armelle Sani Tchouda ◽

Christabel Abanda ◽

Neh Chang Ngasa ◽

Eric Wah Sanji ◽

...

Keyword(s):

Mental Health ◽

Mental Health Problems ◽

Statistical Significance ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

P Value ◽

Published Data ◽

Cross Sectional ◽

Factors Associated ◽

Hospitalised Patients

Studies assessing the mental health of patients with COVID-19 infection remain limited. Disasters and major emergencies, not just COVID-19, undoubtedly lead to greater incidence of mental health problems. Previous studies indicate that the novel Coronavirus disease can cause panic and stress in patients. Our literature search didn’t reveal any previous published data from Cameroon and the Central African sub-region. In order to bridge this gap, we assessed the prevalence and factors associated with depression and anxiety in COVID-19 patients. We carried out a cross-sectional study in a secondary hospital in the Littoral Region of Cameroon. We recruited hospitalised COVID-19 patients during a 4-month period. We collected data on sociodemographic characteristics. The HADS score was used to assess levels of anxiety and depression. All analysis were done using Stata 14. A P value of <0.05 was used as the cut-off for statistical significance. A total number of 285 patients took part in this study with a mean age of 48.47 years. The prevalence of anxiety in COVID-19 patients was 60.35% while the prevalence of depression was 81.40%. At multivariate logistic regression male gender (OR: 1.89, P = 0.04), hypoxaemia (OR: 2.20, P = 0.01), presence of COVID-19 complications (OR: 1.61, P = 0.02) and current episode of depression (OR: 4.14, P<0.01) were independently associated with anxiety. Similarly, age > 35 years (OR:2.03, P = 0.02), presence of comorbidity (OR: 1.68, P = 0.01), BMI > = 30kg/m2 (OR: 1.78, P = 0.02), presence of COVID-19 complications (OR: 1.28, P = 0.01) and anxiety (OR: 4.60, P<0.001) were independently associated with depression. Hospitalised patients with COVID-19 experienced high levels of anxiety and depression. Treatment of hospitalised patients with COVID-19 should therefore include psychotherapy and psychiatric support.

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Prevalence and Factors Associated with Anxiety and Depression Amongst Hospitalised COVID-19 patients in Laquintinie Hospital Douala, Cameroon

10.21203/rs.3.rs-871529/v1 ◽

2021 ◽

Author(s):

Stewart Ndutard Ngasa ◽

Leticia Armelle Sani Tchouda ◽

Christabel Abanda ◽

Neh Chang Ngasa ◽

Carlson-Sama Babila ◽

...

Keyword(s):

Mental Health ◽

Mental Health Problems ◽

Statistical Significance ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

P Value ◽

Published Data ◽

Cross Sectional ◽

Factors Associated ◽

Hospitalised Patients

Abstract Introduction: Studies assessing the mental health of patients with COVID-19 infection remain limited. Disasters and major emergencies, not just COVID-19, undoubtedly lead to greater incidence of mental health problems. Previous studies indicate that the novel Coronavirus disease can cause panic and stress in patients. Our literature search didn’t reveal any previous published data from Cameroon and the Central African sub-region. In order to bridge this gap, we assessed the prevalence and factors associated with depression and anxiety in COVID-19 patients.Methods: We carried out a cross-sectional study in a secondary hospital in the Littoral Region of Cameroon. We recruited hospitalised COVID-19 patients during a 4-month period. We collected data on sociodemographic characteristics. The HADS score was used to assess levels of anxiety and depression. All analysis were done using Stata 14. A P value of <0.05 was used as the cut-off for statistical significance.Results: A total number of 285 patients took part in this study with a mean age of 48.47 years. The prevalence of anxiety in COVID-19 patients was 60.35% while the prevalence of depression was 81.40%. At multivariate logistic regression male gender (OR: 1.89, P=0.04), hypoxaemia (OR: 2.20, P=0.01), presence of COVID-19 complications (OR: 1.61, P= 0.02) and current episode of depression (OR: 4.14, P<0.01) were independently associated with anxiety. Similarly, age > 35 years (OR:2.03, P= 0.02), presence of comorbidity (OR: 1.68, P= 0.01), BMI > = 30kg/m2 (OR: 1.78, P= 0.02), presence of COVID-19 complications (OR: 1.28, P= 0.01) and anxiety (OR: 4.60, P<0.001) were independently associated with depression. Conclusion: Hospitalised patients with COVID-19 experienced high levels of anxiety and depression. Treatment of hospitalised patients with COVID-19 should therefore include psychotherapy and psychiatric support.

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Determinants of Maternal Healthcare Utilisation Among Pregnant Women in Southern Ethiopia: A Multi-level Analysis

10.21203/rs.3.rs-966627/v1 ◽

2021 ◽

Author(s):

MEKDES Gurara ◽

Veerle Draulans ◽

Jean-Pierre Van Geertruyden ◽

Yves Jacquemyn

Keyword(s):

Health Care ◽

Pregnant Women ◽

Rural Areas ◽

Access To Health Care ◽

Statistical Significance ◽

Southern Ethiopia ◽

P Value ◽

Service Utilisation ◽

Rural Ethiopia ◽

Birth Attendance

Abstract Background: In low- and middle-income countries, considerable proportions of women and newborns are dying from easily preventable pregnancy and childbirth-related causes. The utilisation of maternal health care (MHC) is a proven intervention that significantly reduces maternal and newborn morbidity and mortality. Despite efforts to make MHC available in rural Ethiopia, utilisation of these services remains low. Therefore, this study aimed to assess MHC services’ status and determinants in rural Ethiopia.Methods: The study used a community-based, cross-sectional design. A pretested, semi-structured, interviewer-administered questionnaire was used to collect data. A multilevel, mixed-effects, logistic regression model was used to identify individual and communal factors level factors associated with utilisation of antenatal care (ANC), skilled birth attendance (SBA) and postnatal care (PNC). Adjusted odds ratios (AORs) with corresponding 95% confidence intervals (CIs) were estimated at a p-value < 0.05, indicating statistical significance.Results: A total of 727 pregnant women from rural areas took part, with a response rate of 99.3%. About 63.4% of the women visited ANC clinics at least once during their last pregnancy while only 46.5% had given birth with SBA, and 32.8% had received PNC. The study revealed that women’s employment, awareness of danger signs and pregnancy planning were associated with increased MHC service utilisation from individual-level factors. The odds of using SBA (AOR=3.3; 95% CI: 1.8–5.9) and PNC (AOR=2.8; 95% CI: 1.2–6.7) were associated with ANC use. Similarly, PNC utilisation was associated with SBA (AOR=3.3; 95% CI: 1.8–6.1). At the cluster level, being a lowlands resident was found to be associated with ANC (AOR = 4.1; 95% CI: 1.1–14). Similarly, a proximity of less than two hours of travel time from the nearest health facility was found to be associated with SBA use (AOR=2.9; 95% CI: 1.4–5.8) and ANC use (AOR=1.9; 95% CI: 1.1–3.7).Conclusions: Individual and community-level factors play a key role in determining utilization of MHC services. Women’s empowerment, promotion of contraceptive methods to avoid unintended pregnancy and improved access to health care services, particularly in highlands areas, are recommended.

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Long-Lasting Insecticidal Net Utilization and Associated Factors Among Pregnant Women in Asgede Tsimbla District, Northern Ethiopia, 2017

Environmental Health Insights ◽

10.1177/1178630220919393 ◽

2020 ◽

Vol 14 ◽

pp. 117863022091939

Author(s):

Teklit Angesom ◽

Hailay Gebreyesus ◽

Brhane Gebremariam

Keyword(s):

Pregnant Women ◽

Family Size ◽

Associated Factors ◽

Statistical Significance ◽

Cost Effective ◽

Cross Sectional Study ◽

P Value ◽

Northern Ethiopia ◽

Cross Sectional ◽

Factors Associated

Background: Malaria among pregnant women contributes to maternal anemia, low birth weight, spontaneous abortion, and infant deaths. In response to this serious health problem, regular use of the long-lasting insecticidal net is the most cost-effective method of preventing malaria. However, in most developing countries, including Ethiopia, long-lasting insecticidal net utilization by pregnant women is uncertain. Objectives: This study was conducted to measure the utilization of insecticidal net and to identify the associated factors with its utilization among pregnant women in Asgede Tsimbla district in 2017. Methods: A community-based cross-sectional study was employed and data were collected using interviewer-administered questionnaire. Systematic random sampling method was used to select 550 pregnant women. Data were entered into a computer using Epi Info (version 7) and exported to Statistical Package for the Social Sciences (version 21) for further analysis. Variables with P-value less than 0.05 were used to declare statistical significance between the dependent and the independent variables in multivariable logistic regression. Results: Among 550 pregnant women surveyed, 347 (63.1%) of the pregnant women slept under a long-lasting insecticidal net the night before the survey. Urban residence (OR [95% CI] = 1.9 [1.22-3.01]), family size of 3-5 and >5 (2.8 [1.53-5.22] and 2.4 [1.20-5.03], respectively), and history of malaria during their current pregnancy (3.0 [1.95-4.86]) were found to be the factors associated with pregnant women’s long-lasting insecticidal net utilization. Conclusion: Utilization of long-lasting insecticidal net was low, and place of residence, exposure status to malaria during their current pregnancy, and family size were the factors associated with long-lasting insecticidal net utilization.

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