Utilization of insecticide treated bed net and associated factors among households of Kola Diba town, North Gondar, Amhara region, Ethiopia

Alemu, Melaku; Asnake, Meles Addisu; Lemma, Melaku Yilma; Melak, Melkitu Fentie; Yenit, Melaku Kindie

doi:10.1186/s13104-018-3697-7

Cited by 24 publications

(25 citation statements)

References 18 publications

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“…For example, in this study the amount of change in comprehensive knowledge about malaria was +14.5%. However, even post-intervention knowledge (39.3%) was very low compared to amounts reported in studies in Africa [ 49 – 51 ] and the national elimination plans, i.e., near 100% for specific item: knowledge of mosquito bite as a correct cause of malaria [ 12 , 13 ]. Studies [ 49 , 50 ] measured specific knowledge items unlike the current study that comprehensively measured knowledge.…”

Section: Discussionmentioning

confidence: 95%

“…Spatial variations (study districts), gender, ownershipaccess, exposure to content of school-based messages, perceptions (attitude, perceived efficacy) towards ITN, and a parental perception that students were good reminders were main predictors of ITN utilization. Studies conducted in different regions or settings in Ethiopia reported differences in the prevalence of ITN utilization ranging from 37 to 91% [36,37,51]. Access has been a challenge to ITN usage [37][38][39][40][41].…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of peer-learning assisted primary school students educating the rural community on insecticide-treated nets utilization in Jimma-zone Ethiopia

Koricha

Abebe

Alemayehu

et al. 2020

Malar J

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Background Making insecticide-treated nets (ITNs) utilization a social norm would support the global goal of malaria eradication and Ethiopian national aim of its elimination by 2030. Jimma zone is one of the endemic settings in Ethiopia. This study aimed to report effects of malaria education, delivered by students, on community behaviours; particularly ITNs. Methods In pre-posttest, cross-sectional household surveys conducted in rural villages of 5 districts in Jimma Zone, Ethiopia, 762 households were sampled. The intervention engaged students from primary schools in participatory peer education within small groups, followed by exposing parents with malaria messages aimed at influencing perceptions and practices. The data were analysed using SPSS version 20.0. Proportions/means differences were computed to compare changes in exposure, knowledge, perceptions, and practices using 95% CI at p < 0.05. Regression analyses were conducted to assess exposures to school-based education, content intensity, perception, and access related predictors of ITN utilization over the intervention periods. Results Over the intervention periods, the findings showed significant improvement in exposure to and content intensity of malaria messages delivered by students, effect size (ES) = 44.5% and 19.3%, p < 0.001, respectively. ITN utilization (ES = 25.8%), and the reported behaviour of giving ITN priority to children under 5 years old and pregnant women increased by ES = 16.3% and 24.8%, respectively. The exposure status or content intensity of malaria education, in turn, significantly improved comprehensive knowledge about malaria (β = +1.82), misconceptions about causes (β = − 11.46), awareness of caring for ITN (β = +24.79), identifying ITN as effective preventive methods (OR = 1.93), attitude towards ITN (β = +0.20), perceived efficacy of ITN (OR = 1.04), acceptance of ITN as a means to control the danger of malaria (β = +8.08%), and ITN utilization (OR = 1.85). Nonetheless, perceived threat (β = − 0.19) significantly negatively correlated with exposure to students’ messages. Socio-demography, access, exposures to messages, and parental perception that students were good reminders predicted ITN utilization over the intervention periods with some changing patterns. Conclusions Exposing the community to malaria education through students effectively supports behaviour change, particularly ITN usage, to be more positive towards desired malaria control practices. A school-based strategy is recommended to the national effort to combat malaria.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Effectiveness of peer-learning assisted primary school students educating the rural community on insecticide-treated nets utilization in Jimma-zone Ethiopia

Koricha

Abebe

Alemayehu

et al. 2020

Malar J

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“…Bed net utilization was signi cantly associated with the presence of either a pregnant mother or under ve years aged children in the household among internally displaced households in the Democratic Republic of Congo (16), household members in the Budondo sub-country in Uganda (28), a national community based survey in Madagascar (30). In agreement with our nding, bed net utilization by SAC was not affected by the presence of pregnant mother or children aged less than ve years in the household in Malawi (45) and general population in Yemen (38).…”

Section: Discussionmentioning

confidence: 99%

Long Lasting Insecticide-treated Bed Net Ownership, Utilization and Associated Factors Among School-age Children in Dara Mallo and Uba Debretsehay Districts, Southern Ethiopia

Zerdo

Bastiaens

Anthierens

et al. 2020

Preprint

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Background Malaria is one of the major causes of morbidity and mortality among school-aged children (SAC) in Sub-Saharan Africa. SAC account for more than 60% of the reservoir of malaria transmission, but they were given less emphasis on prioritizing malaria prevention interventions. This study was aimed at assessing the ownership of bed nets, its utilization and factors associated with ownership of bed nets by households and bed net utilization among SAC in malaria prone areas of Dara Mallo and Uba Debretsehay districts in Southern Ethiopia, October to December 2019. Methods This study is part of baseline assessment in a cluster randomized controlled trial. The data were collected through interview and observation following structured questionnaire from 2261 SAC households. Univariable and multivariable logistic regressions were used to assess the association between bed net ownership or utilization and potential predictor variables. Odds Ratio (OR) and corresponding 95% Confidence Interval (CI) were used to determine the strength and statistical significance of association. Results The ownership of at least one bed net by households of SAC was about 19.3% (95% CI: 17.7%-21.0%). It was affected by living in altitude ranged from 1100 to 1250 meters above sea level with Adjusted OR (AOR) of 0.5 (95%CI: 0.3–0.9) and presence of child age less than 5 years (AOR = 2.1; 95%CI: 1.2–3.7). About 7.8% (95% CI: 6.7%-10.0%) of all SAC participated in the study and 40.4% (95% CI: 57.4% − 66.7%) of children in households owning at bed net passed the previous night under bed net. Bed net utilization by SAC conditional to its presence was lower among children age > 9 years (AOR = 0.2; 95%CI: 0.03–0.8); higher in children with mothers who had an education level above grade six (AOR = 5.2; 95%CI: 1.8–17.0); and when the household size to bed net ratio was ≤ 2 (AOR = 37.8; 95%CI: 4.1–1106). Conclusion Ownership of bed net was lower than universal coverage of at least one bed net for two individuals. It is important to monitor replacement needs and educate mothers with low education level and their SAC on the benefit of consistent utilization of bed nets.

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“…According to the HBM of health and illness, it is not only the participants' belief that matters but also their knowledge and attitude [47]; hence, the perception of seriousness is based on medical knowledge people own. Better utilisation of ITNs existed among the communities who understand malaria infection and transmission methods [48]. Differences in malaria knowledge have been shown to cause discrepancies in tackling malaria [49] due to differences in strategic utilisation.…”

Section: Insecticide-treated Mosquito Nets and Malaria Knowledgementioning

confidence: 99%

Linking insecticide-treated mosquito nets to malaria: The roles of malaria Knowledge and household-income

Mohammed¹,

Hong²

2020

Preprint

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Background: Drawing on the theory of the health belief model, this study examined the interplay between insecticide-treated mosquito nets, malaria-knowledge, household income, and malaria. The study was premised on the notion that insecticide-treated mosquito nets are positively related to malaria prevalence; and that knowledge mediates the relationship between insecticide-treated mosquito nets and malaria. Furthermore, household-income was hypothesised to have a moderating effect on the direct and indirect relationships (through malaria knowledge) between insecticide-treated mosquito nets and the prevalence of malaria. Methods: The hypothesised relationships were examined using panel data collected from ten regions of Ethiopia during 2011 – 2015. Structural equation modelling and the random effect model were used to test the hypotheses. Statistical analyses were performed using Stata version 13.0. Results: The results were consistent with our proposed hypotheses, showing a significant relationship between the research variables. Accordingly, our findings suggest that malaria knowledge contributes to improving the relationship between insecticide-treated mosquito nets and malaria prevalence. The results revealed a positively significant indirect effect (β = 0.47, p = 0.003) as well as a positively significant direct effect (β = 0.28, p = 0.001). Further, the study showed a positive impact of household-income in strengthening the relationship between insecticide-treated mosquito nets and malaria through knowledge, with a considerable value (β = 0.13, p = 0.000). Conclusion: The findings are potentially useful for the health sector to ensure success in infectious disease prevention and control, particularly malaria, and to explain how various factors contribute to the relationship.

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Utilization of insecticide treated bed net and associated factors among households of Kola Diba town, North Gondar, Amhara region, Ethiopia

Cited by 24 publications

References 18 publications

Effectiveness of peer-learning assisted primary school students educating the rural community on insecticide-treated nets utilization in Jimma-zone Ethiopia

Effectiveness of peer-learning assisted primary school students educating the rural community on insecticide-treated nets utilization in Jimma-zone Ethiopia

Long Lasting Insecticide-treated Bed Net Ownership, Utilization and Associated Factors Among School-age Children in Dara Mallo and Uba Debretsehay Districts, Southern Ethiopia

Linking insecticide-treated mosquito nets to malaria: The roles of malaria Knowledge and household-income

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