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Perceptions regarding the use of long-lasting insecticidetreated bed nets for preventing malaria among rural females of Pakistan

Author(s): Nelofer Amir | Ejaz Ahmad Khan, | Haris Habib, | Hamayun Rathor

Journal: International Journal of Collaborative Research on Internal Medicine & Public Health
ISSN 1840-4529

Volume: 3;
Issue: 3;
Start page: 252;
Date: 2011;
Original page

Keywords: Malaria | Lady Health Workers | Long Lasting Impregnated Nets

Background: Globally, there are 300-500 million clinical cases of Malaria annually. It is endemic inPakistan and has shown epidemic potential in the past. In World Health Organization’s EasternMediterranean Region (EMR), about 10.5 million malaria episodes and 49000 malaria-related deathsoccur every year. In Pakistan, Annual Parasite Incidence (API) is 0.8/1000 populations. Provincially, theAnnual Parasite Incidence is highest in Baluchistan (5.8/1000 population) followed by FederallyAdministrative Tribal Areas (4.0/1000 population) and Sindh (1.08/1000 population). Long LastingInsecticide-Treated-Nets (LLINs) when used properly, can reduce malaria transmission by at least 60%and child deaths by 20%. LLINs are advanced form of Insecticide Treated Nets. They are factoryimpregnated, stronger and longer-lasting with better efficacy than the ones without insecticides.Objective: To assess the knowledge, attitude and practices of the community regarding use of longlasting insecticide treated bed nets (LLINs) for preventing malaria.Methods: Primary data collection was done by the principal researcher on an estimated sample of 200households based on 6% distribution of LLINs by multistage survey. Data was collected through thetrained healthcare workers, cleaned and entered, whereby analyzed thereafter and results interpreted forthe three domains of knowledge, attitude and practice on Likert scale.Results: Using the Likert scale, about half (56.8%) of the respondents did agree that the LLINs wereuseful in preventing against malaria, coated with insecticide (53.3%) and protect from nuisance effect(44.7%). Overall most (94.5%) of the respondents had a good knowledge regarding use of the LLINs,majority (63.8%) has fair attitude and all (100%) had good practice. Majority of people (63.8%) were infavor of using LLINs and almost all (100%) of them knew how to use them properly. Increasing age wasfound to be associated with good knowledge (p= 0.007), but not the better education (p= 0.803) asmajority (74%) of the participant remained illiterate.Limitation and strength: The study was done in the intervention area and was accessible through thelocal healthcare workers with a support from the local institutions. The interviewees were notrepresentative of the population as a whole, with hundred percents females and mostly house-wives. Thedata collectors were the LHWs and there was a possibility of observer’s bias which was minimized byadministering structured questionnaire and training augmented by surprise visits by the principalresearcher and data cleaning.Conclusion: The study shows good Knowledge, attitude and practices among the study population.However, an effort to impart education to females may have an augmenting effect on betterimplementation of the healthcare interventions.
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