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Determinants of Bed Net Use in Southeast Nigeria following Mass Distribution of LLINs: Implications for Social Behavior Change Interventions

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Listed:
  • 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
  • Amy E Patterson

Abstract

Millions of long-lasting insecticide treated nets (LLINs) have been distributed as part of the global malaria control strategy. LLIN ownership, however, does not necessarily guarantee use. Thus, even in the ideal setting in which universal coverage with LLINs has been achieved, maximal malaria protection will only be achieved if LLINs are used both correctly and consistently. This study investigated the factors associated with net use, independent of net ownership. Data were collected during a household survey conducted in Ebonyi State in southeastern Nigeria in November 2011 following a statewide mass LLIN distribution campaign and, in select locations, a community-based social behavior change (SBC) intervention. Logistic regression analyses, controlling for household bed net ownership, were conducted to examine the association between individual net use and various demographic, environmental, behavioral and social factors. The odds of net use increased among individuals who were exposed to tailored SBC in the context of a home visit (OR = 17.11; 95% CI 4.45–65.79) or who received greater degrees of social support from friends and family (ptrend

Suggested Citation

  • 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.
    • Handle: RePEc:plo:pone00:0139447
    DOI: 10.1371/journal.pone.0139447
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    References listed on IDEAS

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    1. Winch, P. J. & Makemba, A. M. & Kamazima, S. R. & Lwihula, G. K. & Lubega, P. & Minjas, J. N. & Shiff, C. J., 1994. "Seasonal variation in the perceived risk of malaria: Implications for the promotion of insecticide-impregnated bed nets," Social Science & Medicine, Elsevier, vol. 39(1), pages 63-75, July.
    2. Dunn, Christine E. & Le Mare, Ann & Makungu, Christina, 2011. "Malaria risk behaviours, socio-cultural practices and rural livelihoods in southern Tanzania: Implications for bednet usage," Social Science & Medicine, Elsevier, vol. 72(3), pages 408-417, February.
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    1. 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.

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