Factors Influencing the Utilization of Insecticide-Treated Nets in the Prevention and Control of Malaria Among Pregnant Women in Nigeria

Masterarbeit , 2017 , 103 Seiten

Gesundheit - Public Health

Malaria in pregnancy poses a serious public health threat in Nigeria due to its antecedent adverse consequences on the mother and her foetus. It can be prevented through the correct and consistent use of insecticide treated mosquito nets. However, its use is deficient among pregnant women I Nigeria. Therefore, this study explores the various factors that influence the use of insecticide treated nets among pregnant women in Nigeria.

The objective of this study is to systematically appraise primary studies on the utilization of insecticide treated nets among pregnant women in Nigeria and to formulate a concept map of these factors.

This study utilized systematic review procedures although it has a narrower scope. Literature search was conducted across four electronic databases namely; MEDLINE, CINAHL, Web of Knowledge and BioMed. In addition, the references of articles were further examined to identify articles which may not have been captured in the initial search. A total hit count of 3305 was arrived at and seven high quality studies were selected for critical and systematic appraisal after all relevant studies were subjected to a predefined inclusion and exclusion criteria.

This study found that several issues have been identified as factors that influence the utilization of insecticide treated nets among pregnant women in Nigeria. However, the main factors include; socioeconomic and demographic factors, level of knowledge about malaria and its consequences, level of misconceptions about malaria, access to antenatal care facilities and availability of the mosquito nets. However, the socioeconomic class of the pregnant woman is the strongest predictor of utilization as it directly or indirectly influences other factors.

Inhaltsverzeichnis (Table of Contents)

• CHAPTER ONE: INTRODUCTION
• 1.1 CHAPTER OVERVIEW
• 1.2 BACKGROUND
• 1.3 BURDEN AND CONSEQUENCES OF MALARIA IN PREGNANCY
• 1.4 MALARIA CONTROL STRATEGIES IN PREGNANT WOMEN
• 1.5 JUSTIFICATION OF THE STUDY
• 1.6 RESEARCH QUESTION
• 1.7 AIMS OF THE STUDY
• 1.8 CHAPTER SUMMARY
• CHAPTER TWO: LITERATURE REVIEW
• 2.1 CHAPTER OVERVIEW
• 2.2 CONCEPTUALIZATION OF THE RESEARCH QUESTION AND LITERATURE SEARCH METHOD
• 2.3 EVOLUTION OF POLICIES AND STRATEGIES FOR MALARIA PREVENTION AND CONTROL
• 2.4 CURRENT STRATEGIES FOR MALARIA PREVENTION AND CONTROL
• 2.4.1 VECTOR CONTROL
• 2.4.1.1 Insecticide-treated Mosquito Nets
• 2.4.1.2 Indoor Residual Spray (IRS)
• 2.4.2 EARLY DIAGNOSIS AND TREATMENT
• 2.4.3 INTERMITTENT PREVENTIVE TREATMENT IN PREGNANCY (IPTS)
• 2.5 BEHAVIOURAL CHANGE THEORIES
• 2.6 FACTORS INFLUENCING ITN USE BY PREGNANT WOMEN
• 2.6.1 Knowledge of the health condition
• 2.6.2 Socio-demographic Factors
• 2.6.3 Socio-economic Factors
• 2.6.4 Education
• 2.6.5 Misconceptions
• 2.6.6 Access/Availability
• 2.6.7 Others
• 2.7 CHAPTER SUMMARY
• CHAPTER THREE: METHODOLOGY
• 3.1 CHAPTER OVERVIEW
• 3.2 STUDY DESIGN AND PHILOSOPHY
• 3.2.1 Evidence-Based Practice (EBP)
• 3.2.2 Systematic Reviews (SRs) and Evidence-Based Practice
• 3.2.3 Advantages of Systematic Reviews
• 2.2.4 Limitations of Systematic Reviews
• 2.2.4 Secondary Data Analysis
• 3.3 METHODS
• 3.3.1 Search Strategy
• 3.3.2 Conducting the Search
• 3.3.3 Refining the Search
• 33.3.3.1 Inclusion and Exclusion Criteria
• 3.3.4 Final Selection of Seven Studies
• 3.3.5 Quality Assessment
• 3.4 DATA EXTRACTION AND SYNTHESIS
• 3.5 CHAPTER SUMMARY
• CHAPTER FOUR: FINDINGS
• 4.1 CHAPTER OVERVIEW
• 4.2 DATA EXTRACTION AND SYNTHESIS
• 4.3 RESULTS
• 4.3.1 CHARACTERISTICS OF APPRAISED STUDIES
• 4.3.1.1 Overview of study designs and methods
• 4.3.1.2 Location/Context setting
• 4.3.1.3 Sampling and Population Characteristics
• 4.3.1.4 Data collection
• 4.3.1.5 Approaches to data analysis
• 4.3.1.6 Ethics
• 4.4 OVERVIEW OF STUDY FINDINGS
• 4.4.1 SOCIO-DEMOGRAPHIC FACTORS
• 4.4.2 LEVEL OF KNOWLEDGE
• 4.4.3 SOCIO-ECONOMIC FACTORS
• 4.4.4 MISCONCEPTIONS
• 44.4.5 OTHERS
• 4.5 CHAPTER SUMMARY
• CHAPTER FIVE: DISCUSSION
• 5.1 CHAPTER OVERVIEW
• 5.2 DISCUSSION OF RESULTS
• 5.2.1 SOCIO-DEMOGRAPHIC FACTORS
• 5.2.2 LEVEL OF KNOWLEDGE
• 5.2.3 SOCIOECONOMIC FACTORS
• 5.2.4 MISCONCEPTIONS
• 5.2.5 ACCESS/AVAILABILITY
• 5.3 DISCUSSION IN RELATION TO RESEARCH QUESTION AND OBJECTIVES
• 5.4 CHAPTER SUMMARY

Zielsetzung und Themenschwerpunkte (Objectives and Key Themes)

This dissertation aims to explore the factors influencing the utilization of insecticide-treated nets (ITNs) among pregnant women in Nigeria. The study focuses on the prevention and control of malaria during pregnancy. The research question investigates the determinants of ITN use, considering factors such as socioeconomic status, knowledge about malaria, and access to healthcare services.

• The burden of malaria during pregnancy and its consequences.
• Malaria control strategies in pregnant women, specifically focusing on ITNs.
• Factors influencing ITN utilization, including socioeconomic factors, knowledge, and misconceptions.
• The effectiveness of ITNs in malaria prevention and control.
• The need for interventions to improve ITN utilization among pregnant women in Nigeria.

Zusammenfassung der Kapitel (Chapter Summaries)

• Chapter 1: Introduction: This chapter introduces the topic of malaria in pregnancy, highlighting its burden and consequences. It discusses the importance of ITNs as a key malaria prevention strategy for pregnant women in Nigeria. The chapter outlines the research question, objectives, and the study's justification.
• Chapter 2: Literature Review: This chapter explores the existing literature on malaria control strategies, with a focus on ITN use. It examines the evolution of policies and strategies, behavioral change theories, and the various factors influencing ITN utilization among pregnant women, such as knowledge, socioeconomic factors, and access to services.
• Chapter 3: Methodology: This chapter describes the study design, including the systematic review methodology and the search strategy used. It outlines the inclusion and exclusion criteria for selecting studies, the process of quality assessment, and the methods for data extraction and synthesis.
• Chapter 4: Findings: This chapter presents the results of the systematic review, analyzing the characteristics of the appraised studies and summarizing the key findings related to the factors influencing ITN use. The chapter provides insights into socio-demographic factors, knowledge levels, socioeconomic factors, misconceptions, and other relevant factors.
• Chapter 5: Discussion: This chapter discusses the findings of the systematic review in relation to the research question and objectives. It explores the significance of the identified factors influencing ITN utilization and their implications for malaria control strategies.

Schlüsselwörter (Keywords)

This dissertation focuses on the factors influencing the utilization of insecticide-treated nets (ITNs) for malaria prevention and control among pregnant women in Nigeria. It examines socio-demographic factors, knowledge, socioeconomic factors, misconceptions, and access to healthcare services as determinants of ITN use. The study utilizes a systematic review methodology to analyze existing literature and provide insights into the effectiveness of ITNs and the need for interventions to improve their utilization.

• Hochschule: Northumbria University
• Autor: Abubakar Sadiq Idris (Autor:in)
• Erscheinungsjahr: 2017
• Seiten: 103
• Katalognummer: V446733
• ISBN (eBook): 9783668826564
• Sprache: Englisch
• Schlagworte: factors, influencing, utilization, insecticide-treated, nets, prevention, control, malaria, among, pregnant, women, nigeria