Knowledge, attitude and behaviour towards the use of insecticide treated mosquito nets among pregnant women and children in rural Southwestern Uganda

BMC Public Health

Research Article

Noni E. MacDonald¹  Jane Yatuha²  Imelda Kemeza³  Carlrona Ayebazibwe⁴  Thadeus Turuho⁵  Scholastic Ashaba⁶  Robert Hilliard⁷  Daniel Omoding⁸  Harriet O. Adrama⁹  Ivan M. Taremwa^1,10 

[1] Dalhousie University, MicroResearch International and IWK Health centre, Halifax, Canada;Department of Biology, Mbarara University of Science and Technology, P.O Box 1410, Mbarara, Uganda;Department of Educational Foundations and Psychology, Mbarara University of Science and Technology, P.O Box 1410, Mbarara, Uganda;Department of Information Technology, Uganda Christian University Mukono, P.O BOX 4, Mukono, Uganda;Department of Medical Laboratory Science, Mbarara University of Science and Technology, P.O Box 1410, Mbarara, Uganda;Department of Psychiatry, Mbarara University of Science and Technology, P.O Box 1410, Mbarara, Uganda;Hospital for Sick Children, University of Toronto, Ontario, Toronto, Canada;Infectious Disease Research Collaboration, Mbarara, Kampala, Uganda;Infectious Disease Research Collaboration, P.O Box 7475, Tororo, Kampala, Uganda;Institute of Allied Health Sciences, International Health Sciences University, P.O Box7782, Kampala, Uganda;

关键词: Malaria prevention;    Knowledge;    Attitude;    Practices;    ITNs use;    Children under five;    Pregnant women;    Isingiro district;    Uganda;   

DOI  :  10.1186/s12889-017-4824-4

 received in 2017-04-25, accepted in 2017-10-04,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe burden of malaria in Uganda remains unacceptably high, especially among children and pregnant women. To prevent malaria related complications, household possession and use of Insecticide Treated mosquito Nets (ITNs) has become a common practice in the country. Despite the availability of ITNs, malaria remains a foremost public health concern in Uganda. We sought to explore knowledge, attitude, and behaviour towards the use of ITNs as a nightly malaria prevention strategy among pregnant women and children under five years of age in Isingiro district, Southwestern Uganda.Materials and MethodsThis was a community based, descriptive cross-sectional study, in which households with children under 5 years, and/or pregnant women were enrolled. We used a structured questionnaire to collect data on participants’ understanding of the causes, signs and symptoms of malaria; use of ITNs to prevent malaria; attitudes and behaviours towards the use of ITNs. We also conducted key informant interviews (KIIs) to get in-depth understanding of responses from the participants. We analysed quantitative data using STATA version 12.Qualitative findings from the KIIs were transcribed and translated, and manually analysed using thematic content analysis.ResultsOf the 369 households enrolled, 98.4% (N = 363) households had children under five. Most participants (41.2%, N = 152) were in the 21–30 age category (mean age; 32.2 years). 98.1% (N = 362) of the respondents considered ITNs a key malaria prevention strategy. The ITN possession rate was 84.0% (N = 310), of these, 66.1% (N = 205) consistently used them. 39% of the respondents did not have a positive attitude towards ITNs.ConclusionsAlthough 84.0% of the respondents possessed ITNs, many were not consistently using them. To this, there is need to engage all stakeholders (including cultural leaders, community health workers, religious leaders and the government) in the malaria prevention campaigns using ITNs through: a) government’s concerted effort to ensure universal access of right fit ITNs, b) end-user directed health education to emphasize positive attributes of ITN use, c) telling the ITN success stories to improve on the usage.

【 授权许可】

CC BY   
© The Author(s). 2017