Effectiveness of a health education intervention on the use of long-lasting insecticidal nets for the prevention of malaria in pregnant women of Pakistan: a quasi-experimental study
Abstract Background About one quarter of pregnant women in the population of Pakistan are using long-lasting insecticide-treated bed nets (LLINs) for prevention of malaria. Past research reported that adequate information and education would act as mediator to change behaviour among patients for pre...
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doaj-e6065dbf6d4c4408afd1b9c2a203680e2020-11-25T02:36:37ZengBMCMalaria Journal1475-28752020-06-0119111010.1186/s12936-020-03298-2Effectiveness of a health education intervention on the use of long-lasting insecticidal nets for the prevention of malaria in pregnant women of Pakistan: a quasi-experimental studyRamesh Kumar0Midhat Farzeen1Assad Hafeez2Baseer Khan Achakzai3Muskan Vankwani4Manohar Lal5Rabia Iqbal6Ratana Somrongthong7Health Services Academy, Ministry of National Health Services Regulation & Coordination, Government of PakistanHealth Services Academy, Ministry of National Health Services Regulation & Coordination, Government of PakistanHealth Services Academy, Ministry of National Health Services Regulation & Coordination, Government of PakistanDirectorate of Malaria, Ministry of National Health Services Regulation & Coordination, Government of PakistanDow international Medical College KarachiFederal Government Polyclinic Postgraduate InstituteFederal Government Polyclinic Postgraduate InstituteCollege of Public Health Sciences, Chulalongkorn UniversityAbstract Background About one quarter of pregnant women in the population of Pakistan are using long-lasting insecticide-treated bed nets (LLINs) for prevention of malaria. Past research reported that adequate information and education would act as mediator to change behaviour among patients for prevention of malaria infection. The effective use of LLINs would contribute to reduction of disease burden caused by malaria. The aim of this study was to determine the effectiveness of health education on the adoption of LLINs among pregnant women living in Tharparkar, a remote district in Sindh Province, Pakistan. Methods A quasi-experimental study design with control and intervention groups was conducted with 200 pregnant women (100 in each group). Women in the intervention group were provided with health education sessions on malaria for 12 weeks, while those in the control group obtained routine information from lady health workers (LHWs). Pre- and post-intervention assessment was done of knowledge about malaria and use of LLIN, which was statistically analysed using descriptive statistics and difference in difference (DID) multivariable regression analysis to test effectiveness of the intervention. Results Baseline was conducted with 200 pregnant women. Demographic characteristics were similar in both groups with slight differences in age, education, income, type of latrine, and source of drinking water. There were no significant differences between mean knowledge and use of LLINs scores between groups at baseline. However, the estimated DID value after the intervention was 4.170 (p < 0.01) and represents an increase in scores of knowledge in the intervention group compared to control. Similarly DID value of 3.360 (p < 0.05) showed an increase in use of LLINs score after the intervention which was significant, showing that the intervention had a positive effect. Conclusions Results proved that health education could be an effective intervention for improving knowledge and usage of LLINs among pregnant women for the prevention of malaria. Such educational interventions have a positive potential to be implemented at larger scale by incorporating them into routine health sessions provided by health workers.http://link.springer.com/article/10.1186/s12936-020-03298-2Malaria preventionAntenatal careLong-lasting insecticide-treated bed netsVector control diseaseAwareness and use of bed nets |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ramesh Kumar Midhat Farzeen Assad Hafeez Baseer Khan Achakzai Muskan Vankwani Manohar Lal Rabia Iqbal Ratana Somrongthong |
spellingShingle |
Ramesh Kumar Midhat Farzeen Assad Hafeez Baseer Khan Achakzai Muskan Vankwani Manohar Lal Rabia Iqbal Ratana Somrongthong Effectiveness of a health education intervention on the use of long-lasting insecticidal nets for the prevention of malaria in pregnant women of Pakistan: a quasi-experimental study Malaria Journal Malaria prevention Antenatal care Long-lasting insecticide-treated bed nets Vector control disease Awareness and use of bed nets |
author_facet |
Ramesh Kumar Midhat Farzeen Assad Hafeez Baseer Khan Achakzai Muskan Vankwani Manohar Lal Rabia Iqbal Ratana Somrongthong |
author_sort |
Ramesh Kumar |
title |
Effectiveness of a health education intervention on the use of long-lasting insecticidal nets for the prevention of malaria in pregnant women of Pakistan: a quasi-experimental study |
title_short |
Effectiveness of a health education intervention on the use of long-lasting insecticidal nets for the prevention of malaria in pregnant women of Pakistan: a quasi-experimental study |
title_full |
Effectiveness of a health education intervention on the use of long-lasting insecticidal nets for the prevention of malaria in pregnant women of Pakistan: a quasi-experimental study |
title_fullStr |
Effectiveness of a health education intervention on the use of long-lasting insecticidal nets for the prevention of malaria in pregnant women of Pakistan: a quasi-experimental study |
title_full_unstemmed |
Effectiveness of a health education intervention on the use of long-lasting insecticidal nets for the prevention of malaria in pregnant women of Pakistan: a quasi-experimental study |
title_sort |
effectiveness of a health education intervention on the use of long-lasting insecticidal nets for the prevention of malaria in pregnant women of pakistan: a quasi-experimental study |
publisher |
BMC |
series |
Malaria Journal |
issn |
1475-2875 |
publishDate |
2020-06-01 |
description |
Abstract Background About one quarter of pregnant women in the population of Pakistan are using long-lasting insecticide-treated bed nets (LLINs) for prevention of malaria. Past research reported that adequate information and education would act as mediator to change behaviour among patients for prevention of malaria infection. The effective use of LLINs would contribute to reduction of disease burden caused by malaria. The aim of this study was to determine the effectiveness of health education on the adoption of LLINs among pregnant women living in Tharparkar, a remote district in Sindh Province, Pakistan. Methods A quasi-experimental study design with control and intervention groups was conducted with 200 pregnant women (100 in each group). Women in the intervention group were provided with health education sessions on malaria for 12 weeks, while those in the control group obtained routine information from lady health workers (LHWs). Pre- and post-intervention assessment was done of knowledge about malaria and use of LLIN, which was statistically analysed using descriptive statistics and difference in difference (DID) multivariable regression analysis to test effectiveness of the intervention. Results Baseline was conducted with 200 pregnant women. Demographic characteristics were similar in both groups with slight differences in age, education, income, type of latrine, and source of drinking water. There were no significant differences between mean knowledge and use of LLINs scores between groups at baseline. However, the estimated DID value after the intervention was 4.170 (p < 0.01) and represents an increase in scores of knowledge in the intervention group compared to control. Similarly DID value of 3.360 (p < 0.05) showed an increase in use of LLINs score after the intervention which was significant, showing that the intervention had a positive effect. Conclusions Results proved that health education could be an effective intervention for improving knowledge and usage of LLINs among pregnant women for the prevention of malaria. Such educational interventions have a positive potential to be implemented at larger scale by incorporating them into routine health sessions provided by health workers. |
topic |
Malaria prevention Antenatal care Long-lasting insecticide-treated bed nets Vector control disease Awareness and use of bed nets |
url |
http://link.springer.com/article/10.1186/s12936-020-03298-2 |
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