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首页> 外文期刊>BMC research notes >Impact of health education intervention on insecticide treated nets uptake among nursing mothers in rural communities in Nigeria
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Impact of health education intervention on insecticide treated nets uptake among nursing mothers in rural communities in Nigeria

机译：健康教育干预措施对尼日利亚农村社区护理母亲中使用杀虫剂处理过的蚊帐的影响

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Background ITN use is generally poor in Nigeria among all categories of people. Although use of ITNs has been shown to reduce malarial morbidity and mortality, this measure needs to be supported by an adequate healthcare system providing ITN possibly at the household level. This study was therefore designed to determine the effect of health education on the uptake of ITN among nursing mothers in rural communities in Nigeria. Methods The study design was a quasi-experimental study carried out in Ijebu North Local Government Area of Ogun State. A multistage random sampling technique was used in choosing the required samples for this study and a semi- structured questionnaire was used to collect relevant information. The intervention consisted of a structured educational programme based on a course content adapted from the national malaria control programme. A total of 400 respondents were recruited into the study with 200 each in both the experimental and control groups and were followed up for a period of 3?months when the knowledge and uptake of ITN was reassessed. Result There was no significant difference (P >0.05) observed between the experimental and control groups in terms of socio-dermographic characteristics such as age, marital status, religion, and income. The ITN ever users in experimental group were 59 [29.5%] and 138 [72.6%] in pre and post intervention period, respectively (p value =0.0001). These proportions of ITN ever users were 55 [27.5%] and 57 [31.6%] in control group, during the pre and post intervention periods (p?=?0.37). Post health education intervention, degree of change in knowledge of ITN re-treatment [37.0%] and mounting [33.5%], readiness to use if given free [30.5%] and belief in efficacy [36.9%] improved significantly in the experimental group while there was no significant change in the control group [p?=?0.84, 0.51, 0.68 &0.69 respectively]. Majority [89%] of the respondents were willing to buy ITN for between US$ 1.5 to US$ 3.0. There was no statistically significant change (P >0.05) despite intervention in the amount the respondents were willing to pay to own an ITN in both the experimental and control groups. Conclusion The study concludes that the use of ITN in the study population was significantly increase by health education and that the free distribution of ITN may not guarantee its use. Uptake of ITN can be significantly improved in rural areas if the nets are made available and backed up with appropriate health education intervention.
机译：背景技术在尼日利亚所有人群中，ITN的使用普遍较差。尽管已证明使用ITN可以降低疟疾的发病率和死亡率，但该措施还需要有足够的医疗系统来支持，以在家庭一级提供ITN。因此，本研究旨在确定健康教育对尼日利亚农村社区的哺乳母亲摄取ITN的影响。方法研究设计是在奥贡州伊杰布北部地方政府地区进行的准实验研究。使用多阶段随机抽样技术选择本研究所需的样本，并使用半结构化问卷收集相关信息。干预措施包括一个结构化的教育计划，该计划基于根据国家疟疾控制计划改编的课程内容。总共招募了400名受访者，其中实验组和对照组各200名，并且在重新评估ITN的知识和吸收后进行了3个月的随访。结果实验组和对照组在社会人口统计学特征（如年龄，婚姻状况，宗教信仰和收入）方面没有显着差异（P> 0.05）。实验组之前和之后的ITN使用者分别为59 [29.5％]和​​138 [72.6％]（p值= 0.0001）。在干预前后，对照组的ITN使用者比例分别为55（27.5％）和57（31.6％）（p？=？0.37）。健康教育干预后，实验组的ITN再治疗知识改变程度[37.0％]和安装水平[33.5％]，免费使用的情况下可使用的情况[30.5％]和​​对疗效的信心[36.9％]对照组没有显着变化[分别为p = 0.84、0.51、0.68＆0.69]。绝大多数[89％]的受访者愿意以1.5美元至3.0美元的价格购买ITN。尽管干预了实验组和对照组中受访者愿意购买ITN的金额，但没有统计学上的显着变化（P> 0.05）。结论研究得出的结论是，通过健康教育，ITN在研究人群中的使用显着增加，并且ITN的免费分发可能无法保证其使用。如果可以使用蚊帐并进行适当的健康教育干预，则可以大大改善农村地区对ITN的吸收。

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