%0 Journal Article
%T Determinants of Ownership and Utilization of Insecticide-Treated Bed Nets for Malaria Control in Eastern Ethiopia
%A Sibhatu Biadgilign
%A Ayalu Reda
%A Haji Kedir
%J Journal of Tropical Medicine
%D 2012
%I Hindawi Publishing Corporation
%R 10.1155/2012/235015
%X Background. Malaria remains a major cause of mortality and morbidity in the world, and particularly in sub-Saharan Africa. Objectives. The aim of this study was to determine ownership and utilization of ITNs among households with children under five in the previous night. Methods. A community based cross-sectional study was conducted in Gursum district in Eastern Ethiopia. A total of 335 households were surveyed using a pretested structured questionnaire administered though house-to-house interviews. Results. Household ownership for at least one mosquito net and use of nets were 62.4% (95% CI 57.2每67.6%) and 21.5% (95% CI 17.1每25.9%), respectively. Households who received or were told about ITN in the last 6 months were three times more likely to have used it than those who were not (OR 3.25; 95% CI 1.5每7.10). Households whose heads were engaged as a farmer (adjusted OR 0.137; 95% CI: 0.04每0.50) and housewife (OR 0.26; 95% CI: 0.08每0.82) were less likely to use ITN than those of other occupations. Conclusion. The findings indicate low ITN ownership and utilization among the households. Intensive health education and community mobilization effort should be employed to increase the possession and proper utilization of insecticide treated bed nets. 1. Background The World Health Organization (WHO) estimated that the number of cases of malaria rose from 233 million in 2000 to 244 million in 2005 but decreased to 225 million in 2009. The number of deaths due to malaria is estimated to have decreased from 985,000 in 2000 to 781,000 in 2009 [1]. Malaria remains a major public health problem particularly in sub-Saharan Africa [2] which accounts for about 90 per cent of all malaria deaths, most among children under age five [3]. Malaria-related mortality, morbidity, and economic loss could be averted if the available effective preventive and treatment interventions were made universally accessible to those in need [4]. In Africa about one out of every twenty children is likely to die of malaria-related illness before their fifth birthday [5]. In Ethiopia, malaria transmission is highly seasonal and often takes epidemic forms where significantly higher malaria morbidity and mortality occurs during the peak transmission season from September to December. Even though all age groups are at risk of developing severe malaria, children and pregnant women are the most vulnerable [6]. Approximately 75% of Ethiopia＊s landmass is malaria endemic [7每9]. The coverage and proper utilization of the most promising malaria preventive measure, insecticide-treated bed nets (ITNs),
%U http://www.hindawi.com/journals/jtm/2012/235015/