Abstract:

Insecticide Treated Net (ITN) is use for the prevention of mosquito bites causing malaria. The study sought to investigate the perception and utilization of insecticide treated net among pregnant women attending antenatal care in University of Calabar Teaching Hospital. To successfully carry out the study, research questions and hypothesis were formulated to guide the study. Literature was reviewed based on the research variables. The research instrument used in data collection was a questionnaire designed by the researchers which was administered on 150 pregnant women in UCTH who formed the sample for the study. Their responses were analyzed using descriptive statistics of frequencies and percentages and contingency chi-square. The following results were obtained. Result of findings as presented in table 4 indicate that 93(62%) of the respondents said they have heard about ITN before while 57(38%) said they have not. 90(60%) said they have seen it while 60(40%) said they have not. 96(64%) said ITN is a major tool for prevention of malaria while 54(36%) said it was not. 98(65.3%) said ITN has health benefits while 52(34.7%) said it does not. 108(72%) said the reason for treating the nets with insecticide is to irritate and repel mosquitoes while 42(28%) said it was not. It was observed that in spite of their knowledge of ITN, pregnant women in UCTH did not utilize insecticide treated bed nets. It was recommended that ministry of health should intensify enlightenment campaign on the utilization of ITN.

References:

[1] Abebe, A. Teshome, G. M., Girmay, M. Meshesha, B. Seife, B. & Aklilu, S. (2008). Assessment of distribution, knowledge and utilization of insecticide treated nets in selected malaria prone areas of Ethiopia: Ethiopia journal of health development. Vol 22(3), 268-274.

[2] Abdulla, S. Armstrong, S. Nathan, R. Mukasa, O. Marchant, T., Smith, T. Tanner, M. & Ledger, C. (2009). Impact on malaria morbidity of a program supplying insecticide treated nets in children aged under 2 years in Tanzania: community cross sectional study. British medical journal, V. 332(35), 270-273.

[3] Ahorlu, C., Dunye, S., Afari, E., Koram, K. & Nkrumah, F. (2008). Malaria related belief and behaviours in southern Ghana: implications for treatment, prevention and control. Tropical medicine and international health Vol 2(5), 488-499.

[4] Akpan, S. S. (2007). The popularity of insecticide-treated bed nets as a preventive method of malaria control among residents in Calabar Municipality, Cross River State, Nigeria: Tropical doctor Vol 37(3), 192-3.

[5] Alaii, J. Hawley, W. Kolczac, M. Ter Kuile, F. Gimning, J. & Vulvule, J. (2003). Factors affecting use of permethrin-treated mosquito nets during a randomized controlled trial western Kenya: America journal of tropical medicine and hygiene. Vol 68(4), 149-160.

[6] Alaii, J. Ven Den Borne, H. Kuchur, P. Hawley, W. Mwenesi, & Vulule, J. (2007). Perception of mosquito nets and malaria prevention before and after a randomized western Kenya: American journal of tropical medicine and hygiene Vol. 68(5), 142-148.

[7] Alaii, V. Van Den Borne, H. Kuchur, P. Shelley, K. Mwenesi, H. & Vulule, J. (2007). Community reactions to the introduction of permethrin-treated mosquito nets for malaria control during a randomized controlled trial in northern Kenya: American journal of tropical medicine and hygiene, Vol. 68(4), 128-136.

[8] Amoran, O. E., Senbanjo, I. O. & Asagwara, C. E. (2011). Determinants of insecticide treated net use among youth corps members in Edo State, Nigeria: BMC public health, Vol. 11(1), 28-30.

[9] Astatkie, A. & Feleke, A. (2009). Utilization of insecticide treated nets in Arbaminch Town and the Malaria villages of Arbminch Zuria District Southern Ethiopia. Ethiopia: Journal of health development, Vol. 24(1), 15-24.

[10] Baume, C. A. & Maria, M. C. (2007). Intra-household mosquito net use in Ethiopia, Ghana, Mali, Nigeria, Senegal and Zambia: are nets being used? Who in the household uses them? American journal of tropical medicine and hygiene, Vol. 77(7), 963-971.

[11] Brieger, N. Onyido, A. Sexton, J. Ezike, V. Bresman, J. & Ekanem, O. (2008). Monitoring community responses to malaria control using insecticide-impregnated mosquito nets, curtains and residual spray at Nsukka, Nigeria: Health Education Research, theory and practice. Vol. 11(2), 133-145.

[12] Clarke, S. E. (2009). Do untreated bed nets protect against malaria? Transactions of the society of tropical medicine and hygiene. 95:457-462.

[13] Edelu, B. O., Ikefuna, A. N., Emodi, J. I. Adimora, G. N. (2010). Awareness and use of insecticide treated bed nets among children attending clinic of UNTH Enugu-the need for an effective mobilization process. African health sciences, 10(2),1-2.

[14] Federal Ministry of Health (2006). National malaria control programme, Abuja: A 5-year strategic plan-2006-2010. available on _HYPERLINK "http://www.rollbackmalaria.org/../nigeria.pdf"_ www.rollbackmalaria.org/../nigeria.pdf_.

[15] Felema, G. (2007). Assessment of insecticide treated nets (ITNs) utilization among children under five years of age and pregnant women of Adama Woreda, Oromia Regional state Ethiopia: American journal of tropical medicine, 64(2), 85-96.

[16] Ghebreyesus, J. A., Deressa, W. Witten, K. H., Getachew, A. & Saboxa, T. (2006). Malaria, in behane, V, Hailemariam, D & Kloos, H. (eds) Epidemiology & Ecology of health and disease in Ethopia: Shama Book, Addia Ababa.

[17] Guyah, H., Ochola, S. & Snow, R. (2007). Too poor to pay: changing for insecticide treated nets in highland Kenya. Tropical medicine and international health 9(10),846-852.

[18] Korenromp, E. Miller, J., Cibulskis, R. Cham, M. Alnwick, D. & Dye, C. (2008). Monitoring mosquito net coverage for malaria control in Africa: possession vs use by children under 5 years. Tropical medicine and international health. Vol. 8(8), 693-703.

[19] Lengeler, C. (2009). Insecticide treated bed nets and curtains for preventing malaria. Available on Cochrane database systRev CD000363.

[20] Mnzara, C. C. (2007). Comparison of house spraying and insecticide treated nets for malaria control. Bulletin of the world health organization, 78(12), 1389-1307.

[21] Musa, O. I. Salaudeen, G. A. & Jimoh, R. O. (2009). Awareness and use of insecticide treated nets among women attending antenatal clinic in a northern state of Nigeria: Journal of the Pakistan medical association, 59(6), 354-8.

[22] Ndjinga, J. K. & Minakawa, N. (2010). Importance of education to increase the use of bed nets in villages outside:Kinshasa, Democratic Republic of the Congo malaria journal, 9(10), 1-10.

[23] Ng’anga, P. Jayasinghe, G., Kimoni, V. Shilitu, J. Kabutha, C. Kabuage, L. Githure, J. & Mutero, C. (2009). Bed net use and associated factors in rice farming community in central Kenya. Malaria journal, 8(6) 4-10.

[24] Nuwaha, F. (2007). Factors affecting the use of mosquito nets in mbarara municipality of western Uganda. American journal of tropical medicine and hygiene, 65(6), 877-882.

[25] Ogbeide A.O., Aruoture I., Wagbatsoma V.A. (2014). Utilization of Insecticide Treated Net Among Pregnant Women Attending Antenatal Care in Etsako East Local Government Area of Edo State. Vol.15 No.2 pp 106-116.

[26] Okrah, J. Traore, C. Pale, A. Summerfield, J. Muller, O. (2007). Community factors associated with malaria prevention by mosquito nets an exploratory study in rural Burkina Faso: Tropical medicine and international health, 7(3)240-48.

[27] Rhee, M. Sissok, M., Perr, S. MeFarlard, W. Parsonnet, J. & Doumbo, O. (2005). Use of insecticide treated nets (ITNs) following a malaria education intervention in Piron, Mali: a control trial with systematic allocation of households. Malaria journal, 4(35), 15-29.

[28] Roll Back Malaria (2005). Global strategic plan 2005-2012. Geneva: Roll Back Malaria.

[29] Rowland, M. Bouma, M. Ducornez, D. Durrani, Rozendaal, J., Schapira, A., & Sondorp, E. (2008). Pyrethoid impregnated mosquito nets for personal protection against malaria for Afghan refugees. Transactions of the royal society of tropical medicine and hygiene, 90(1), 357-61.

[30] Schellenber, A, Abdulla, S. Minja, H. Nathan, R. Mukassa, O. & Marchant, T. (2008). KINET: A social marketing program of treated nets and net treatment for malaria control in Tanzania with evaluation of child health and long-term survival. Transactions of the royal society of tropical medicine and hygiene, 93(1), 225-231.

[31] Simon, J. Larson, B., Zusman, A. & Rosen, S. (2005). How will reduction of tariff and taxes on insecticide treated mosquito nets affect household purchases Bulletin of the World Health Organization, 80(11) 892-899.

[32] UNICEF (2006). Malaria a major cause of child death and poverty in Africa.

[33] WHO/UNICEF (2005). Africa malaria. Report 2005. World health Organization/UNICEF.

[34] WHO/UNICEF (2007), World malaria report. Available on WHO/HTM/MAL12005.1102.

[35] World Health Organization (2002). Malaria in pregnancy. Available on: RBM info sheet _HYPERLINK " http://www.rbmwho.int."_ www.rbmwho.int._. Date assessed: January 2012.

[36] World Health Organization (2006). What is malaria RBM info sheet _HYPERLINK "http://www.rbmwho.int.lastupdatejan2007"_www.rbmwho.int.lastupdatejan2007_.Date assessed: January 2012.