Evaluating Knowledge and Attitude Towards Insecticide-Treated Mosquito Nets: Implications for Malaria Prevention among Pregnant Women in Endemic Regions

Background: Malaria remains as significant public health challenge in Rwanda, particularly affecting pregnant women and their unborn children. Insecticide-treated mosquito nets (ITNs) are critical preventive measure against malaria. This study aimed to assess the knowledge and attitudes of pregnant women towards ITN usage. Methods: A Cross-Sectional study was conducted among pregnant women attending Rwamagana Health Center. A structured questionnaire collected data on demographics, knowledge of malaria transmission and prevention with ITNs and attitudes towards ITN use. Results: The study found that 58.7% of respondents were aged 21-30, with 82.55 being married. Education attainment varied, with 42.9% having completed primary education, while secondary and bachelor’s degree were held by 33.3% and 15.9%, respectively. 76.2% reported awareness of ITNs and 96.06% reporting regular use. However,42.8% reported no additional preventive actions against mosquito bites despite recognizing the necessity of ITNs. A significant relationship(p=0.031) was found between education levels and ITN usage. Conclusion: While ownership of ITNs among pregnant women in Rwanda is relatively high, consistent usage is hindered by financial constraints, availability issues, and net conditions. Targeted intervention is needed to address these challenges, promote awareness, and ensure ITNs accessibility. Such efforts are essential in fostering a supportive environment for ITN utilization, which is vital for reducing malaria's impact on maternal and child health in Rwanda.