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Background: Malaria being a pressing public health issue in Pakistan can be prevented if long lasting insecticides are made freely available in the country. However, the success of this prevention strategy depends upon usage of long-lasting insecticide treated nets (LLINs) by community. Hence the focus of present study was to determine the effectiveness of health education on adoption of LLINs among pregnant women living in remote district Tharparkar Sindh Pakistan.
Methods: A Quasi-experimental study design with control and intervention group was conducted with 200 pregnant women (100in each group). Women in intervention group were provided with health education sessions on malaria for 12 weeks while those in control group obtained routine information by lady health workers (LHWs). Pre and post intervention assessment was done for use of LLINs; and was statistically analyzed using independent sample t-test, chi-square with p values, and mean scores.
Results: Baseline was conducted with 200 pregnant women. Demographic characteristics were similar in both groups except for age, education, income, type of latrine and source of drinking water. After intervention, as compared to baseline, knowledge of participants increased two-fold in intervention group whereas it remained unchanged in control group. Furthermore, statistically significance difference (<0.05) between intervention and control groups on use of LLINs was found with increase in LLINs usage among intervention group.
Conclusions: Results proved that health education could be an effective intervention for improving knowledge and usage of LLINs among pregnant women for preventing malaria. Therefore, such educational interventions have a potential to be implemented at scale by incorporating them into routine health sessions provided by health workers to pregnant women so that maternal and child morbidity and mortality due to malaria can be prevented.
Keywords
Malaria prevention, antenatal care, long-lasting insecticides bed nets, vector control disease, awareness and use of bed nets
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Peer Review Timeline
CURRENT STATUS: Published
View the published article at Malaria Journal.
No community comments so far
Editorial decision: Accept
On 16 Jun, 2020
Editor assigned
On 15 Jun, 2020
Submission checks complete
On 14 Jun, 2020
Editor invited
On 14 Jun, 2020
No comments provided
Editorial decision: Minor Revision
On 08 Jun, 2020
Review #2 received
Received 28 May, 2020
Reviewer #2 agreed
On 27 May, 2020
Review #1 received
Received 04 May, 2020
Reviewers invited
Invitations sent on 26 Apr, 2020
Reviewer #1 agreed
On 26 Apr, 2020
Editor assigned
On 09 Apr, 2020
Submission checks complete
On 08 Apr, 2020
Editor invited
On 08 Apr, 2020
Version 1
Posted 05 Dec, 2019
No comments provided
Review #2 received
Received 15 Mar, 2020
Editorial decision: Major Revision
On 15 Mar, 2020
Reviewer #2 agreed
On 23 Feb, 2020
Review #1 received
Received 15 Jan, 2020
Reviewer #1 agreed
On 27 Dec, 2019
Reviewers invited
Invitations sent on 15 Dec, 2019
Editor assigned
On 02 Dec, 2019
First submitted
On 01 Dec, 2019
Submission checks complete
On 01 Dec, 2019
Editor invited
On 01 Dec, 2019
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A new preprint design is coming!
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See the published version of this preprint at Malaria Journal.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at Malaria Journal.
No community comments so far
Editorial decision: Accept
On 16 Jun, 2020
Editor assigned
On 15 Jun, 2020
Submission checks complete
On 14 Jun, 2020
Editor invited
On 14 Jun, 2020
No comments provided
Editorial decision: Minor Revision
On 08 Jun, 2020
Review #2 received
Received 28 May, 2020
Reviewer #2 agreed
On 27 May, 2020
Review #1 received
Received 04 May, 2020
Reviewers invited
Invitations sent on 26 Apr, 2020
Reviewer #1 agreed
On 26 Apr, 2020
Editor assigned
On 09 Apr, 2020
Submission checks complete
On 08 Apr, 2020
Editor invited
On 08 Apr, 2020
Version 1
Posted 05 Dec, 2019
No comments provided
Review #2 received
Received 15 Mar, 2020
Editorial decision: Major Revision
On 15 Mar, 2020
Reviewer #2 agreed
On 23 Feb, 2020
Review #1 received
Received 15 Jan, 2020
Reviewer #1 agreed
On 27 Dec, 2019
Reviewers invited
Invitations sent on 15 Dec, 2019
Editor assigned
On 02 Dec, 2019
First submitted
On 01 Dec, 2019
Submission checks complete
On 01 Dec, 2019
Editor invited
On 01 Dec, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at Malaria Journal.
Background: Malaria being a pressing public health issue in Pakistan can be prevented if long lasting insecticides are made freely available in the country. However, the success of this prevention strategy depends upon usage of long-lasting insecticide treated nets (LLINs) by community. Hence the focus of present study was to determine the effectiveness of health education on adoption of LLINs among pregnant women living in remote district Tharparkar Sindh Pakistan.
Methods: A Quasi-experimental study design with control and intervention group was conducted with 200 pregnant women (100in each group). Women in intervention group were provided with health education sessions on malaria for 12 weeks while those in control group obtained routine information by lady health workers (LHWs). Pre and post intervention assessment was done for use of LLINs; and was statistically analyzed using independent sample t-test, chi-square with p values, and mean scores.
Results: Baseline was conducted with 200 pregnant women. Demographic characteristics were similar in both groups except for age, education, income, type of latrine and source of drinking water. After intervention, as compared to baseline, knowledge of participants increased two-fold in intervention group whereas it remained unchanged in control group. Furthermore, statistically significance difference (<0.05) between intervention and control groups on use of LLINs was found with increase in LLINs usage among intervention group.
Conclusions: Results proved that health education could be an effective intervention for improving knowledge and usage of LLINs among pregnant women for preventing malaria. Therefore, such educational interventions have a potential to be implemented at scale by incorporating them into routine health sessions provided by health workers to pregnant women so that maternal and child morbidity and mortality due to malaria can be prevented.
Figure 1
Figure 2
Figure 3
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