Assessment of the Perception of Malaria Prevention among Pregnant Women Attending  Antenatal Clinic at Obiozara Health Center Uburu, Ohaozara, Ebonyi State

Precious Amarachi  Ajah; Philip Kelechukwu  Ogbuta; Patience Ogbuta  Kalu; Rosemary Ogechukwu  Ajah; Oluwatuyi Samson Afolabi

doi:10.62050/ljsir2026.v4n1.667

المؤلفون

Precious Amarachi Ajah
Ebonyi State College of Nursing Sciences Uburu, Nigeria
Philip Kelechukwu Ogbuta
Department of Obstetrics and Gynaecology, Lagos State Maternal and Child Centre, Eti-Osa, Nigeria
Patience Ogbuta Kalu
Department of Nursing, Catholic Caritas Foundation of Nigeria (CCFN), Owerri, Imo State, Nigeria
Rosemary Ogechukwu Ajah
Department of Health Promotion and Environmental Health Education, University of Ilorin, Nigeria
Oluwatuyi Samson Afolabi
samson08060@gmail.com

Department of Environmental Health, Lagos State Primary Health Care Board, Nigeria
https://orcid.org/0009-0003-8006-1574

الكلمات المفتاحية:

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الملخص

Malaria infection during pregnancy remains a serious public health concern in tropical and subtropical regions, threatening the wellbeing of mothers, fetuses, and newborns. In Nigeria, it remains a leading cause of maternal mortality. This study investigated the perception of malaria prevention among pregnant women attending antenatal clinic at Obiozara Health Center, Uburu, Ohaozara, Ebonyi State. A descriptive cross-sectional design was used, involving 200 respondents (pregnant women attending the antenatal clinic at Obiozara Health Center, Uburu, Ohaozara, Ebonyi State). The study revealed a high level of awareness about malaria prevention among pregnant women, with 89.9% acknowledging that malaria during pregnancy is dangerous and preventable. The most commonly adopted preventive method was the use of mosquito coils and sprays (53%), followed by sleeping under insecticide-treated nets (96%), clearing bushes (35%), and destroying stagnant water (24%). However, a few respondents relied on ineffective or incorrect practices such as eating well, avoiding sunlight, or drinking herbal mixtures. The major challenges identified in malaria prevention were economic and behavioral factors, including the inability to afford mosquito nets (16%) and discomfort associated with sleeping under them (22%). Based on these findings, the study recommended improving the affordability and comfort of malaria prevention methods by promoting locally suitable mosquito nets and encouraging consistent use. It also suggested targeted community education to dispel misconceptions about malaria causes and prevention.

Dimensions

REFERENCES

World Health Organization. World Malaria Report 2021. Geneva: World Health Organization; 2021. [https://www.who.int/publications/i/item/9789240040496]

National Population Commission (NPC) [Nigeria], National Malaria Elimination Programme (NMEP) [Nigeria], and ICF. Nigeria Malaria Indicator Survey 2021. Abuja, Nigeria, and Rockville, Maryland, USA: NPC, NMEP, and ICF, 2022. [https://dhsprogram.com/pubs/pdf/MIS41/MIS41.pdf]

Muhammad, F. M., Nedjat, S., Sajadi, H. S., Parsaeian, M., Assan, A., & Majdzadeh, R. (2021). Malaria intermittent preventive treatment in Nigeria: A qualitative study to explore barriers. BMC Infectious Diseases, 21(1), 438. https://doi.org/10.1186/s12879-021-06135-2

Bhalla, D., Cleenewerck, L., Kalu, S. O., & Gulma, K. A. (2019). Malaria prevention measures among pregnant women: A population-based survey in Nnewi, Nigeria. The Scientific World Journal, 2019, Article 6402947. https://doi.org/10.1155/2019/6402947

Okafor, I. P., Ezekude, C., Oluwole, E. O., & Onigbogi, O. O. (2019). Malaria in pregnancy: A community-based study on the knowledge, perception, and prevention among Nigerian women. Journal of Family Medicine and Primary Care, 8(4), 1359–1364. https://doi.org/10.4103/jfmpc.jfmpc_295_18

Bello, F. A., & Ayede, A. I. (2019). Prevalence of malaria parasitaemia and the use of malaria prevention measures in pregnant women in Ibadan, Nigeria. Annals of Ibadan Postgraduate Medicine, 17(2), 124–129. https://pmc.ncbi.nlm.nih.gov/articles/PMC7358809/

Adeoye, I. A., & Fagbamigbe, A. F. (2019). What is the link between malaria prevention in pregnancy and neonatal survival in Nigeria? African Journal of Reproductive Health, 23(1), 139–149. https://doi.org/10.29063/ajrh2019/v23i1.14

Nyaaba, G. N., Olaleye, A. O., Obiyan, M. O., Walker, O., & Anumba, D. O. C. (2021). A socio-ecological approach to understanding the factors influencing the uptake of intermittent preventive treatment of malaria in pregnancy (IPTp) in South-Western Nigeria. PLoS ONE, 16(3), e0248412. https://doi.org/10.1371/journal.pone.0248412

Iyanda, A. E., Osayomi, T., Boakye, K. A., & Lu, Y. (2020). Regional variation and demographic factors associated with knowledge of malaria risk and prevention strategies among pregnant women in Nigeria. Women & Health, 60(4), 456–472. https://doi.org/10.1080/03630242.2019.1643818

Pons-Duran, C., Llach, M., Sanz, S., Ramírez, M., Méndez, S., Roman, E., Tholandi, M., Pagnoni, F., Menendez, C., & González, R. (2021). Community delivery of malaria intermittent preventive treatment in pregnancy: Protocol of a quasi-experimental evaluation through multistage cluster sampling household surveys in four sub-Saharan African countries. BMJ Open, 11(3), e044680. https://doi.org/10.1136/bmjopen-2020-044680

Akpa, C. O., Akinyemi, J. O., Umeokonkwo, C. D., Bamgboye, E. A., Dahiru, T., Adebowale, A. S., & Ajayi, I. O. (2019). Uptake of intermittent preventive treatment for malaria in pregnancy among women in selected communities of Ebonyi State, Nigeria. BMC Pregnancy and Childbirth, 19(1), 457. https://doi.org/10.1186/s12884-019-2629-4

Sonibare, O. O., Bello, I. S., Olowookere, S. A., Shabi, O., & Makinde, N. O. (2020). Effect of malaria preventive education on the use of long-lasting insecticidal nets among pregnant females in a teaching hospital in Osun State, south-west Nigeria. Parasite Epidemiology and Control, 11, e00182. https://doi.org/10.1016/j.parepi.2020.e00182

Pons-Duran, C., Llach, M., Sacoor, C., Sanz, S., Macete, E., Arikpo, I., Ramírez, M., Meremikwu, M., Mbombo Ndombe, D., Méndez, S., Manun’Ebo, M. F., Ramananjato, R., Rabeza, V. R., Tholandi, M., Roman, E., Pagnoni, F., González, R., & Menéndez, C. (2021). Coverage of intermittent preventive treatment of malaria in pregnancy in four sub-Saharan countries: Findings from household surveys. International Journal of Epidemiology, 50(2), 550–559. https://doi.org/10.1093/ije/dyaa233

Dun-Dery, F., Meissner, P., Beiersmann, C., Kuunibe, N., Winkler, V., Albrecht, J., & Müller, O. (2021). Uptake challenges of intermittent preventive malaria therapy among pregnant women and their health care providers in the Upper West Region of Ghana: A mixed-methods study. Parasite Epidemiology and Control, 15, e00222. https://doi.org/10.1016/j.parepi.2021.e00222

Agu, A. P., Umeokonkwo, C. D., Eze, N. C., Akpa, C. O., Nnabu, R. C., Akamike, I. C., Okedo-Alex, I. N., Alo, C., & Uneke, J. C. (2021). Knowledge of malaria control and attitudes towards community involvement among female community volunteers: Effect of capacity building in a rural community, Southeast Nigeria. Pan African Medical Journal, 39, 151. https://doi.org/10.11604/pamj.2021.39.151.25685