Long-lasting insecticide-treated bed net ownership, utilization and associated factors among school-age children in Dara
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Malaria Journal Open Access
RESEARCH
Long‑lasting insecticide‑treated bed net ownership, utilization and associated factors among school‑age children in Dara Mallo and Uba Debretsehay districts, Southern Ethiopia Zerihun Zerdo1,2* , Hilde Bastiaens3, Sibyl Anthierens3, Fekadu Massebo4, Matewos Masne4, Gelila Biresaw1, Misgun Shewangizaw5, Abayneh Tunje5, Yilma Chisha5, Tsegaye Yohannes1 and Jean‑Pierre Van Geertruyden2
Abstract Background: Malaria is one of the major causes of morbidity and mortality among school-age children (SAC) in sub-Saharan Africa. SAC account for more than 60% of the reservoir of malaria transmission, but they are given less emphasis in prioritizing malaria prevention interventions. This study was aimed at assessing the ownership of longlasting insecticide treated bed nets (LLINs), its utilization and factors associated with ownership of LLINs by house‑ holds and LLINs utilization among SAC in malaria-prone areas of Dara Mallo and Uba Debretsehay districts in South‑ ern Ethiopia, October to December 2019. Methods: This study is part of a baseline assessment in a cluster-randomized controlled trial. The data was collected through interview and observation, following a structured questionnaire, of 2261 SAC households. Univariable and multivariable multilevel logistic regressions were used to assess the association between LLINs ownership and utiliza‑ tion 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 LLIN by households of SAC was about 19.3% (95% CI 17.7–21.0%) but only 10.3% % (95% CI 7.7–13.7%) of these households had adequate access of bed nets to the household members. Ownership of bed net was marginally affected by living in semi-urban area (adjusted OR = 2.6; 95% CI 1.0–6.9) and occupational status of the household head being a civil servant (adjusted OR = 2.7; 95% CI 0.9–7.9). 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 least one LLIN passed the previous night under LLIN. LLIN utilization by SAC conditional to presence of at least one net in the household was significantly correlated with education level of mother above grade 6 (adjusted OR = 3.4; 95% CI 1.3–9.3) and the household size to bed net ratio less than or equal to 2 (adjusted OR = 20.7; 95% CI 4.7–132.5).
*Correspondence: [email protected] 1 Department of Medical Laboratory Science, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia Full list of author information is available at the end of the article © The Author(s) 2020. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons lice
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