Knowledge of Malaria and Utilization of Its Preventive Measures among Pregnant Women Attending Antenatal Care at a Tertiary Hospital in Port-Harcourt, Nigeria

Background: Prevention of malaria is a major priority for the roll back malaria partnership which recommends three-pronged approach for reducing the burden of malaria among pregnant women. The WHO framework for malaria prevention during pregnancy in areas of stable malaria transmission recommends IPT, use of ITN, and case management of malaria illness. Objective: This study sought to determine the knowledge of malaria and its preventive measures among pregnant women, assess their utilization of malaria preventive measures and attitude to treatment. To ascertain whether there exists any relationship between their knowledge and practice of prevention. Methodology: An institutional based, cross-sectional study was carried out. 385 consenting participants, between 18-48 years, were interviewed using a structured questionnaire. Information on socio-demographic characteristics, knowledge of malaria and its preventive measures, use of IPT and ownership/use of ITN, and attitude to treatment were recorded. Data were entered into Excel spreadsheet and analyzed with SPSS version 20. Associations between different variables were determined using Fisher’s exact test or Chi-square test, as appropriate, and logistic regression used to test statistical significance at P<0.05. Results: Of the 385 women, 307 (79.7%) had excellent (18.7%) and good (61%) knowledge, while 78 (20.3%) had average (16.6%) and poor (3.6%) knowledge. There was no difference in association of Knowledge with age, marital status, education, occupation, and parity. Of the 385 women, 61.3% were using IPT for chemoprophylaxis, 66.2% were using insecticide spray or repellants and 71.4% owned mosquito net; of these, 84% owned insecticide treated nets, but only 65.8% were using it in this current pregnancy. Reasons for not using nets ranged from unavailable 49.0%, discomfort due to heat 32.9%, fear of suffocation 6.9%, Spouse’s disapproval 3.9% and 1.0% ineffective. There was statistically significant difference between knowledge and use of IPT, ITN and insecticide sprays. Conclusion: There was adequate knowledge of malaria in pregnancy and its preventive measures, but utilization of these measures needs improvement. Efforts should be made to address barriers to utilization.

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UTILIZATION AND EFFECTIVENESS OF MALARIA PREVENTION METHODS AMONG PREGNANT WOMEN IN TERTIARY HOSPITAL SITUATED IN RURAL COMMUNITY OF EKITI STATE, NIGERIA

10.36106/3040272 ◽

2021 ◽

pp. 6-9

Author(s):

Azeez Oyemomi Ibrahim ◽

Tosin Anthony Agbesanwa ◽

Olabode Muftau Shabi ◽

Kayode Ebenezer Ariyibi ◽

Ayodele Kamal Alabi ◽

...

Keyword(s):

Pregnant Women ◽

Indoor Residual Spray ◽

Venous Blood ◽

Malaria Prevention ◽

Tertiary Hospital ◽

Malaria Parasitaemia ◽

Insecticide Treated Nets ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Prevention Methods

Background: National surveys indicate that among countries in Africa where malaria is endemic, Nigeria alone accounts for 21% of pregnancies that are unprotected from malaria. This study aimed to ascertain the extent of utilization and effectiveness of malaria prevention methods, found out the existing relationship between maternal parasitaemia and the effectiveness of these methods at (p<0.05) level of signicance.Methods: The study was a cross sectional survey involving 264 consenting pregnant women who were recruited at booking clinic at Federal Teaching Hospital, Ido -Ekiti, Ekiti State, Nigeria. Interviewer administered questionnaire was used to elicit information on their socio-demographic characteristics, mode and extent of utilization of malaria prevention methods and their effectiveness. Venous blood samples were collected and analyzed for malaria parasitaemia using the microscopy. Data was analyzed using SPSS version 20.0 Results:The malaria prevention methods most commonly reported as being effective were the Insecticide Treated Nets (ITNs), Indoor Residual Spray (IRS) or both, which were utilized by 97(36.5%), 79 (30.0%) and 88 (33.4%) participants respectively. Eight (8.3%), 9 (10.8%), and 7 (7.9%) of the participants that used ITNs, IRS or both combination respectively tested positive for malaria parasitaemia. There was a statistically signicant association between maternal parasitaemia and malaria prevention methods using ITNs (p=0.001), IRS (p = 0.001) or both (p = 0.001).Conclusion: The most commonly adopted malaria prevention methods were ITNs, Indoor Residual Spray or both. Despite their protective effectiveness, their utilizations are still poor. Information and communication strategies by the stakeholders are suggested to improve the utilization of these methods as adopted by other countries.

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Population-based survey of HIV sero-status and vertical transmission among naive pregnant women in Sokoto, Nigeria

Asian Journal of Medical Sciences ◽

10.3126/ajms.v6i3.11530 ◽

2014 ◽

Vol 6 (3) ◽

pp. 49-57 ◽

Cited By ~ 2

Author(s):

Fiekumo Igbida Buseri ◽

Charity Ngozi Okonkwo

Keyword(s):

Antiretroviral Therapy ◽

Pregnant Women ◽

Vertical Transmission ◽

Statistical Significance ◽

Demographic Data ◽

Age Groups ◽

P Value ◽

Full Time ◽

Cross Sectional ◽

Significant Difference

Background: This study aims at investigating the seroprevalence of HIV infection among status naive pregnant women and probable vertical transmission in Sokoto, Nigeria.Materials and Methods: This cross-sectional study examined 13,026 apparently healthy pregnant women aged between 14 and 45 years and 312 mother-baby pairs in 4 different hospital settings in Sokoto State, North West, Nigeria between March, 2011 and February, 2013. The babies were aged between 8 and 16 months. HIV screening was performed using qualitative rapid tests and ELISA and HIV-DNA polymerase chain reaction (PCR) techniques. Measurement of CD4+ T-lymphocytes was carried out by the BD FACScount System. All seropositive pregnant women were immediately placed on triple antiretroviral therapy (ART) throughout the duration of the pregnancy and beyond.Results: An overall 2.4% prevalence of HIV-1 infection among the pregnant women and 20.5% incident of mother-to-child transmission were found. Of the seropositive pregnant women, 75.0% were full-time house wives, 13.8% and 11.2% were traders and civil servants respectively; of which, 70.2% were within the ages of 14 and 27 years (youthful predominance). Pearson’s χ2analysis did not show any statistically significant difference in the Mean values in the 4 health facilities (χ2 =2.084, df=3, P-value=0.555). Similarly, no significant difference in HIV seropositivity in the demographic data of the pregnant women were observed (P>0.05). Infection was recorded in all age groups but there was no statistical significance between age groups and infection (P = 0.833). Of the 64 seropositive babies, 62 (92.5%) contracted HIV from antiretroviral therapy non-adherence mothers (χ2 =271.457, df=1, P<0.01), OR=1506.6 (95%CI=285.5-7950.4). Conclusion: This study found high prevalence of vertical transmission due to ART non-adherence. Intervention initiatives should, therefore, focus seriously on ART non-adherence. DOI: http://dx.doi.org/10.3126/ajms.v6i3.11530Asian Journal of Medical Sciences Vol.6(3) 2015 49-57

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Pregnant Women and Malaria Preventive Measures: A Case of Tamale Teaching Hospital, Ghana

Journal of Tropical Medicine ◽

10.1155/2021/6150172 ◽

2021 ◽

Vol 2021 ◽

pp. 1-9

Author(s):

Abdul Rauf Alhassan

Keyword(s):

Pregnant Women ◽

Teaching Hospital ◽

Preventive Measures ◽

Malaria Prevention ◽

Bivariate Analysis ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Preventive Practice ◽

Study Participants ◽

Tamale Teaching Hospital

Background. In Saharan Africa, an estimated 25 million pregnancies are all at risk of malaria every year, with substantial morbidity and death effects for both the mother and the fetus. Aim. To investigate the use of malaria preventive measures among pregnant women patronizing antenatal services of Tamale Teaching Hospital. Methodology. This study was conducted using a descriptive cross-sectional survey of 250 participants. Data analysis was done with SPSS version 20. Graphs and tables were used to present the study data. Bivariate analysis was done using Chi-square use to determine the relationships and binary logistics regression used for identification of predictor variables. Results. The mean age of the study participants was 30.0 ± 4.5 years and most of them (73.0%) were within the age group of 25–35 years. Respondents’ favorable knowledge, a favorable attitude, and favorable practice were 78.0%, 62.0%, and 57.6%, respectively. And the following variables were associated with malaria preventive practice: age of the respondent (X2 = 6.276, P = 0.043 ), religion (X2 = 6.904, P = 0.032 ), level of education (X2 = 41.482, P < 0.001 ), employment status (X2 = 20.533, P < 0.001 ), monthly income (X2 = 21.838, P < 0.001 ), and attitude level towards malaria prevention (X2 = 35.885, P < 0.001 ). Further analysis revealed educational level and attitude level as predictors of malaria preventive practice. Conclusion. This study recorded favorable knowledge, attitude, and practice with regards to malaria prevention among more than half of the study participants.

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Malaria in children and women of childbearing age: prevalence and knowledge in the province of Nyanga, Gabon

10.21203/rs.2.22550/v2 ◽

2020 ◽

Author(s):

Roméo Karl IMBOUMY-LIMOUKOU ◽

Sydney MAGHENDJI-NZONDO ◽

Pater Noster SIR-ONDO-ENGUIER ◽

Julie Niemczura ◽

Nathalie Pernelle TSAFACK TEGOMO ◽

...

Keyword(s):

Pregnant Women ◽

Rural Areas ◽

Malaria Infection ◽

Preventive Measures ◽

Malaria Prevention ◽

Vulnerable Groups ◽

Women Of Childbearing Age ◽

Childbearing Age ◽

Cross Sectional ◽

Plasmodial Infection

Abstract Background: There is little information on the social perception of malaria and the use of preventative measures in Gabon, especially in rural areas. Adequate knowledge of malaria prevention and control can help in reducing the burden of malaria among vulnerable groups, particularly pregnant women and children aged under 5 years old living in malaria endemic settings. This study was designed to assess the prevalence of malaria and the knowledge and attitude towards this disease in households in the Nyanga Province. Methods: A cross-sectional study was conducted to assess malaria knowledge, prevention practices and prevalence of the infection in five departments of the Nyanga Province. Malaria infection was confirmed using rapid diagnostic tests. A questionnaire was administered randomly to 535 households during a two weeks period in March 2018. Overall, the respondents’ socio-demographic characteristics, knowledge on malaria, malaria prevention practices and malaria prevalence were evaluated and compared across the five departments. Results: Data was collected on 1,307 participants were included in this study, 631 women of childbearing age (including 61 pregnant women) and 676 children. Practically the entire (97.7%) interviewed population had already heard about malaria and attributed the cause of malaria to a mosquito bite (95.7%). This survey revealed that the bed net coverage rate was 73.3%. The study observed an average malaria parasite prevalence of 13.9%. All departments of Nyanga province had significant level of malaria infection except for the Mayumba department where no plasmodial infection was found. The overall prevalence of the plasmodial infection was significantly higher in children and pregnant women compared to adults in the cities of Tchibanga and Moabi. Conclusion: Malaria is highly prevalent in the province of Nyanga. Our findings show that children under five and pregnant women are more vulnerable to malaria in this area of the country. This study reveals that respondents have a high knowledge of mode of transmission, malaria symptoms and preventive measures. Despite this high level of knowledge of the disease and its preventive measures, the incidence of malaria remains relatively high in this rural community highlighting the need for continuous strategic interventions particularly health awareness and educational programs

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Malaria prevention knowledge, attitudes, and practices in Zambezia Province, Mozambique

Malaria Journal ◽

10.1186/s12936-021-03825-9 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Liliana de Sousa Pinto ◽

Jorge A. H. Arroz ◽

Maria do Rosário O. Martins ◽

Zulmira Hartz ◽

Nuria Negrao ◽

...

Keyword(s):

Preventive Measures ◽

Early Recognition ◽

Behavioural Change ◽

Intermittent Preventive Treatment ◽

Malaria Prevention ◽

Insecticide Treated Nets ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Attitudes And Practices ◽

Prevention Messages

Abstract Background In Mozambique, socio-economic and cultural factors influence the wide adoption of disease preventive measures that are relevant for malaria control strategies to promote early recognition of disease, prompt seeking of medical care, sleeping under insecticide-treated nets (ITNs), and taking intermittent preventive treatment for pregnant women. However, there is a critical information gap regarding previous and ongoing malaria social and behavioural change (SBC) interventions. The aim of this study is to assess the knowledge, attitudes, practices of beneficiaries of SBC interventions. Methods A descriptive cross-sectional survey was undertaken in 2018 in two rural districts of Zambezia Province, Mozambique. A structured questionnaire was administered to 773 randomly selected households. Respondents were the adult heads of the households. Descriptive statistics were done. Results The main results show that 96.4% of respondents recalled hearing about malaria in the previous 6 months, 90.0% had knowledge of malaria prevention, and 70.0% of preventive measures. Of the 97.7% respondents that had received ITNs through a mass ITN distribution campaign, 81.7% had slept under an ITN the night before the survey. In terms of source of health information, 70.5% mentioned the role of community volunteers in dissemination of malaria prevention messages, 76.1% of respondents considered worship places (churches and mosques) to be the main places where they heard key malaria prevention messages, and 79.1% asserted that community dialogue sessions helped them better understand how to prevent malaria. Conclusions Results show that volunteers/activists/teachers played an important role in dissemination of key malaria prevention messages, which brought the following successes: community actors are recognized and people have knowledge of malaria transmission, signs and symptoms, preventive measures, and where to get treatment. There is, however, room for improvement on SBC messaging regarding some malaria symptoms (anaemia and convulsions) and operational research is needed to ascertain the drivers of malaria prevalence and inform the SBC approach.

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Malaria prevention practices and delivery outcome: a cross sectional study of pregnant women attending a tertiary hospital in northeastern Nigeria

Malaria Journal ◽

10.1186/s12936-016-1363-x ◽

2016 ◽

Vol 15 (1) ◽

Cited By ~ 3

Author(s):

Hamzat U. Muhammad ◽

Fatima J. Giwa ◽

Adebola T. Olayinka ◽

Shakir M. Balogun ◽

IkeOluwapo Ajayi ◽

...

Keyword(s):

Pregnant Women ◽

Malaria Prevention ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Delivery Outcome

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Coverage and use of long-lasting insecticide treated nets in Kpone-on-Sea Township, Accra, Ghana: A cross-sectional study

Second Edition in 2020 of the HSI Journal Volume 1 Issue 2 Publication - Health Sciences Investigations Journal ◽

10.46829/hsijournal.2020.6.1.1.57-63 ◽

2020 ◽

pp. 57-63

Author(s):

Setsoafia T Dzata ◽

Nathaniel Coleman ◽

Isabella Quakyi

Keyword(s):

Pregnant Women ◽

National Malaria Control Programme ◽

Cross Sectional Study ◽

Control Programme ◽

Good Knowledge ◽

Malaria Control Programme ◽

Sectional Study ◽

Insecticide Treated Nets ◽

Mosquito Net ◽

Cross Sectional

Background: Long lasting insecticide-treated mosquito nets (LLINs) are currently one of the most viable options to prevent malaria transmission in Africa. In Ghana, the National Malaria Control Programme (NMCP) has embarked on a universal coverage strategy to ensure that all members of the population sleep under an LLIN regardless of age or sex. Objective:This study assessed the NMCP’s LLINs distribution and hanging campaign in Kpone–on–Sea Township. It sought to establish the coverage of LLINs in the community and its usage by children< 5 yr. old and in pregnant women. Methods: The cross-sectional study involved 400 households with heads of the households or their representatives as respondents. Data was collected through questionnaire interviews and observational checklists. Frequency tables were used to indicate proportions and Chi Square test for associations. Results: Of the 400 households (represented by a head of the household or an adult representative), 93.30% owned any type of mosquito net and 83.75% owned LLINs and 74.92% used it. Households with children less than 5 yr.old accounted for 69.25% regarding ownership and 69.40% regarding usage. LLINs possession by pregnant women was 84.80% whiles usage was 72.30%. The study also indicated that 73.70% of respondents had good knowledge of malaria, 21.30% had very good knowledge and 5.01% had low knowledge. Furthermore, 89.50% of the respondents had knowledge of LLINs. Conclusion: The general coverage of LLINs in the community was 83.75% and usage was 74.92% 7 mosafter a free distribution and hanging campaign. This provides a useful assessment of NMCP’s LLINs campaign in this community and suggests ways for improvement.

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Malaria in children and women of childbearing age: prevalence and knowledge in the province of Nyanga, Gabon

10.21203/rs.2.22550/v1 ◽

2020 ◽

Author(s):

Roméo Karl IMBOUMY-LIMOUKOU ◽

Sydney MAGHENDJI-NZONDO ◽

Pater Noster SIR-ONDO-ENGUIER ◽

Nathalie Pernelle TSAFACK TEGOMO ◽

Alain Prince OKOUGA ◽

...

Keyword(s):

Pregnant Women ◽

Rural Areas ◽

Malaria Infection ◽

Preventive Measures ◽

Malaria Prevention ◽

Vulnerable Groups ◽

Women Of Childbearing Age ◽

Childbearing Age ◽

Cross Sectional ◽

Plasmodial Infection

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Determinan penggunaan kelambu berinsektisida di Bengkulu: analisis riskesdas

Berita Kedokteran Masyarakat ◽

10.22146/bkm.6923 ◽

2016 ◽

Vol 32 (1) ◽

pp. 7

Author(s):

Lina Apriana ◽

Riris Andono Ahmad ◽

Yodi Mahendradhata

Keyword(s):

Pregnant Women ◽

Health Survey ◽

Community Health Center ◽

Vulnerable Groups ◽

Insecticide Treated Nets ◽

Mosquito Net ◽

Cross Sectional ◽

Basic Health ◽

Determinant Factors ◽

Mosquito Nets

Determinant factors affecting the use of insecticide-treated nets in Bengkulu: analysis from basic health survey 2013PurposeThis study aimed to identify determinant factors that influence the use of insecticide-treated nets and to evaluate the effectivity of the mosquito nets usage, in pregnant women and young children in Bengkulu, based on basic health survey 2013.MethodThis study used a cross-sectional design. Study population were all members of households in Bengkulu that used insecticide-treated nets, based on basic health survey 2013.ResultsThere were no significant correlations between employment status, education, vulnerable children, use of community health center, housing, and use of wire gauze with insecticide-treated nets. Multivariate logistic regression tests showed that there were some socio-demographic variables, behavior, and environment that affected mosquito net usage.ConclusionSocial determinants of demographic factors, behavioral determinant factors, environmental determinant factors, and presence of children affected the use of insecticide-treated nets, but the use of mosquito nets was not effective against vulnerable groups (pregnant women).

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Is the anesthesiologist actually prepared for loss of airway or respiratory function? A cross-sectional study conducted in a tertiary hospital

Revista da Associação Médica Brasileira ◽

10.1590/1806-9282.60.01.010 ◽

2014 ◽

Vol 60 (1) ◽

pp. 40-46

Author(s):

Helga Vasconcelos ◽

Camila Cavalcante Bomfim ◽

Maria Julia Gonçalves de Mello Mello ◽

Paulo Sérgio Gomes Nogueira Borges ◽

Tania Cursino de Menezes Couceiro ◽

...

Keyword(s):

Statistical Significance ◽

Orotracheal Intubation ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

World Health ◽

Cross Sectional ◽

Surgical Safety ◽

Physical Status Classification ◽

Significant Difference ◽

Health Organization

Objective To identify compliance with the procedures for securing the airway of patients submitted to anesthesia, defined as highly recommended in the World Health Organization Surgical Safety Checklist. Methods A prospective, cross-sectional, observational study was conducted with 87 patients aged 18 to 60 years, classified as ASA grade 1 or 2 according to the American Society of Anesthesiologists’ Physical Status Classification. The study variables consisted of: whether the Mallampati test had been performed, whether equipment was readily available for orotracheal intubation, whether the correct placement of the endotracheal tube was verified, whether patient ventilation was monitored and whether fasting was confirmed. Prevalence ratios and their respective 95% confidence intervals were calculated as measures of relative risk. Statistical significance was defined at 5%. Results It was found that in 87.4% of patients, the airway was not evaluated using the Mallampati classification and in 51.7% of cases, preoperative fasting was not confirmed. In 29.9% of cases, the ready availability of equipment for orotracheal intubation was not verified. In all of the cases in which the availability of this equipment was not checked, the patient was submitted to regional anesthesia, with a statistically significant difference compared to the cases in which the patient was submitted to general anesthesia. Conclusion Measures considered essential for the safety of the patient during surgery are still being ignored.

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