Prevalence of Malaria and utilisation of Long-lasting insecticidal nets: coverage and utilisation rate among pregnant women attending the antenatal care clinic at Butemba Health Centre IV. A cross-sectional study

Authors

  • Justine Naziwa Faculty of Health Sciences, University of Kisubi
  • Dr. Jacqueline Kyosimire Lugemwa Faculty of Health Sciences, University of Kisubi
  • Mr. Mabonga Habert Faculty of Health Sciences, University of Kisubi

DOI:

https://doi.org/10.51168/7g668n22

Keywords:

Prevalence of malaria, Coverage and utilisation rate, Long-lasting insecticidal nets, Pregnant women attending the antenatal care clinic, Butemba Health Centre IV

Abstract

Background:

The consequences caused by malaria in pregnancy affect both the mother and infant. Maternal complications include acute lung injury, severe hypoglycemia, miscarriage, stillbirth, and coma. The study aims to determine the prevalence of malaria and evaluate the coverage and utilisation rate of long-lasting insecticidal nets among pregnant women attending the antenatal care clinic at Butemba Health Centre IV.

Methodology:

A descriptive cross-sectional design was used, involving 80 respondents who were selected using a simple random sampling method. Data were obtained using structured questionnaires and malaria rapid diagnostic tests, for analysis using the Statistical Package for the Social Sciences.

Results:

The majority of the respondents, 55(68.8%) had tested negative for malaria; 25(31.2%) tested positive for malaria.  All 25(100%) of respondents were detected with Plasmodium falciparum.

The majority of the respondents, 65(81.2%) had mosquito nets, 15(18.8%), never had mosquito nets. The majority of the respondents, 60(92.3%), obtained IPT from a government facility; 5(7.7%) brought it from the market. 64(98.5%) slept under a mosquito net daily, while the least, 1(1.5%), used it rarely. 40(50%) of the respondents were aged 25 – 34 years, 1(1.3%), were above 44 years. 50(62.5%) had attained primary education level

Conclusion:

Malaria remains an important health concern among pregnant women attending Butemba Health Centre IV despite relatively high ownership and utilisation of mosquito nets. The occurrence of Plasmodium falciparum infection indicates that existing preventive measures may not provide complete protection against malaria in pregnancy.

Recommendations:

Health workers should continue to monitor/supervise mothers while taking IPT to foster continued adherence to the medication. In addition, demonstration teaching methods on use of LLINs should be offered so as ensure appropriate use.

Author Biographies

  • Justine Naziwa, Faculty of Health Sciences, University of Kisubi

    is a student of a diploma in medical laboratory technology at the Faculty of Health Sciences, University of Kisubi.

  • Dr. Jacqueline Kyosimire Lugemwa, Faculty of Health Sciences, University of Kisubi

    is a supervisor at the Faculty of Health Sciences, University of Kisubi.

  • Mr. Mabonga Habert, Faculty of Health Sciences, University of Kisubi

    is a supervisor at the Faculty of Health Sciences, University of Kisubi.

References

1. Aung, P. L., Win, K. M., & Show, K. L. (2022). Utilization of insecticide-treated bed nets among pregnant women in Myanmar–analysis of the 2015–2016 Demographic and Health Survey. PLOS ONE, 17(3), e0265262. https://doi.org/10.1371/journal.pone.0265262

2. Awunyo, W., Agbleta, D. G., Udeoha, M. A., Kodjo, M. M., & Afaya, A. (2025). Ownership and utilization of mosquito bed nets among pregnant women in Ghana: A national population-based survey. Tropical Medicine and Health, 53(1), 66. https://doi.org/10.1186/s41182-025-00739-z

3. Darteh, E. K. M., Dickson, K. S., Ahinkorah, B. O., Owusu, B. A., Okyere, J., Salihu, T., Bio Bediako, V., Budu, E., Agbemavi, W., Edjah, J. O., & Seidu, A.-A. (2021). Factors influencing the uptake of intermittent preventive treatment among pregnant women in sub-Saharan Africa: A multilevel analysis. Archives of Public Health, 79(1), 182. https://doi.org/10.1186/s13690-021-00707-z

4. Gontie, G. B., Wolde, H. F., & Baraki, A. G. (2020). Prevalence and associated factors of malaria among pregnant women in Sherkole district, Benishangul Gumuz regional state, West Ethiopia. BMC Infectious Diseases, 20(1), 573. https://doi.org/10.1186/s12879-020-05289-9

5. Habimana, A., Gikunju, J., & Magu, D. (2020). Knowledge and preventive practices of malaria among pregnant women in Huye district, Southern Province, Rwanda. International Journal Of Community Medicine And Public Health, 7(6), 2042. https://doi.org/10.18203/2394-6040.ijcmph20202450

6. Mohamud, S. M., Doğan, S., Hussein, A. I., Mohamud, R. Y. H., Orhan, Z., & Doğaner, A. (2025). The Prevalence of Malaria Among Pregnant Women at a Tertiary Care Hospital in Somalia: A Cross‐Sectional Study. BioMed Research International, 2025(1), 6730167. https://doi.org/10.1155/bmri/6730167

7. Musimenta, C., & Mubangizi, P. (2022). Knowledge, Attitude and Practices towards Prevention of Malaria among Pregnant women aged 18-45 years at Busibo Health Centre III, Lwengo District. A cross-sectional study. [sjhr]. https://doi.org/10.51168/sjhrafrica.v2i6.171

8. Nangu, J., Yeka, A., Kitutu, F. E., & Okade, T. (2026). Malaria in Pregnancy: Prevalence and Associated Factors at First Antenatal Care Visit in Nakivale Refugee Settlement, Uganda. In Review. https://doi.org/10.21203/rs.3.rs-8435560/v1

9. Okafor, C., & Ogbonnaya, N. (2020). Knowledge, accessibility, and utilization of insecticide-treated nets among pregnant women in a selected hospital in South-Eastern Nigeria. European Journal of Midwifery, 4(December), 1–5. https://doi.org/10.18332/ejm/130591

10. Okon Mbong, E., Ndifreke Edem, E., & Hussain, S. (2020). Awareness and Measures Utilized by Pregnant Women in the Prevention of Malaria in Suburban Communities in Eket Local Government Area. Journal of Environmental Science and Public Health, 04(03). https://doi.org/10.26502/jesph.96120093

11. Reddy, V., Weiss, D.J., Rozier, J., Kuile, F.O.T., & Dellicour, S. (2023). Global estimates of the number of pregnancies at risk of malaria from 2007 to 2020: a demographic study. Open access, 11(1):E40 – E47

12. Roman, E., Andrejko, K., Wolf, K., Henry, M., Youll, S., Florey, L., Ferenchick, E., & Gutman, J. R. (2019). Determinants of uptake of intermittent preventive treatment during pregnancy: A review. Malaria Journal, 18(1), 372. https://doi.org/10.1186/s12936-019-3004-7

13. Sudoi, R., Onono, M. & Nyaberi, J. (2025). Knowledge, attitudes, and practices regarding use of malaria prevention measures among pregnant women in Busia County, Kenya. American Journal of Social sciences and humanities, 10(1):16 – 29

14. Tembo, I., Kalele, J. C., Simwinga, B., Mgemezulu, T., Mwanza, T., Kazonga, E., Mudenda, S., & Mutemwa, R. (2024). Prevalence and predictors of malaria in pregnant women in Sub-Saharan Africa: A systematic review and meta-analysis. International Journal Of Community Medicine And Public Health, 11(11), 4432–4440. https://doi.org/10.18203/2394-6040.ijcmph20243309

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Published

2026-09-23

Issue

Vol. 7 No. 3 (2026): September 2026 issue

Section

Section of Community and Public Health Research

License

Copyright (c) 2026 Justine Naziwa, Dr. Jacqueline Kyosimire Lugemwa, Mr. Mabonga Habert

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

How to Cite

Naziwa, J., Lugema, J., & Mabonga, H. (2026). Prevalence of Malaria and utilisation of Long-lasting insecticidal nets: coverage and utilisation rate among pregnant women attending the antenatal care clinic at Butemba Health Centre IV. A cross-sectional study. Student’s Journal of Health Research Africa, 7(3), 7. https://doi.org/10.51168/7g668n22

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