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Long-Lasting Insecticide Net Ownership, Access and Use in Southwest Ethiopia: A Community-Based Cross-Sectional Study

Author

Listed:
  • Dinberu Seyoum

    (Institute of Health and Society (IRSS), Université Catholique de Louvain, 1200 Brussels, Belgium
    Department of Statistics, Natural Science College, Jimma University, Jimma 378, Ethiopia)

  • Niko Speybroeck

    (Institute of Health and Society (IRSS), Université Catholique de Louvain, 1200 Brussels, Belgium)

  • Luc Duchateau

    (Biometrics Research Group, Faculty of Veterinary Medicine, Ghent University, 9000 Ghent, Belgium)

  • Patrick Brandt

    (School of Economic, Political and Policy Sciences, The University of Texas, Dallas, TX 75080, USA)

  • Angel Rosas-Aguirre

    (Institute of Health and Society (IRSS), Université Catholique de Louvain, 1200 Brussels, Belgium
    Institute of Tropical Medicine “Alexander von Humboldt”, Universidad Peruana Cayetano Heredia, Lima 31, Peru)

Abstract

Introduction : A large proportion of the Ethiopian population (approximately 68%) lives in malaria risk areas. Millions of long-lasting insecticide treated nets (LLINs) have been distributed as part of the malaria prevention and control strategy in the country. This study assessed the ownership, access and use of LLNs in the malaria endemic southwest Ethiopia. Methods : A community-based cross-sectional study was conducted in southwest Ethiopia during October–November 2015, including 836 households from sixteen villages around Gilgel-Gibe dam area. Indicators of ownership, access and use of LLINs were derived following the Roll Back Malaria (RBM) guidelines. Factors associated with failure for both LLIN access and use were analysed at household level using a multivariate logistic regression model. Results : The proportion of households with at least one LLIN was 82.7% (95% CI: 80.0, 85.1). However, only 68.9% (95% CI: 65.6, 71.9) had enough LLINs to cover all family members (with ≥one LLIN for every two persons). While 75.3% (95% CI: 68.4, 83.0) of the population was estimated to have accessed to LLINs, only 63.8% (95% CI: 62.3, 65.2) reported to have used a LLIN the previous night. The intra-household gap (i.e., households owning at least one LLIN, but unable to cover all family members) and the behavioral gap (i.e., household members who did not sleep under a LLIN despite having access to one) were 16.8% and 10.5%, respectively. Age, marital status and education of household heads, as well as household size and cooking using firewood were associated with the access to enough LLINs within households. Decreased access to LLINs at households was the main determinant for not achieving ≥80% household members sleeping under a LLIN the previous night. Other associated factors were household size and education level of household head. Conclusions : LLIN coverage levels in study villages remain below national targets of 100% for ownership and 80% for use. The access to enough LLINs within the households is the main restriction of LLIN use in the study area.

Suggested Citation

  • Dinberu Seyoum & Niko Speybroeck & Luc Duchateau & Patrick Brandt & Angel Rosas-Aguirre, 2017. "Long-Lasting Insecticide Net Ownership, Access and Use in Southwest Ethiopia: A Community-Based Cross-Sectional Study," IJERPH, MDPI, vol. 14(11), pages 1-16, October.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:11:p:1312-:d:116693
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    References listed on IDEAS

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    1. Cheryl L Russell & Adamu Sallau & Emmanuel Emukah & Patricia M Graves & Gregory S Noland & Jeremiah M Ngondi & Masayo Ozaki & Lawrence Nwankwo & Emmanuel Miri & Deborah A McFarland & Frank O Richards , 2015. "Determinants of Bed Net Use in Southeast Nigeria following Mass Distribution of LLINs: Implications for Social Behavior Change Interventions," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-15, October.
    2. Hannah Koenker & Albert Kilian, 2014. "Recalculating the Net Use Gap: A Multi-Country Comparison of ITN Use versus ITN Access," PLOS ONE, Public Library of Science, vol. 9(5), pages 1-7, May.
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