Evaluation of The Compliance and Effectiveness of Insecticide Treated Nets (ITN) Or Long Lasting Insecticide Nets (LLINS) In The Control of Malaria In Pregnant Women In South Eastern Nigeria
To control malaria among pregnant women, Roll Back Malaria recommended the use of insecticide treated nets (ITNs) or long lasting insecticidal nets (LLINs) as a veritable tool. We carried out this study to evaluate the level of compliance to ITN/LLINsuse as well asits effects on malaria prevalence and maternal anemia among pregnant women attending antenatal clinics in parts south eastern Nigeria. Peripheral blood smears and placental histology were used as diagnostic tools to determine infection prevalence. The results showed that compliance to ITN/LLINs was low (27%) as against (73%) that was noncompliant. Infection rate was significantly lower among ITN/LLINs women than in nonITN/LLINs users (t =3.281; p< 0.05). Maternal anemia was also significantly higher (10%) in the non-ITN/LLINs women than in the ITN/LLINS group (5%) (X2 =15.3034; P<0.05>). Impact reduction of ITN/LLINs use was higher on prevalence than on maternal anemia. With the high impact reduction capacity of ITN/LLINs, there is the need to intensify campaign on its use for increased adoption. This will reduce not onlyinfection rate and maternal anaemia, but also other foetal consequences of malaria in pregnancy.