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Table 1 Health education interventions to improve usage of ITNS, LLITNs among pregnant women

From: Prevention of malaria in pregnancy through health education intervention programs on insecticide-treated nets use: a systematic review

Author

No of participants

Age of participants

Study type

Intervention type

Study country

Outcome

Findings

Balami et al. (2021) [21]

372

15 to 45 years

Randomized Controlled Trial

Health education given at a group level, and in a single session

Nigeria

The effects of group, time, and group-time interaction on reported ITN use and IPTp uptake, as well as haematocrit level, were all significant

The intervention was effective in improving ITN use, IPTp uptake, and haematocrit levels

Adeniji et.al. (2023) [22]

90

Not mentioned

Quasi-experimental design

Health education given at a group level, and in a single session

Nigeria

Examine the attitude towards malaria prevention among pregnant women at immediate post intervention for experimental and control groups

Findings from this study increased the importance of health education as a potential tool in health campaigns to improve attitude towards malaria prevention among patients

Deribew et al. (2010) [23]

442

15 to 45 years

Randomized Controlled Trial

Tailored training on the proper use of ITNs and establishing community network system

Ethiopia

The availability and utilization of ITNs was low in the study area

The utilization of ITN was hampered by lack of awareness in the rural community who lives in traditional Tukul houses

Elmosaad, Y. M., et.al. (2016) [19]

761

Not mentioned

Randomized Community Trial

Health education given at a group level, and in a single session

Sudan

The communication for behavioural impact strategy in enhancing the use of LLITNs

The intervention was effective in improving LLITN use. It is recommended that there is a need to concentrate on communication for behavioural impact strategies to enhance utilization of LLITNs through all available channels

Melo et al. (2018) [24]

215

Not mentioned

Randomized Controlled Trial

Effectiveness of an action-oriented educational intervention in ensuring long term improvement of knowledge, attitudes and practices of community health workers in maternal and infant health: a randomized controlled study

Brazil

There is an increase and retention in the average overall KAP score at one-year follow up as compared to baseline and to control group and the secondary outcomes increased in the average score after the health education training

The intervention group showed significant improvements with respect to baseline in overall KAP score as well as in K and P scores. In the control group, overall KAP as well as separate K, A and P scores remained unchanged between baseline and follow up assessments

Amoran et al. (2012) [25]

400

Not mentioned

quasi-experimental design

Health education was given at a group level

Nigeria

The impact of health education increases the use of ITNs

The use of ITN in the study population was significant increase by health education. It also demonstrated the effect of health education on improved correct knowledge and attitude about ITN. Uptake of ITN can be significantly improved in rural areas if the nets are made available and backed up with appropriate health education intervention

Kumar et al. (2020) [26]

200

18 and 45 years

Quasi-experimental, design

Health education given at a group level

Pakistan

The effectiveness of health education on the adoption of ITNs among pregnant women

Health education could be an effective intervention for improving knowledge and usage of ITNs among pregnant women for the prevention of malaria

Ahmadi et al. (2012) [27]

Not mentioned

15 years and above

Intervention community-based cross-sectional survey

The intervention groups were educated together as units

Iran

The use of ITNs among mosquito net owners, and also generate information on knowledge and practices regarding malaria and it’s preventive measures in general, and ITNs use

A significant increase was seen in the proportion of households who used ITNs the previous night (92.5%) compared with untreated nets (87.1%)

Okeibunor et al. (2011) [28]

1,280

15–49 years

Quasi-experimental, design

Deliver ITNs to pregnant women in the treatment arm communities

Nigeria

increase effective access to malaria prevention among pregnant women; specific targets were increasing ITN use, and increasing access to IPTp in the form of two doses of SP during pregnancy

women in the control area, an additional 7.4% of women slept under an ITN during pregnancy in the treatment areas

Ahmed et al. (2011) [29]

Not mentioned

Not mentioned

Intervention community-based cross-sectional survey

Health education was given in households. During the households visit education on malaria and its transmission, education on the norms of use of insecticidal treated nets (e.g., when to hang the net, where and how to wash and dry the net, and how many washes in a year etc.). Education on diagnose (by rapid diagnostic test, RDT) and to treat malaria promptly

Bangladesh

ITN, and at least one ITN ownership

There was significant improvement in the proportion of pregnant women who slept under an insecticidal bed net in 2011 compared to 2008, in both areas. ITN, and at least one ITN ownership increased (22–59 to 62–67% and 22–64% to 74–76% respectively) over time. substantial improvement in possession and usage of insecticidal bed nets

Rhee et al. (2011)

86

14 years and above

Controlled intervention study

Health education was given regarding signs and symptoms of malaria, susceptibility, transmission and prevention of malaria and information about the benefits of ITN use, including, how, when and where to impregnate nets

Mali

The main outcome measure was ITN use

ITN use was significantly greater in participants who had received the educational intervention (48%) vs. individuals who did not (33%)