Ownership and Utilization of Long Lasting Insecticide Treated Nets (LLIN) and Factors Associated to Non-utilization Among Pregnant Women in Ho Municipality of Ghana

Wisdom Kudzo Axame; Margaret Kweku; Sedoafia Amelor; Gideon Kye-Duodu; Eric Agboli; Isaac Agbemafle; Wisdom Takramah; Elvis Tarkang; Fred Newton Binka

doi:doi:10.11648/j.cajph.20160201.16

Ownership and Utilization of Long Lasting Insecticide Treated Nets (LLIN) and Factors Associated to Non-utilization Among Pregnant Women in Ho Municipality of Ghana

Wisdom Kudzo Axame, Margaret Kweku, Sedoafia Amelor, Gideon Kye-Duodu, Eric Agboli, Isaac Agbemafle, Wisdom Takramah, Elvis Tarkang, Fred Newton Binka

Published in Central African Journal of Public Health (Volume 2, Issue 1)

Received: 1 September 2016 Accepted: 6 September 2016 Published: 14 October 2016

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Abstract

Background: Malaria is a mosquito-borne infectious disease affecting millions of people across the world especially children under five years and pregnant women. As part of the preventive strategies to combat malaria in pregnant women, free Long Lasting Insecticide Nets (LLINs) are given to them at Antenatal Care (ANC) clinics. This study assessed the ownership and utilization of LLINs and association between knowledge and utilization of LLINs among pregnant women in the Ho Municipality. Methods: In March 2016, a cross-sectional survey was carried out in six ANC clinics in Ho the municipal and regional capital of Volta Region. All six ANC clinics in the regional capital were included. Proportionate sampling was used to determine subjects needed from each facility. All eligible pregnant women present at the time of visit to the facility were conveniently used. Data was collected using interviews and questionnaire. Descriptive statistics was used to describe the categorical data whilst t test was used for the quantitative variables. Chi-square and logistic regression were used to determine the relationships and associations between the dependent and independent variables. Results: A total of 355 pregnant women with mean age 27.8 ± 5.5 years were interviewed. Ownership of LLIN was 81.4% while usage was 42.5%. Level of education significantly influenced LLIN ownership (p=0.003) and utilization (0.020). The main barriers to LLIN utilization were inconvenience due to heat (77.7%), lack of ownership of LLIN (12.9%) and absence of mosquitoes (4.3%). Knowledge on LLINs was high (73%). Conclusion: Ownership of LLIN was high but utilization was very low. Over a quarter (27%) of the pregnant women had moderate knowledge on LLINs. This if left unchecked can have negative consequences on the health of these women and their unborn babies. Recommendations: Behaviour change communication strategies on LLIN use should be further targeted to improve LLIN utilization among pregnant women.

Published in	Central African Journal of Public Health (Volume 2, Issue 1)
DOI	10.11648/j.cajph.20160201.16
Page(s)	35-42
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Malaria Prevention, Pregnant Women, Antenatal Clinics, LLIN Ownership, LLIN Utilization, Knowledge, Ho Municipality

References

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[16]	J. Pulford, M. Hetzel, M. Bryant, P. Siba, and I. Mueller, I. Reported reasons for not using mosquito net when one is available: a review of the published literature. Malaria Journal. Vol. 10, pp. 83, 2011.
[17]	L. P. Toé, O. Skovmand, K. R. Dabiré, A. Diabaté, Y. Diallo, T. R. Guiguemdé, and M. Gruénais. Decreased motivation in the use of insecticide-treated nets in a malaria endemic area in Burkina Faso. Malaria Journal. Vol. 8, pp. 175, 2009.
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APA Style

Wisdom Kudzo Axame, Margaret Kweku, Sedoafia Amelor, Gideon Kye-Duodu, Eric Agboli, et al. (2016). Ownership and Utilization of Long Lasting Insecticide Treated Nets (LLIN) and Factors Associated to Non-utilization Among Pregnant Women in Ho Municipality of Ghana. Central African Journal of Public Health, 2(1), 35-42. https://doi.org/10.11648/j.cajph.20160201.16

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ACS Style

Wisdom Kudzo Axame; Margaret Kweku; Sedoafia Amelor; Gideon Kye-Duodu; Eric Agboli, et al. Ownership and Utilization of Long Lasting Insecticide Treated Nets (LLIN) and Factors Associated to Non-utilization Among Pregnant Women in Ho Municipality of Ghana. Cent. Afr. J. Public Health 2016, 2(1), 35-42. doi: 10.11648/j.cajph.20160201.16

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Wisdom Kudzo Axame, Margaret Kweku, Sedoafia Amelor, Gideon Kye-Duodu, Eric Agboli, et al. Ownership and Utilization of Long Lasting Insecticide Treated Nets (LLIN) and Factors Associated to Non-utilization Among Pregnant Women in Ho Municipality of Ghana. Cent Afr J Public Health. 2016;2(1):35-42. doi: 10.11648/j.cajph.20160201.16

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@article{10.11648/j.cajph.20160201.16,
  author = {Wisdom Kudzo Axame and Margaret Kweku and Sedoafia Amelor and Gideon Kye-Duodu and Eric Agboli and Isaac Agbemafle and Wisdom Takramah and Elvis Tarkang and Fred Newton Binka},
  title = {Ownership and Utilization of Long Lasting Insecticide Treated Nets (LLIN) and Factors Associated to Non-utilization Among Pregnant Women in Ho Municipality of Ghana},
  journal = {Central African Journal of Public Health},
  volume = {2},
  number = {1},
  pages = {35-42},
  doi = {10.11648/j.cajph.20160201.16},
  url = {https://doi.org/10.11648/j.cajph.20160201.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20160201.16},
  abstract = {Background: Malaria is a mosquito-borne infectious disease affecting millions of people across the world especially children under five years and pregnant women. As part of the preventive strategies to combat malaria in pregnant women, free Long Lasting Insecticide Nets (LLINs) are given to them at Antenatal Care (ANC) clinics. This study assessed the ownership and utilization of LLINs and association between knowledge and utilization of LLINs among pregnant women in the Ho Municipality. Methods: In March 2016, a cross-sectional survey was carried out in six ANC clinics in Ho the municipal and regional capital of Volta Region. All six ANC clinics in the regional capital were included. Proportionate sampling was used to determine subjects needed from each facility. All eligible pregnant women present at the time of visit to the facility were conveniently used. Data was collected using interviews and questionnaire. Descriptive statistics was used to describe the categorical data whilst t test was used for the quantitative variables. Chi-square and logistic regression were used to determine the relationships and associations between the dependent and independent variables. Results: A total of 355 pregnant women with mean age 27.8 ± 5.5 years were interviewed. Ownership of LLIN was 81.4% while usage was 42.5%. Level of education significantly influenced LLIN ownership (p=0.003) and utilization (0.020). The main barriers to LLIN utilization were inconvenience due to heat (77.7%), lack of ownership of LLIN (12.9%) and absence of mosquitoes (4.3%). Knowledge on LLINs was high (73%). Conclusion: Ownership of LLIN was high but utilization was very low. Over a quarter (27%) of the pregnant women had moderate knowledge on LLINs. This if left unchecked can have negative consequences on the health of these women and their unborn babies. Recommendations: Behaviour change communication strategies on LLIN use should be further targeted to improve LLIN utilization among pregnant women.},
 year = {2016}
}

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TY - JOUR
T1 - Ownership and Utilization of Long Lasting Insecticide Treated Nets (LLIN) and Factors Associated to Non-utilization Among Pregnant Women in Ho Municipality of Ghana
AU - Wisdom Kudzo Axame
AU - Margaret Kweku
AU - Sedoafia Amelor
AU - Gideon Kye-Duodu
AU - Eric Agboli
AU - Isaac Agbemafle
AU - Wisdom Takramah
AU - Elvis Tarkang
AU - Fred Newton Binka
Y1 - 2016/10/14
PY - 2016
N1 - https://doi.org/10.11648/j.cajph.20160201.16
DO - 10.11648/j.cajph.20160201.16
T2 - Central African Journal of Public Health
JF - Central African Journal of Public Health
JO - Central African Journal of Public Health
SP - 35
EP - 42
PB - Science Publishing Group
SN - 2575-5781
UR - https://doi.org/10.11648/j.cajph.20160201.16
AB - Background: Malaria is a mosquito-borne infectious disease affecting millions of people across the world especially children under five years and pregnant women. As part of the preventive strategies to combat malaria in pregnant women, free Long Lasting Insecticide Nets (LLINs) are given to them at Antenatal Care (ANC) clinics. This study assessed the ownership and utilization of LLINs and association between knowledge and utilization of LLINs among pregnant women in the Ho Municipality. Methods: In March 2016, a cross-sectional survey was carried out in six ANC clinics in Ho the municipal and regional capital of Volta Region. All six ANC clinics in the regional capital were included. Proportionate sampling was used to determine subjects needed from each facility. All eligible pregnant women present at the time of visit to the facility were conveniently used. Data was collected using interviews and questionnaire. Descriptive statistics was used to describe the categorical data whilst t test was used for the quantitative variables. Chi-square and logistic regression were used to determine the relationships and associations between the dependent and independent variables. Results: A total of 355 pregnant women with mean age 27.8 ± 5.5 years were interviewed. Ownership of LLIN was 81.4% while usage was 42.5%. Level of education significantly influenced LLIN ownership (p=0.003) and utilization (0.020). The main barriers to LLIN utilization were inconvenience due to heat (77.7%), lack of ownership of LLIN (12.9%) and absence of mosquitoes (4.3%). Knowledge on LLINs was high (73%). Conclusion: Ownership of LLIN was high but utilization was very low. Over a quarter (27%) of the pregnant women had moderate knowledge on LLINs. This if left unchecked can have negative consequences on the health of these women and their unborn babies. Recommendations: Behaviour change communication strategies on LLIN use should be further targeted to improve LLIN utilization among pregnant women.
VL - 2
IS - 1
ER -

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Author Information

Wisdom Kudzo Axame

Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Ho, Ghana
Margaret Kweku

Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Ho, Ghana
Sedoafia Amelor

Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Ho, Ghana
Gideon Kye-Duodu

Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Ho, Ghana
Eric Agboli

Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Ho, Ghana
Isaac Agbemafle

Department of Family and Community Health, School of Public Health, University of Health and Allied Sciences, Ho, Ghana
Wisdom Takramah

Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Ho, Ghana
Elvis Tarkang

Department of Population and Behavioural Sciences, School of Public Health, University of Health and Allied Sciences, Ho, Ghana
Fred Newton Binka

Office of the Vice Chancellor, University of Health and Allied Sciences, Ho, Ghana

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APA Style

Wisdom Kudzo Axame, Margaret Kweku, Sedoafia Amelor, Gideon Kye-Duodu, Eric Agboli, et al. (2016). Ownership and Utilization of Long Lasting Insecticide Treated Nets (LLIN) and Factors Associated to Non-utilization Among Pregnant Women in Ho Municipality of Ghana. Central African Journal of Public Health, 2(1), 35-42. https://doi.org/10.11648/j.cajph.20160201.16

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ACS Style

Wisdom Kudzo Axame; Margaret Kweku; Sedoafia Amelor; Gideon Kye-Duodu; Eric Agboli, et al. Ownership and Utilization of Long Lasting Insecticide Treated Nets (LLIN) and Factors Associated to Non-utilization Among Pregnant Women in Ho Municipality of Ghana. Cent. Afr. J. Public Health 2016, 2(1), 35-42. doi: 10.11648/j.cajph.20160201.16

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AMA Style

Wisdom Kudzo Axame, Margaret Kweku, Sedoafia Amelor, Gideon Kye-Duodu, Eric Agboli, et al. Ownership and Utilization of Long Lasting Insecticide Treated Nets (LLIN) and Factors Associated to Non-utilization Among Pregnant Women in Ho Municipality of Ghana. Cent Afr J Public Health. 2016;2(1):35-42. doi: 10.11648/j.cajph.20160201.16

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@article{10.11648/j.cajph.20160201.16,
  author = {Wisdom Kudzo Axame and Margaret Kweku and Sedoafia Amelor and Gideon Kye-Duodu and Eric Agboli and Isaac Agbemafle and Wisdom Takramah and Elvis Tarkang and Fred Newton Binka},
  title = {Ownership and Utilization of Long Lasting Insecticide Treated Nets (LLIN) and Factors Associated to Non-utilization Among Pregnant Women in Ho Municipality of Ghana},
  journal = {Central African Journal of Public Health},
  volume = {2},
  number = {1},
  pages = {35-42},
  doi = {10.11648/j.cajph.20160201.16},
  url = {https://doi.org/10.11648/j.cajph.20160201.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20160201.16},
  abstract = {Background: Malaria is a mosquito-borne infectious disease affecting millions of people across the world especially children under five years and pregnant women. As part of the preventive strategies to combat malaria in pregnant women, free Long Lasting Insecticide Nets (LLINs) are given to them at Antenatal Care (ANC) clinics. This study assessed the ownership and utilization of LLINs and association between knowledge and utilization of LLINs among pregnant women in the Ho Municipality. Methods: In March 2016, a cross-sectional survey was carried out in six ANC clinics in Ho the municipal and regional capital of Volta Region. All six ANC clinics in the regional capital were included. Proportionate sampling was used to determine subjects needed from each facility. All eligible pregnant women present at the time of visit to the facility were conveniently used. Data was collected using interviews and questionnaire. Descriptive statistics was used to describe the categorical data whilst t test was used for the quantitative variables. Chi-square and logistic regression were used to determine the relationships and associations between the dependent and independent variables. Results: A total of 355 pregnant women with mean age 27.8 ± 5.5 years were interviewed. Ownership of LLIN was 81.4% while usage was 42.5%. Level of education significantly influenced LLIN ownership (p=0.003) and utilization (0.020). The main barriers to LLIN utilization were inconvenience due to heat (77.7%), lack of ownership of LLIN (12.9%) and absence of mosquitoes (4.3%). Knowledge on LLINs was high (73%). Conclusion: Ownership of LLIN was high but utilization was very low. Over a quarter (27%) of the pregnant women had moderate knowledge on LLINs. This if left unchecked can have negative consequences on the health of these women and their unborn babies. Recommendations: Behaviour change communication strategies on LLIN use should be further targeted to improve LLIN utilization among pregnant women.},
 year = {2016}
}

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