Factors Associated with Insecticide-Treated Net Utilisation among Pregnant Women Attending Antenatal Care in Kibiya Local Government Area, Kano State, Nigeria

                @article{CRSIJ26000524,
                  author = {Sagiru Hallai Gambo, Prof. Abdulraheem Ibraheem Shola, Abba Madaki Abba, Rabi'u Abba, Saddiku Bala Hussain},
                  title = {Factors Associated with Insecticide-Treated Net Utilisation among Pregnant Women Attending Antenatal Care in Kibiya Local Government Area, Kano State, Nigeria},
                  journal = {Cosmo Research and Science International Journal},
                  year = {2026},
                  volume = {2},
                  number = {3},
                  pages = {19-28},
                  issn = {3108-1584},
                  url = {https://cosmorsij.com/published/CRSIJ26000524.pdf},
                  abstract = {Household ownership of insecticide-treated nets (ITNs) does not ensure that pregnant women sleep under them, and the factors that determine use in rural north-western Nigeria are poorly documented. This study examined the factors associated with ITN utilisation among pregnant women attending antenatal care (ANC) in Kibiya Local Government Area (LGA), Kano State. A facility-based cross-sectional survey of 340 pregnant women, selected by multistage sampling from five primary health centres, used an interviewer-administered questionnaire. The outcome was self-reported ITN use on the previous night (332 valid responses), analysed with chi-square tests and binary logistic regression. Household ownership was 85.6%, but 62.7% of women slept under an ITN the previous night and only 28.2% used one every night over the past 30 days. After adjustment, good knowledge (AOR 2.24; 95% CI 1.28–3.90), favourable attitude (AOR 2.00; 1.19–3.36), four or more ANC visits compared with none (AOR 2.43; 1.12–5.24) and primary education compared with no formal education (AOR 3.33; 1.29–8.59) remained independently associated with use, whereas residence, prior malaria-prevention information and health-worker advice did not. Heat or weather was reported as an influence on use by 75.3% of respondents. These findings are associations from one facility-based sample and do not show cause. Access to nets is not the only constraint on use, and repeated, practical antenatal counselling that addresses barriers such as heat should be strengthened and evaluated},
                  keywords = {Insecticide-treated nets, malaria in pregnancy, antenatal care, associated factors, Kano State},
                  month = {November}
        }