Factors influencing the use of insecticide-treated mosquito nets by pregnant women attending antenatal care at Buwambo Health Centre IV in Wakiso District.

Abstract

Background.

Malaria remains a leading cause of morbidity and mortality among pregnant women, particularly in Sub-Saharan Africa. This study assessed Factors Influencing the Use of insecticide-treated mosquito Nets by Pregnant Women Attending Antenatal at Buwambo Health Centre IV in Wakiso District.

Methodology.

A descriptive cross-sectional study was conducted among 30 pregnant women attending antenatal care. Data were collected using structured questionnaires to assess individual, socio-economic, domestic, and environmental factors influencing the use of treated mosquito nets. Data were analyzed using descriptive statistics, including frequencies and percentages.

 Results.

The majority of respondents (33.3%) were aged 20-25 years, 46.6% had primary education, and 50% were married. Only 33.3% reported sleeping under treated mosquito nets, while 40% practiced clearing bushes and stagnant water to prevent malaria. Cultural beliefs affected 33.3% of respondents’ net use. Although 65% reported that nets were convenient, 60% did not prefer using ITNs. Socio-economic factors showed that 40% worked in the informal sector, 33.3% had medium income, and 46.7% lived 5-10 km from health facilities. Half (50%) reported ITNs were available, while access at workplaces was limited. Domestic factors revealed that household size (60%) and poor housing conditions (56.7%) discouraged ITN use, although 73.3% received social support. The home environment was unconducive for 53.3%, yet 60% perceived susceptibility to malaria. Discomfort and difficulty sleeping under nets affected 66.7% of respondents, and 80% indicated that place of residence influenced ITN use.

 Conclusion.

The utilization of treated mosquito nets among pregnant women is influenced by a combination of individual, socio-economic, domestic, and environmental factors. Low preference, discomfort, and poor access significantly limit effective use.

 Recommendations.

Health authorities should enhance community sensitization on the importance of ITN use, improve distribution and accessibility of treated nets, and address household and environmental barriers.