臺灣博碩士論文加值系統

This study was aimed to assess urban and rural mothers’ knowledge, attitudes and practices towards ITNs utilization in Burkina Faso. This study will adopt a cross-sectional study design, and 128 eligible mothers were recruited. Participants were recruited in two (public health centers) health clinics from respectively Koudougou and Nanoro. A structured questionnaire validated by experts was used to investigate the KAP of mothers. Trained assistants collected data using face to face interview. This study used mean and standard deviation (SD) to describe the continuous variables and the case number. Percentages (%) were used to describe categorical variables. The independent t-test was adopted for the comparison of knowledge, attitude and practices scores between urban and rural areas. Besides, Chi-square test was used for analyzing the independence and homogeneity of categorical variables between urban and rural areas. The stepwise regression method was used to determine the important socio-cultural and socio-economic factors associated with the knowledge of malaria prevention and uses of ITNs among rural and urban mothers in Burkina Faso. Upon study completion results have shown a significant gap in knowledge, attitude and practices between rural and urban settings mothers P<0.001 confirming that rural mothers were less knowledgeable than urban mothers. Knowledge influences practices 31.7% and attitude for 26.6%. Knowledge is an important predictor for ITN utilization and was associated with p-value P=007.

Table of Contents
Abstract………………………………………………………………………………………ii
ACKNOWLEDGEMENTS iii
DEDICATION iv
CHAPTER I: INTRODUCTION 1
1.1Background 1
1.2 Purpose of the Study 4
1.3 Research questions 5
CHAPTER II: LITERATURE REVIEW 6
2.1 History of the use of impregnated treated bed nets 6
2.2 Generalities on malaria 7
2.3 Statistics on malaria 9
2.4 Fight against malaria 11
2.5 Vectors control 11
2.5.1 Objectives and specifies 11
2.5.2 Fight against malaria vectors 12
2.6 Materials used for Nets manufacturing 14
2.7 Different models of nets and type of insecticide use in Burkina Faso 15
2.7.1 The rectangular net 15
2.7.2 The conical net 16
2.7.3 The color 16
2.7.4 Insecticides 16
2.8 Insecticides Treated Nets (ITNs) effectiveness 16
2.9 Adapting the nets to domestic space 20
2.10 ITNs use in Sub-Saharan Africa 20
2.11 Definition of study variables 22
2.11.1 Knowledge on ITNs 22
2.11.2 Attitude on ITNs 22
2.11.3- Practices on ITNs 22
CHAPTER III: METHODOLOGY 24
3.1 Study Design 24
3.2 Settings: map designing both the 2 settings of the study. 25
Figure 2: The areas in this study……………………………………………………………………………25
3.3 Sampling and sample size determination 26
3.4 Inclusion and Exclusion Criteria 26
3.4.1 Inclusion criteria 26
3.4.2 Exclusion criteria 27
3.5 Survey instrument and instrumentation 27
3.5.1 Scoring 29
3.5.2 Validity of the study instrument 29
3.5.3 Validity: Experts’ validation 29
3.6 Data Collection 30
3.7 Data Analysis 31
3.8 Ethical Consideration 32
3.8.1 Permission 32
3.8.2 Informed consent 32
3.8.3 Privacy and confidentiality 33
3.9 Conceptual Framework 33

CHAPTER IV: RESULTS 34
4.1 Background characteristics of sample participants 34
Table 1: Socio-demographic characteristics of mothers in both rural. 35
4.2-Malaria and ITN related Knowledge assessment of mothers both in rural. 35
Table 2: Malaria and ITN related Knowledge assessment of mothers in both rural. 37
Table 2: Malaria and ITN related Knowledge assessment of mothers in both rural and urban. (Cont’d) 38
4.3 Malaria and ITN related Attitude assessment of mothers in both rural and urban 40
Table 3 Malaria and ITN related attitude assessment of mothers in both rural and urban 40
4.4 ITN related practice assessment of participant in both rural and urban 42
Table 4: Malaria and ITN related practice assessment of mothers in both rural and urban 44
Table 5: Mean score of knowledge, Attitude and practice between rural and urban mothers 45
Table 6: Knowledge score of rural and urban mothers regarding their demographic features. 47
Table 7: Attitude score of rural and urban participants regarding their demographic features 48
Table 8: Practices score of rural and urban mothers regarding their demographic features 49
Table: 9, Knowledge, attitude and practice score regarding mothers’ demographic characteristics. 51
Table 10: Factors determined by stepwise linear regression 52
Figure 4: The coefficient estimate of KAP Error! Bookmark not defined.
CHAPTER V: DISCUSSION 54
5.2 Malaria related knowledge assessment of mothers 54
5.3 ITN related knowledge assessment of mothers 55
5.4 ITN attitude related assessment of mothers 56


CHAPTER VI: FINDINGS’, LIMITATIONS, CONCLUSION, RECOMMENDATIONS. 60
6.1 -Findings 60
6.2 -Limitations 60
6.3- Conclusion 61
6.4 –Recommendations 62
References 63
Appendix: 1 70
Appendix 2: English version questionnaire 71
Appendix 3 : French version questionnaire 75
Appendix 4: National Taipei University of Nursing and Health Science Institutional Review Board (IRB)………………………………………………………………………………………………………………………………………………….79
Appendix 5: Permission letter from Regional Director of Health………………………………………………………80
Appendix 6: Questionnaire for expert review……………………………………………………………………………………81

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