Insecticide treated nets use and its determinants among settlers of Southwest Ethiopia
Identifieur interne : 000753 ( Pmc/Curation ); précédent : 000752; suivant : 000754Insecticide treated nets use and its determinants among settlers of Southwest Ethiopia
Auteurs : Tsegaye Berkessa ; D. Oljira ; B. TesfaSource :
- BMC Public Health [ 1471-2458 ] ; 2016.
Abstract
Ethiopia is rapidly increasing insecticide-treated nets (ITNs) coverage to combat malaria, but adequate follow-up and factors affecting use of ITNs is lacking. The aim of this study was to assess determinants of the use of ITNs in a southwest area of Ethiopia.
This cross-sectional survey was conducted in the Chewaka district settlement area of southwest Oromia from March to May, 2013. Kebeles were stratified by degree of urbanization (rural, peri-urban, or urban). Randomly selected households, which had been freely supplied with at least one ITN, were surveyed using a pre-tested, structured questionnaire administered through household interviews. Logistic regression analysis was used to examine the association between use of ITNs and determinant factors.
Of 574 households surveyed, 72.6 % possessed ITNs and 80 % of these had been used the night before the survey. The most common reasons for the absence ITNs in the household identified in this study were ITNs were old and therefore discarded and that households use ITNs for purposes other than their intended use. The multivariate analysis found that knowledge of malaria transmission by mosquito bites (Adjusted OR = 3.44, 95 % CI: 1.80–6.59), and washing of ITNs at least once by households (Adjusted OR = 2.66, 95 % CI: 1.35–5.26) were significantly associated with an ITN being used by households. The mean possession was 1.59 ITN per household (3.57 persons per an ITN). One hundred fifty four (36.9 %) of ITNs had at least one hole/tear. Among these, 108 (70.1 %) ITNs had at least one hole/tear with greater than 2 cm and 29 (18.8 %) had greater than seven holes/tears.
This study in Southwest Ethiopia showed a high proportion of net ownership compared to a household survey from Ethiopia which included in the World Malaria Report. Despite somewhat high percentages ITN ownership, the study demonstrated there was still a gap between ownership and use of ITNs. Use of ITNs was affected by knowledge of malaria transmission by mosquito bite and washing of ITNs at least once by households. Intensive health education and community mobilization efforts should be employed to attempt to influence these factors that significantly affect ITN use.
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DOI: 10.1186/s12889-016-2768-8
PubMed: 26830027
PubMed Central: 4736163
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Tsegaye Berkessa<affiliation><nlm:aff id="Aff1">Department of Public Health, Faculty of Public Health and Medical Sciences, Mettu University, Mettu, PO Box 318, Ilu Ababor Ethiopia</nlm:aff><wicri:noCountry code="subfield">Ilu Ababor Ethiopia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff1">Department of Public Health, Faculty of Public Health and Medical Sciences, Mettu University, Mettu, PO Box 318, Ilu Ababor Ethiopia</nlm:aff><wicri:noCountry code="subfield">Ilu Ababor Ethiopia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Department of Midwifery, Faculty of Public Health and Medical Sciences, Mettu University, Mettu, PO Box 318, Ilu Ababor Ethiopia</nlm:aff><wicri:noCountry code="subfield">Ilu Ababor Ethiopia</wicri:noCountry></affiliation>Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Insecticide treated nets use and its determinants among settlers of Southwest Ethiopia</title><author><name sortKey="Berkessa, Tsegaye" sort="Berkessa, Tsegaye" uniqKey="Berkessa T" first="Tsegaye" last="Berkessa">Tsegaye Berkessa</name><affiliation><nlm:aff id="Aff1">Department of Public Health, Faculty of Public Health and Medical Sciences, Mettu University, Mettu, PO Box 318, Ilu Ababor Ethiopia</nlm:aff><wicri:noCountry code="subfield">Ilu Ababor Ethiopia</wicri:noCountry></affiliation></author><author><name sortKey="Oljira, D" sort="Oljira, D" uniqKey="Oljira D" first="D." last="Oljira">D. Oljira</name><affiliation><nlm:aff id="Aff1">Department of Public Health, Faculty of Public Health and Medical Sciences, Mettu University, Mettu, PO Box 318, Ilu Ababor Ethiopia</nlm:aff><wicri:noCountry code="subfield">Ilu Ababor Ethiopia</wicri:noCountry></affiliation></author><author><name sortKey="Tesfa, B" sort="Tesfa, B" uniqKey="Tesfa B" first="B." last="Tesfa">B. Tesfa</name><affiliation><nlm:aff id="Aff2">Department of Midwifery, Faculty of Public Health and Medical Sciences, Mettu University, Mettu, PO Box 318, Ilu Ababor Ethiopia</nlm:aff><wicri:noCountry code="subfield">Ilu Ababor Ethiopia</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26830027</idno><idno type="pmc">4736163</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4736163</idno><idno type="RBID">PMC:4736163</idno><idno type="doi">10.1186/s12889-016-2768-8</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000754</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000754</idno><idno type="wicri:Area/Pmc/Curation">000753</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000753</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Insecticide treated nets use and its determinants among settlers of Southwest Ethiopia</title><author><name sortKey="Berkessa, Tsegaye" sort="Berkessa, Tsegaye" uniqKey="Berkessa T" first="Tsegaye" last="Berkessa">Tsegaye Berkessa</name><affiliation><nlm:aff id="Aff1">Department of Public Health, Faculty of Public Health and Medical Sciences, Mettu University, Mettu, PO Box 318, Ilu Ababor Ethiopia</nlm:aff><wicri:noCountry code="subfield">Ilu Ababor Ethiopia</wicri:noCountry></affiliation></author><author><name sortKey="Oljira, D" sort="Oljira, D" uniqKey="Oljira D" first="D." last="Oljira">D. Oljira</name><affiliation><nlm:aff id="Aff1">Department of Public Health, Faculty of Public Health and Medical Sciences, Mettu University, Mettu, PO Box 318, Ilu Ababor Ethiopia</nlm:aff><wicri:noCountry code="subfield">Ilu Ababor Ethiopia</wicri:noCountry></affiliation></author><author><name sortKey="Tesfa, B" sort="Tesfa, B" uniqKey="Tesfa B" first="B." last="Tesfa">B. Tesfa</name><affiliation><nlm:aff id="Aff2">Department of Midwifery, Faculty of Public Health and Medical Sciences, Mettu University, Mettu, PO Box 318, Ilu Ababor Ethiopia</nlm:aff><wicri:noCountry code="subfield">Ilu Ababor Ethiopia</wicri:noCountry></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p id="Par1">Ethiopia is rapidly increasing insecticide-treated nets (ITNs) coverage to combat malaria, but adequate follow-up and factors affecting use of ITNs is lacking. The aim of this study was to assess determinants of the use of ITNs in a southwest area of Ethiopia.</p></sec><sec><title>Methods</title><p id="Par2">This cross-sectional survey was conducted in the Chewaka district settlement area of southwest Oromia from March to May, 2013. Kebeles were stratified by degree of urbanization (rural, peri-urban, or urban). Randomly selected households, which had been freely supplied with at least one ITN, were surveyed using a pre-tested, structured questionnaire administered through household interviews. Logistic regression analysis was used to examine the association between use of ITNs and determinant factors.</p></sec><sec><title>Results</title><p id="Par3">Of 574 households surveyed, 72.6 % possessed ITNs and 80 % of these had been used the night before the survey. The most common reasons for the absence ITNs in the household identified in this study were ITNs were old and therefore discarded and that households use ITNs for purposes other than their intended use. The multivariate analysis found that knowledge of malaria transmission by mosquito bites (Adjusted OR = 3.44, 95 % CI: 1.80–6.59), and washing of ITNs at least once by households (Adjusted OR = 2.66, 95 % CI: 1.35–5.26) were significantly associated with an ITN being used by households. The mean possession was 1.59 ITN per household (3.57 persons per an ITN). One hundred fifty four (36.9 %) of ITNs had at least one hole/tear. Among these, 108 (70.1 %) ITNs had at least one hole/tear with greater than 2 cm and 29 (18.8 %) had greater than seven holes/tears.</p></sec><sec><title>Conclusions</title><p id="Par4">This study in Southwest Ethiopia showed a high proportion of net ownership compared to a household survey from Ethiopia which included in the World Malaria Report. Despite somewhat high percentages ITN ownership, the study demonstrated there was still a gap between ownership and use of ITNs. Use of ITNs was affected by knowledge of malaria transmission by mosquito bite and washing of ITNs at least once by households. Intensive health education and community mobilization efforts should be employed to attempt to influence these factors that significantly affect ITN use.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lozano, R" uniqKey="Lozano R">R Lozano</name></author><author><name sortKey="Naghavi, M" uniqKey="Naghavi M">M Naghavi</name></author><author><name sortKey="Foreman, K" uniqKey="Foreman K">K Foreman</name></author><author><name sortKey="Lim, S" uniqKey="Lim S">S Lim</name></author><author><name sortKey="Shibuya, K" uniqKey="Shibuya K">K Shibuya</name></author><author><name sortKey="Aboyans, V" uniqKey="Aboyans V">V Aboyans</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nsungwa Sabiiti, J" uniqKey="Nsungwa Sabiiti J">J Nsungwa-Sabiiti</name></author><author><name sortKey="Peterson, S" uniqKey="Peterson S">S Peterson</name></author><author><name sortKey="Pariyo, G" uniqKey="Pariyo G">G Pariyo</name></author><author><name sortKey="Ogwal Okeng, J" uniqKey="Ogwal Okeng J">J Ogwal-Okeng</name></author><author><name sortKey="Petzold, Mg" uniqKey="Petzold M">MG Petzold</name></author><author><name sortKey="Tomson, G" uniqKey="Tomson G">G Tomson</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Lengeler, C" uniqKey="Lengeler C">C Lengeler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Eisele, Tp" uniqKey="Eisele T">TP Eisele</name></author><author><name sortKey="Larsen, D" uniqKey="Larsen D">D Larsen</name></author><author><name sortKey="Steketee, Rw" uniqKey="Steketee R">RW Steketee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Loha, E" uniqKey="Loha E">E Loha</name></author><author><name sortKey="Tefera, K" uniqKey="Tefera K">K Tefera</name></author><author><name sortKey="Lindtj Rn, B" uniqKey="Lindtj Rn B">B Lindtjørn</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Macintyre, K" uniqKey="Macintyre K">K Macintyre</name></author><author><name sortKey="Keating, J" uniqKey="Keating J">J Keating</name></author><author><name sortKey="Okbaldt, Yb" uniqKey="Okbaldt Y">YB Okbaldt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Koreromp, El" uniqKey="Koreromp E">EL Koreromp</name></author><author><name sortKey="Miller, J" uniqKey="Miller J">J Miller</name></author><author><name sortKey="Cibulskis, Re" uniqKey="Cibulskis R">RE Cibulskis</name></author><author><name sortKey="Kabir Cham, M" uniqKey="Kabir Cham M">M Kabir Cham</name></author><author><name sortKey="Alnwick, D" uniqKey="Alnwick D">D Alnwick</name></author><author><name sortKey="Dye, C" uniqKey="Dye C">C Dye</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tsuyuoko, R" uniqKey="Tsuyuoko R">R Tsuyuoko</name></author><author><name sortKey="Midizi, Sm" uniqKey="Midizi S">SM Midizi</name></author><author><name sortKey="Dziva, P" uniqKey="Dziva P">P Dziva</name></author><author><name sortKey="Makunike, B" uniqKey="Makunike B">B Makunike</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Astatkie, A" uniqKey="Astatkie A">A Astatkie</name></author><author><name sortKey="Feleke, A" uniqKey="Feleke A">A Feleke</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Baume, Ac" uniqKey="Baume A">AC Baume</name></author><author><name sortKey="Reithinger, R" uniqKey="Reithinger R">R Reithinger</name></author><author><name sortKey="Woldehanna, S" uniqKey="Woldehanna S">S Woldehanna</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jima, D" uniqKey="Jima D">D 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<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Public Health</journal-id><journal-id journal-id-type="iso-abbrev">BMC Public Health</journal-id><journal-title-group><journal-title>BMC Public Health</journal-title></journal-title-group><issn pub-type="epub">1471-2458</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26830027</article-id><article-id pub-id-type="pmc">4736163</article-id><article-id pub-id-type="publisher-id">2768</article-id><article-id pub-id-type="doi">10.1186/s12889-016-2768-8</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Insecticide treated nets use and its determinants among settlers of Southwest Ethiopia</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Berkessa</surname><given-names>Tsegaye</given-names></name><address><email>tsegayebtola@gmail.com</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Oljira</surname><given-names>D.</given-names></name><address><email>dodbau3687@gmail.com</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Tesfa</surname><given-names>B.</given-names></name><address><email>bikila2003@gmail.com</email></address><xref ref-type="aff" rid="Aff2">2</xref></contrib><aff id="Aff1"><label>1</label>Department of Public Health, Faculty of Public Health and Medical Sciences, Mettu University, Mettu, PO Box 318, Ilu Ababor Ethiopia</aff><aff id="Aff2"><label>2</label>Department of Midwifery, Faculty of Public Health and Medical Sciences, Mettu University, Mettu, PO Box 318, Ilu Ababor Ethiopia</aff></contrib-group><pub-date pub-type="epub"><day>1</day><month>2</month><year>2016</year></pub-date><pub-date pub-type="pmc-release"><day>1</day><month>2</month><year>2016</year></pub-date><pub-date pub-type="collection"><year>2016</year></pub-date><volume>16</volume><elocation-id>106</elocation-id><history><date date-type="received"><day>23</day><month>2</month><year>2015</year></date><date date-type="accepted"><day>22</day><month>1</month><year>2016</year></date></history><permissions><copyright-statement>© Berkessa et al. 2016</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p id="Par1">Ethiopia is rapidly increasing insecticide-treated nets (ITNs) coverage to combat malaria, but adequate follow-up and factors affecting use of ITNs is lacking. The aim of this study was to assess determinants of the use of ITNs in a southwest area of Ethiopia.</p></sec><sec><title>Methods</title><p id="Par2">This cross-sectional survey was conducted in the Chewaka district settlement area of southwest Oromia from March to May, 2013. Kebeles were stratified by degree of urbanization (rural, peri-urban, or urban). Randomly selected households, which had been freely supplied with at least one ITN, were surveyed using a pre-tested, structured questionnaire administered through household interviews. Logistic regression analysis was used to examine the association between use of ITNs and determinant factors.</p></sec><sec><title>Results</title><p id="Par3">Of 574 households surveyed, 72.6 % possessed ITNs and 80 % of these had been used the night before the survey. The most common reasons for the absence ITNs in the household identified in this study were ITNs were old and therefore discarded and that households use ITNs for purposes other than their intended use. The multivariate analysis found that knowledge of malaria transmission by mosquito bites (Adjusted OR = 3.44, 95 % CI: 1.80–6.59), and washing of ITNs at least once by households (Adjusted OR = 2.66, 95 % CI: 1.35–5.26) were significantly associated with an ITN being used by households. The mean possession was 1.59 ITN per household (3.57 persons per an ITN). One hundred fifty four (36.9 %) of ITNs had at least one hole/tear. Among these, 108 (70.1 %) ITNs had at least one hole/tear with greater than 2 cm and 29 (18.8 %) had greater than seven holes/tears.</p></sec><sec><title>Conclusions</title><p id="Par4">This study in Southwest Ethiopia showed a high proportion of net ownership compared to a household survey from Ethiopia which included in the World Malaria Report. Despite somewhat high percentages ITN ownership, the study demonstrated there was still a gap between ownership and use of ITNs. Use of ITNs was affected by knowledge of malaria transmission by mosquito bite and washing of ITNs at least once by households. Intensive health education and community mobilization efforts should be employed to attempt to influence these factors that significantly affect ITN use.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>ITN utilization</kwd><kwd>Settlers</kwd><kwd>Malaria prevention</kwd><kwd>Ethiopia</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2016</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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