Factors associated with use and non-use of mosquito nets owned in Oromia and Amhara regional states, Ethiopia

Many countries across sub-Saharan Africa are rapidly increasing insecticide-treated net (ITN) coverage to combat malaria, but systematic data on the use of those ITNs and the factors affecting this use are scarce. A household survey was conducted during malaria season in 23 communities of Amhara and...

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Bibliographic Details
Published in:Malaria journal 2009-11, Vol.8 (1), p.264-264, Article 264
Main Authors: Baume, Carol A, Reithinger, Richard, Woldehanna, Sara
Format: Article
Language:English
Subjects:
Animals
Causes of
Confidence Intervals
Control
Culicidae
Ethiopia
Family Characteristics
Health aspects
Health Care Surveys
Health Knowledge, Attitudes, Practice
Humans
Insecticides
Malaria
Malaria - prevention & control
Mosquito Nets - utilization
Mosquitoes
Multivariate Analysis
Nets
Netting
Odds Ratio
Patient Acceptance of Health Care - statistics & numerical data
Program Evaluation
Socioeconomic Factors
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Summary:Many countries across sub-Saharan Africa are rapidly increasing insecticide-treated net (ITN) coverage to combat malaria, but systematic data on the use of those ITNs and the factors affecting this use are scarce. A household survey was conducted during malaria season in 23 communities of Amhara and Oromia Regional States, Ethiopia, stratified by degree of urbanization (rural, peri-urban, or urban), whether or not they received indoor residual spraying (IRS), and whether or not free nets had been distributed. Descriptive statistics as well as univariate and multivariate logistic regression analyses were used to describe household net ownership and identify factors associated with use or non-use of nets already in the household. A qualitative component consisting of observations of ITNs in households and several open-ended questions provided further understanding of the reasons for ITN use and non-use. Of 857 surveyed households, 91% owned at least one ITN, but only 65% of ITNs owned had been used the prior night. The multivariate analysis found that the factors significantly associated with an ITN being used were regional state (Amhara) (Odds Ratio [OR] = 0.61; 95% Confidence Interval [C.I.] 0.43 - 0.86]; p < 0.01), residing in a house sprayed with IRS (OR = 1.89; 95% C.I. 1.36 - 2.63; p < 0.001), age of ITN (
ISSN:1475-2875
1475-2875
DOI:10.1186/1475-2875-8-264