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Global Health Econ Sustain                                                     Antenatal care attendance




            Table 6. Knowledge about malaria and mosquito bed net usage among participants
                                             ANC health    Test statistic (p‑value)  Delivery health    Test statistic (p‑value)
                                            facility (n [%])                   facility (n [%])
                                         Adidome   Battor                   Adidome   Battor
                                                                                               2
            Had malaria during current pregnancy           χ  (2)=7.62 (p=0.022)              χ  (1)=7.15 (p=0.007)
                                                            2
             No                            425 (94.2)  357 (94.0)           250 (83.1)  150 (92.0)
             Yes                           9 (2.0)  17 (4.5)                51 (16.9)  13 (8.0)
             Do not know                   17 (3.8)  6 (1.6)                NA       NA
            For those who had malaria, malaria
            confirmatory test done
             No                            6 (66.7)  10 (58.8)              NA       NA
             Yes                           3 (33.3)  7 (41.2)
            Have mosquito bed net                          χ  (1)=0.15 (p=0.701)              χ  (1)=1.08 (p=0.298)
                                                            2
                                                                                               2
             No                            29 (6.4)  22 (5.8)               31 (10.3)  12 (7.4)
             Yes                           422 (93.6)  358 (94.2)           270 (89.7)  151 (92.6)
            No. of bed nets                                χ  (4)=28.30 (p<0.001)             χ  (4)=6.05 (p=0.167f)
                                                            2
                                                                                               2
             1                             225 (53.3)  243 (67.9)           158 (58.5)  93 (61.6)
             2                             140 (33.2)  62 (17.3)            70 (25.9)  45 (29.8)
             3                             46 (10.9)  36 (10.1)             29 (10.7)  6 (4.0)
             4                             5 (1.2)  7 (2.0)                 7 (2.6)  4 (2.7)
             ≥5                            6 (1.4)  10 (2.8)                6 (2.2)  3 (2.0)
                                                            2
            Bed net use frequency*                         χ  (3)=16.05 (p<0.001f)            χ  (3)=7.97 (p=0.039)
                                                                                               2
             Always                        284 (67.3)  269 (75.1)           138 (51.1)  60 (39.7)
             Sometimes                     131 (31.0)  73 (20.4)            123 (45.6)  81 (53.6)
             Seldom                        5 (1.2)  8 (2.3)                 6 (2.2)  9 (6.0)
            Source of bed nets**                                                              χ  (12)=28.49 (p=0.005)
                                                                                              2
             ANC (hospital)                NA     NA                        258 (95.6)  130 (86.1)
             Pharmacy                                                       3 (1.1)  1 (0.7)
             Market                                                         14 (5.2)  5 (3.3)
             Friend/Family                                                  4 (1.5)  6 (4.0)
             House distribution                                             3 (1.1)  12 (8.0)
             Other sources                                                  17 (6.3)  9 (6.0)
                                                                                               2
                                                            2
            Slept under bed net previous night             χ  (1)=1.93 (p=0.165)              χ  (1)=3.37 (p=0.066)
             No                            68 (15.1)  71 (18.7)             132 (43.9)  86 (52.8)
             Yes                           383 (84.9)  309 (81.3)           169 (56.2)  77 (47.2)
            Total                          451 (100.0)  380 (100.0)         301 (00.0)  163 (100.0)
            Notes: *Missing values accounted for but not shown; **Multiple responses allowed; thus, the totals for each variable may exceed the sums below;
            NA: Not applicable (was not part of the questionnaire); f=Fisher’s exact P value.
            Abbreviation: ANC: Antenatal care.

            both study sites. Interestingly, despite the generally low   5. Conclusion
            level of knowledge about malaria observed in the study
            population, it did not appear to influence the observed   A  higher  proportion  of  participants  below  20  years of
                                                               age accessed AGH, while older age groups tended to
            prevalence.
                                                               seek  obstetric  care  at  BCH.  Moreover,  more  married
              However, it is important to acknowledge a limitation of   participants were observed at BCH, whereas a greater
            the study. Due to the low prevalence of malaria, correlation   number of single participants were noted at AGH. The
            analysis with knowledge was not performed.         majority of participants with basic (primary and junior


            Volume 2 Issue 2 (2024)                         10                       https://doi.org/10.36922/ghes.2336
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