Predictors of Long-lasting Insecticide-treated Bed Net Ownership and Utilization: Evidence from Community-based Cross-sectional Comparative Study, Southwest Ethiopia

Overview

Journal Malar J

Publisher Biomed Central

Specialty Tropical Medicine

Date 2013 Nov 12

PMID 24206749

Citations 41

Authors

Lelisa D Sena

Wakgari A Deressa

Ahmed A Ali

Affiliations

Soon will be listed here.

Abstract

Background: Malaria is the notorious impediment of public health and economic development. Long-lasting insecticide-treated bed nets/insecticide-treated bed nets (LLINs/ITNs) are among major intervention strategies to avert the impact the disease. However, effectiveness of LLINs/ITNs depends on, inter alia, possessing sufficient number, proper utilization and timely replacement of nets. Thus, the World Health Organization (WHO) recommends surveys to evaluate possession and proper use of LLINs/ITNs by households.

Methods: A cross-sectional comparative household survey was conducted during peak malaria transmission season using interviewer-introduced questionnaires in southwest Ethiopia. A study site was selected from villages around a man-made lake, Gilgel-Gibe (GG) and a control site, with similar geographic and socio-economic features but far away from the lake, was identified. A total of 2,373 households from randomly selected cluster of households were included into the study and heads/spouses of the households responded to interviews. Binary and multinomial logistic regressions were used to identify predictors of LLIN ownership and utilization.

Results: LLIN/ITN ownership among the study populations was 56.6%, while 43.4% of households did not own a net. A higher proportion of households in GG reported owning at least one LLITN/ITN compared to control village (OR =2. 2, P <0.001) and more households in GG reported having only one LLITN/ITN in contrast to households in the control village (OR = 2.1, P <0.001). The mean number of LLINs/ITNs owned was 1.6 for GG residents and 1.8 for control village with a mean difference of -0.26 (95% CI = - 0.34, -0.19). The age of household heads, household relative wealth index (RWI), distance to nearest health service and accessibility to transportation showed a significant association with ownership of LLINs/ITNs. The probability of owning two or more LLINs/ITNs was positively associated with age of household head. Marital status of household heads, RWI, distance to nearest health service, accessibility to transport, residence and household size showed a significant association with utilization of LLINs/ITNs.

Conclusion: Attention needs to be given to the poor, distant and inaccessible households in the efforts of malaria intervention programmes, such as free distribution of LLINs/ITNs. Well-tailored information, education and communication is needed to address the problem of non-users.

Citing Articles

Utilization of insecticide-treated bed nets and associated factors among households in Pawie District, Benshangul Gumuz, Northwest Ethiopia.

Merga T, Adane M, Shibabaw T, Salah F, Ejigu L, Mulatu S Sci Rep. 2024; 14(1):31712.

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Insecticide-treated net utilization and associated factors among pregnant women in East Africa: evidence from the recent national demographic and health surveys, 2011-2022.

Terefe B, Habtie A, Chekole B Malar J. 2023; 22(1):349.

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Effect of malaria prevention education on bed net utilization, incidence of malaria and treatment seeking among school-aged children in Southern Ethiopia; cluster randomized controlled trial.

Zerdo Z, Bastiaens H, Anthierens S, Massebo F, Masne M, Biresaw G BMC Infect Dis. 2023; 23(1):486.

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Predictors of mosquito bed net use among children under-fives in Ghana: a multilevel analysis of the 2019 malaria indicator survey.

Aheto J, Babah R, Dzokoto M, Kwarah W, Alhassan Y Malar J. 2023; 22(1):196.

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Utilization of Insecticide-Treated Nets in Households for Under-5 Children and Associated Factors in East Mesekan District, Gurage Zone, Southern Ethiopia.

Kebede W, Tolcha A, Soboksa N, Negassa B, Kanno G, Aregu M Environ Health Insights. 2023; 17:11786302231164287.

PMID: 37007221 PMC: 10052613. DOI: 10.1177/11786302231164287.

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