Assessment of Malaria Vector Control Measures (ITNs &amp; IRS) Utilization and Factors Affecting it in Adama District, East Shoa Zone, Oromia Region Ethiopia, 2018

Nesga, Dechasa; Abate, Debalke; Girma, Birhanu

doi:10.11648/j.jfmhc.20200602.13

Cited by 3 publications

(4 citation statements)

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“…The utilization of ITNs was 1.8 times among government-employed pregnant women compared to their counterparts. Similarly, Yitayew et al, 2018 15 reported that government-employed pregnant women were more likely to utilize it. This might be because government-employed pregnant women have a good income to buy ITNs and access health facilities/health care providers to be informed about the advantage of ITNs utilization.…”

Section: Discussionmentioning

confidence: 99%

Insecticide-Treated Nets Utilization and Associated Factors Among Pregnant Women in Miesso Woreda, Eastern Ethiopia: Observational Study

Tesfaye¹,

Alemu²,

Egata³

et al. 2022

IJWH

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Background Even though most sub-Saharan Africa adopted the World Health organization guidelines for malaria prevention, the coverage of insecticide-treated nets by pregnant women is low, where 28 million pregnant women did not receive insecticide-treated nets services. Likewise, only 13–51.4% of pregnant women utilize insecticide-treated nets in Ethiopia. Methods A community-based cross-sectional study was conducted in Miesso woreda from April 01 to 30, 2017, among 424 pregnant women. A multi-stage cluster sampling technique was used to select the study participants. A structured interviewer-based administered questionnaire and observational checklist were used to collect the data. The collected data were entered into Epi data version 3.1 and exported to SPSS version 23 for analysis. Multiple logistic regression models were fitted to identify factors associated with insecticide-treated nets utilization. Adjusted odds ratios along 95% CI were estimated to measure the strength of the association and declared statistical significance at a p-value < 0.05. Results Of a total respondents, 39.9% (95% CI: 34.9–44.2%) utilize insecticide-treated nets. Pregnant women from rural (AOR = 2.05, 95% CI: 1.14, 3.38), employed women (AOR = 1.80, 95% CI: 1.13, 2.86), monthly income >1050 Ethiopian total birr (AOR = 2.02, 95% CI: 1.06, 3.84), third trimester pregnancy (AOR = 2.19, 95% CI: 1.09, 4.40), and having antenatal care for current pregnancy (AOR = 3.86, 95% CI: 1.63, 9.10) were factors significantly associated with insecticide-treated nets. Conclusion The utilization of insecticide-treated nets is relatively low. Residence, occupational status, monthly income, stage of pregnancy, and antenatal care status were factors significantly associated with insecticide-treated net utilization among pregnant women.

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Section: Discussionmentioning

confidence: 99%

Insecticide-Treated Nets Utilization and Associated Factors Among Pregnant Women in Miesso Woreda, Eastern Ethiopia: Observational Study

Tesfaye¹,

Alemu²,

Egata³

et al. 2022

IJWH

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“…So, they are the principal target of insecticide-based control. Interventions responsible for the decline of malaria morbidity and mortality up to 2019 (WHO, 2021) is traced to use of insecticidebased control of the vector delivered through insecticide treated bed nets and indoor residual spraying (Bhart et al, 2015;Nesga et al, 2020;Okumu, 2020;Aïzoun et al 2021Garciet al 2022 among others interventions such as house screening. Households that do not use IRS or LLIN are said to bear the heaviest burden of malaria and when given a choice between insecticides (IRS) and treated bed nets, 1 in 3 households preferred treated bed nets (Echodu et al, (2021).…”

Section: Indoor Insecticide Control Strategymentioning

confidence: 99%

“…(Monroe et al, 2021). The extent of counter measures of affected people depends on their level of knowledge of the vector/pathogen and the nature of their environment and even the knowledge status of the community (Nesga et al, 2020). In Nigeria, encouraging knowledge of malaria preventive measures to all concerned and applying measures to stop malaria spread by mosquitoes are crucial tools of current mosquito/malaria control (Iyanda et al, 2020).…”

Section: Indoor Insecticide Control Strategymentioning

confidence: 99%

Why the World Health Organization should reconsider long lasting insecticide nets (LLIN) and indoor residual spraying (IRS) in primary mosquito/malaria control in favour of house screening

Ugwu¹

2023

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Mosquitoes spread malaria parasites in closed/open environment when they feed endophagously/ exophagously. Indoor residual spraying (IRS) and long-lasting insecticide nets (LLIN) are control measures adopted by the World Health Organization (WHO) that have not led to malaria elimination. Delay in defeating mosquito/malaria is attributed to WHO’s espousal of the last line of intervention that at-risk persons often ignore. Mosquito control methods will have to change if we must make progress in this direction. This paper shows that mosquitoes must survive four barriers before successfully attacking a host in a bed net. Correspondingly, indoor hosts have four levels of defenses where mosquitoes could be challenged albeit with increasing impediments. The first line of defense consists of net-screened windows, doors and eaves which circumscribe houses-outdoor environment. At-risk persons do not resist/refuse net-screening the openings in their houses. The last defensive intervention which most at-risk persons often resist most is sleeping in bed nets. The Achilles heel of IRS and LLIN include but not limited to vector resistance to insecticides, discomfort to beneficiaries, harm to non-target organisms, inequity in supply and distribution of control materials. List of advantages attributable to LLIN use has only 7 items whereas disadvantages have 37 items. House screening has better appeal to control mosquito/malaria indoors. The WHO should replace LLIN and IRS with house screening as the primary control method. Governments in endemic regions must use legislation to drive house screening especially with the s/o channel/grip devices that is accessible, cheap, effective and sustainable

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“…The prevalence of ITN utilization included in the review ranged from 18.9% to 88.3%. Of the 29 studies included in the final analysis, six were conducted in the Amhara region (30-35), seven in the Southern Nations, Nationalities, and Peoples' Region (SNNPR) (23,(36)(37)(38)(39)(40)(41), eight in Oromia (24, 25,35,[42][43][44][45][46], four in Tigray (19,(47)(48)(49), and the rest were in other regions in Ethiopia (20,21,50,51). The minimum sample size was 20 participants in a study conducted in SNNPR ( 41) and the highest was 3,784 in a study conducted in three districts of the Jimma zone, Oromia region (43) (Table 1).…”

Section: Characteristics Of the Included Articlesmentioning

confidence: 99%

Insecticide-treated net utilization and associated factors among pregnant women in Ethiopia: a systematic review and meta-analysis

Eshetu,

Bekele,

Debella

et al. 2023

Front. Glob. Womens Health

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BackgroundMalaria is a major public health problem in many developing countries, particularly in sub-Saharan Africa. The pregnant woman, fetus, and newborn infant are all at risk from malaria during pregnancy. Hence, insecticide-treated bed net (ITN) use is the most effective and advisable method for preventing malaria during pregnancy. Studies on the prevalence of ITN utilization among pregnant women in Ethiopia are inconsistently reported and highly varied. Therefore, this systematic review and meta-analysis aimed to estimate the pooled prevalence of ITN utilization and associated factors among pregnant women in Ethiopia.MethodsA comprehensive search of databases such as PubMed, CINAHL, Web of Science, SCOPUS, Science Direct, Google, and Google Scholar was performed to find studies conducted in Ethiopia. All original observational studies that reported the prevalence of ITN utilization were identified and screened. The Newcastle-Ottawa scale tool was used to assess the quality of the studies. Data were extracted in Microsoft Excel 2010 format and analyzed using STATA Version 14. A random-effect meta-analysis model was utilized to estimate the pooled prevalence of ITN utilization. The statistical heterogeneity was checked using the I2 test and subgroup analysis. The publication bias was assessed using funnel plots and Egger's regression test. The size of the pooled effect of the factors influencing the use of ITNs was estimated using an odds ratio (OR) with a 95% confidence interval (CI), and a P-value <0.05 was considered statistically significant.ResultsTwenty-nine cross-sectional studies with 13,957 study participants were included in this meta-analysis. The overall pooled prevalence of ITN utilization among pregnant women in Ethiopia was 51% (95% CI: 43–60). A statistically significant heterogeneity was observed across studies (I2 = 99.09%; P < 0.001). Being literate [OR = 2.93 (95% CI: 2.14–4.01)], rural residence [OR = 1.76 (95% CI: 1.37–2.26)], and having knowledge of ITN [OR = 4.13 (95% CI: 1.57–10.81)] were factors significantly associated with ITN utilization among pregnant women.ConclusionThe utilization of ITNs among pregnant women was substantially lower than the national target, alarmingly highlighting the need for urgent and effective interventions. Maternal education status, place of residence, and knowledge of ITNs were independent predictors of ITN utilization. Health policymakers and programmers should design and implement the most effective strategies to scale up the utilization of ITNs by pregnant women and reduce malaria-related morbidity during pregnancy.Systematic Review RegistrationCRD42022304432.

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Assessment of Malaria Vector Control Measures (ITNs & IRS) Utilization and Factors Affecting it in Adama District, East Shoa Zone, Oromia Region Ethiopia, 2018

Cited by 3 publications

References 0 publications

Insecticide-Treated Nets Utilization and Associated Factors Among Pregnant Women in Miesso Woreda, Eastern Ethiopia: Observational Study

Insecticide-Treated Nets Utilization and Associated Factors Among Pregnant Women in Miesso Woreda, Eastern Ethiopia: Observational Study

Why the World Health Organization should reconsider long lasting insecticide nets (LLIN) and indoor residual spraying (IRS) in primary mosquito/malaria control in favour of house screening

Insecticide-treated net utilization and associated factors among pregnant women in Ethiopia: a systematic review and meta-analysis

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