Abstract
IntroductionInsecticide-treated nets (ITNs) stood at center in the current efforts to prevent and control malaria at community and individual levels. Though ITNs are the most prominent measure for large-scale deployment in highly endemic areas their compliance in terms of ownership and usage needs attention. The aim of this study was therefore to determine the ownership and utilization pattern of ITNs in Harari Peoples National Regional state, Ethiopia.MethodsA community based cross-sectional study was conducted in Harari National Regional State from September to October, 2012. A total of 784 households were included from malarious areas. Data were collected by using structured questionnaires and observational checklist.ResultsAbout 57.9% of participants had at least one ITNs. The utilization of ITNs based on history of sleeping under net in the previous night was 73.3%. Regarding proper use of ITNs, 57.9% of respondents demonstrated proper hanging and tucking. Those households with secondary school education (AOR: 1.775(1.047, 3.009)), knowledge about ITNs use (AOR: 2.400(1.593, 3.615)) and knowledge of malaria transmission by bite of mosquito (AOR: 1.653(1.156, 2.365)) have more likely hood to own ITNs.ConclusionITNs Ownership was low as compared to the target by Federal ministry of Health of Ethiopia. Though utilization of ITNs was promising, there are still significant number of participants who demonstrate hanging and tucking improperly. Therefore, health bureau need to work towards increasing the distribution of ITNs per household and also provide health information through health extension workers to enhance regular and proper usage of the ITNs.
Highlights
Malaria is one of the major public health problems in sub-Saharan Africa where an estimated 90% of all cases [1] and 20.3% of all deaths of under five children [2] occur
Knowledge and perception of households about of insecticide treated nets (ITNs ): about 17.5% of the household respond as one of their family member had been infected with malaria during past one year
In this study the ownership of Insecticide Treated Nets (ITNs) was slightly lower than a target set by FMOH
Summary
Malaria is one of the major public health problems in sub-Saharan Africa where an estimated 90% of all cases [1] and 20.3% of all deaths of under five children [2] occur. It contributes to increased poverty, which causes for annual losses of up to 12 billion dollars in Sub-Saharan African countries [3]. It has a significant problem to social and economic development of the country due to its epidemicity occurring during harvesting seasons This reduces agricultural productivity, leads to food insecurity and poverty [5]. The use of ITNs is a cost-effective intervention to reduce child mortality and maternal anemia where malaria imposes an important disease burden [9]
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