Factors associated with the use of long-lasting insecticidal nets in pregnant women and mothers with children under five years of age in Gaza province, Mozambique.

Autor:	Nhangave AV; Gaza Provincial Research Nucleus, Provincial Health Directorate, Xai-Xai, Mozambique.; Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique., Munyangaju I; Tinpswalo Association, Vincentian Association to Fight AIDS and TB, Gaza Province, Mozambique., Osório D; Tinpswalo Association, Vincentian Association to Fight AIDS and TB, Gaza Province, Mozambique., Nacarapa E; Tinpswalo Association, Vincentian Association to Fight AIDS and TB, Gaza Province, Mozambique., Ndima S; Faculty of Medicine, Department of Community Health, Eduardo Mondlane University, Maputo, Mozambique., Moiane A; National Malaria Control Programme, Gaza Provincial Health Directorate, Xai-Xai, Mozambique., Chiposse I; Gaza Provincial Research Nucleus, Provincial Health Directorate, Xai-Xai, Mozambique., Muchanga I; Faculty of Health Science, University of Saint Thomas, Gaza Campus, Gaza, Mozambique., Saifodine A; Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique.; National Malaria Control Programme, Gaza Provincial Health Directorate, Xai-Xai, Mozambique.
Jazyk:	angličtina
Zdroj:	PLOS global public health [PLOS Glob Public Health] 2024 Jan 16; Vol. 4 (1), pp. e0002811. Date of Electronic Publication: 2024 Jan 16 (Print Publication: 2024).
DOI:	10.1371/journal.pgph.0002811
Abstrakt:	Malaria remains a major public health concern worldwide. Malaria is endemic in Mozambique, with seasonal fluctuations throughout the country. Although the number of malaria cases in Mozambique have dropped by 11% from 2020 to 2021, there are still hotspots in the country with persistent high incidence and low insecticide-treated bed net usage. The aim of this study is to evaluate the factors associated with the use of long-lasting insecticidal nets by pregnant women and women with children under 5 years old in two hotspot districts in the Gaza province, Mozambique. A descriptive, qualitative cross-sectional study was conducted between June 15th and 21st 2022. An in-depth interview process was conducted with pregnant women and mothers with children under five years old, exploring their beliefs, experiences, and perception of messages conveyed by health professionals when long-lasting insecticidal nets were being supplied. A total of 48 women participated (24 pregnant women and 24 women with children under 5 years). Most participants recognized the protective effects of long-lasting insecticidal nets in preventing malaria, and understood that women and children were high risk groups. The nets were reported to cause side effects and difficulty breathing by 100% of pregnant women, while 54.2% of mothers with children under 5 reported no side effects. The majority of women in both groups reported that their health professionals did not educate them about how to use or handle the nets properly. Only 16.7% of mothers with children under 5 received correct handling instructions. Providing clear, culturally sensitive, and practical information on the correct use of LLINs, as well as regular monitoring of their proper use, would be a great step forward for Mozambique's national malaria program. Competing Interests: The authors have declared that no competing interests exist. (Copyright: This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.)
Databáze:	MEDLINE
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