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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Determinants of use of insecticide treated nets for the prevention of malaria in pregnancy: Jinja, Uganda
PLoS ONE, Volume 7, No. 6, Article e39712, Year 2012
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Description
Background: One established means of preventing the adverse consequences of malaria during pregnancy is sleeping under an insecticide treated net (ITN) throughout pregnancy. Despite increased access to this intervention over time, consistent ITN use during pregnancy remains relatively uncommon in sub-Saharan Africa. Methodology/Principal Findings: We sought to identify determinants of ITN use during pregnancy. Utilizing a population-based random sample, we interviewed 500 women living in Jinja, Uganda, who had been pregnant in the past year. ITN ownership at the start of pregnancy was reported by 359 women (72%) and 28 women (20%) acquired an ITN after the first trimester of pregnancy. Among 387 ITN owners, 73% reported either always sleeping under the ITN during all trimesters of pregnancy, or after acquiring their net. Owning more than 1 net was slightly associated with always sleeping under an ITN during pregnancy (RR: 1.13; 95% CI: 1.00, 1.28). Women who always slept under an ITN during pregnancy were more likely to be influenced by an advertisement on the radio/poster than being given an ITN free of charge (RR: 1.48; 95% CI: 1.24, 1.76). No differences were found between other socio-demographic factors, pregnancy history, ANC use or socio-cultural factors. Conclusions/Significance: While self-reported ITN ownership and use was common throughout pregnancy, we were unable to pinpoint why a sizable fraction of Ugandan women did not always adhere to recommendations for use of an ITN during pregnancy. More data are needed on the capacity of individual households to support the installation of ITNs which may provide insight into interventions targeted at improving the convenience and adherence of daily ITN use. © 2012 Sangaré et al.
Authors & Co-Authors
Sangaré, Laura R.
United States, Seattle
University of Washington
Weiss, Noel Scott
United States, Seattle
University of Washington
Brentlinger, Paula E.
United States, Seattle
University of Washington
Richardson, Barbra Ann
United States, Seattle
University of Washington
Staedke, Sarah G.
Uganda, Kampala
Makerere University
Kiwuwa, Mpungu Steven
Uganda, Kampala
Makerere University
Stergachis, Andy S.
United States, Seattle
University of Washington
Statistics
Citations: 57
Authors: 7
Affiliations: 2
Identifiers
Doi:
10.1371/journal.pone.0039712
e-ISSN:
19326203
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Cross Sectional Study
Study Locations
Uganda
Participants Gender
Female