Ownership and use of long-lasting insecticidal nets for malaria prevention in Butajira area, south-central Ethiopia: complex samples data analysis

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2014
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Abstract
Despite the encroaching of endemic malaria to highland-fringe areas above 2000 meters above sea level in Ethiopia, there is limited information on ownership and use of mosquito nets for malaria prevention. Thus, this study was designed to assess long-lasting insecticidal nets (LLIN) possession and use for malaria prevention in highland-fringe of south-central Ethiopia. A multi-stage sampling technique was employed to obtain household data from randomly selected households using household head interview in October and November 2008. Household LLIN possession and use was assessed using adjusted Odds Ratio obtained from complex samples logistic regression analysis. Only less than a quarter (23.1%) of 739 households interviewed owned LLINs with more differences between low (54.2%) high (3.5%) altitudes (Χ 2 =253, P < 0.001). Higher LLIN ownership was observed in illiterate (adj.OR 35.1 [10.6-116.2]), male-headed (adj.OR 1.7 [1.051-2.89]), owning two or more beds (adj.OR 2.7 [1.6-4.6]), not doing draining/refilling of mosquito breeding sites (adj.OR 3.4 [2.1-5.5]) and absence of rivers or streams (adj.OR 6.4 [3.5-11.8]) of household variables. The presence of ≥2 LLINs hanging (adj.OR 21.0 [5.2-85.1]), owning two or more LLINs (adj.OR 4.8 [1.3-17.5]), not doing draining/refilling of mosquito breeding sites (adj.OR 4.2 [1.3-13.6]), low wealth status (adj.OR 3.55 [1.04-12.14]), and < 1 km distance from absence of rivers or streams (adj.OR 3.9 [1.2-12.1]) of households was associated with more likely use of LLIN. The LLIN ownership was low in the highlands, and most of the highland users bought the bed nets themselves. This study found a low household LLIN ownership and use in the highland-fringe rural area. Therefore, improving the availability and teaching effective use of LLIN combined with removal of temporary mosquito breeding places should be prioritized in highland-fringe areas.
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woyessa2014bmcownership Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Adugna Woyessa;Wakgari Deressa;Ahmed Ali;Bernt Lindtjørn;Adugna Woyessa;Wakgari Deressa;Ahmed Ali;Bernt Lindtjørn;
Journal BMC public health
Year 2014
DOI
doi:10.1186/1471-2458-14-99
URL
http://dx.doi.org/10.1186/1471-2458-14-99
Keywords
Epidemiology public health vaccine environmental health biostatistics general medicine/public health National Center for Biotechnology Information NCBI NLM MEDLINE humans pubmed abstract nih national institutes of health national library of medicine research support non-u.s. gov't adult female male adolescent aged middle aged young adult 80 and over Cross-Sectional Studies Family Characteristics Ethiopia / epidemiology sampling studies adugna woyessa wakgari deressa bernt lindtjørn pmid:24479770 pmc3914706 doi:10.1186/1471-2458-14-99 altitude insecticide-treated bednets / statistics & numerical data* malaria / prevention & control* ownership / statistics & numerical data

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