Perception and predictors of insecticide-treated net use in a rural Northern Nigerian community

Abstract

Background: Sub-Saharan Africa carries a high burden of malaria. Despite evidence of the effectiveness of insecticide treated nets (ITNs), utilization rates are still low.Methods: We assessed community perception of malaria and determinants of ITN use among 158 households in rural northern Nigeria using interviewer administered structured questionnaires.Results: Nearly all respondents 157(99.4%) were familiar with the term “malaria” and attributed it to mosquito bite. Other mentioned causes of malaria included unclean environment (74%), heat (7%), overwork (1.9%), and contaminated water (0.6%). The symptoms mentioned included fever (95%), headache (52.5%), body weakness (41.1%) and vomiting (25.9%). Most respondents (84.0%) were aware of ITNs but only 34.8% used them. Willingness to buy at current market price, health workers assource of information and the use of mosquito coils were significant predictors of ITN use.Conclusion: High awareness of ITNs did not translate into its utilization. Public health education in malaria including free ITN use should be delivered by health workers.