Predictors of long-lasting insecticide-treated bed net ownership and utilization: evidence from community-based cross-sectional comparative study, Southwest EthiopiaReportar como inadecuado

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Malaria Journal

, 12:406

First Online: 09 November 2013Received: 09 July 2013Accepted: 04 November 2013


BackgroundMalaria 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.

MethodsA 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.

ResultsLLIN-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.

ConclusionAttention 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.

KeywordsGilgel-gibe Long-lasting insecticide-treated bed nets-insecticide-treated bed nets Malaria Ownership Possession Utilization AbbreviationsAORAdjusted odds ration

FMOHFederal Ministry of Health


GGHDGilge-gibe hydroelectric dam

IECInformation, education and communication

ITNsInsecticide-treated bed nets

LLINsLong-lasting insecticide-treated bed nets

SPSSStatistical package for social sciences

WHOWorld Health Organization.

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Autor: Lelisa D Sena - Wakgari A Deressa - Ahmed A Ali


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