Teklemariam Zelalem, Awoke Aymere, Dessie Yadeta, Weldegebreal Fitsum
Haramaya University, College of Health and Medical Sciences, Department of Medical Laboratory Sciences, Harar, Ethiopia.
Haramaya University, College of Health and Medical Sciences, Department of Environmental Health, Harar, Ethiopia.
Pan Afr Med J. 2015 May 25;21:52. doi: 10.11604/pamj.2015.21.52.5380. eCollection 2015.
Insecticide-treated nets (ITNs) stood at center in the current efforts to prevent and control malaria at community and individual levels. Though ITNs are the most prominent measure for large-scale deployment in highly endemic areas their compliance in terms of ownership and usage needs attention. The aim of this study was therefore to determine the ownership and utilization pattern of ITNs in Harari Peoples National Regional state, Ethiopia.
A community based cross-sectional study was conducted in Harari National Regional State from September to October, 2012. A total of 784 households were included from malarious areas. Data were collected by using structured questionnaires and observational checklist.
About 57.9% of participants had at least one ITNs. The utilization of ITNs based on history of sleeping under net in the previous night was 73.3%. Regarding proper use of ITNs, 57.9% of respondents demonstrated proper hanging and tucking. Those households with secondary school education (AOR: 1.775(1.047, 3.009)), knowledge about ITNs use (AOR: 2.400(1.593, 3.615)) and knowledge of malaria transmission by bite of mosquito (AOR: 1.653(1.156, 2.365)) have more likely hood to own ITNs.
ITNs Ownership was low as compared to the target by Federal ministry of Health of Ethiopia. Though utilization of ITNs was promising, there are still significant number of participants who demonstrate hanging and tucking improperly. Therefore, health bureau need to work towards increasing the distribution of ITNs per household and also provide health information through health extension workers to enhance regular and proper usage of the ITNs.
在当前社区和个人层面预防与控制疟疾的努力中，经杀虫剂处理的蚊帐（ITNs）处于核心地位。尽管ITNs是在高度流行地区进行大规模部署的最突出措施，但其在所有权和使用方面的依从性仍需关注。因此，本研究的目的是确定埃塞俄比亚哈拉里人民民族区域州ITNs的所有权和使用模式。
2012年9月至10月在哈拉里民族区域州进行了一项基于社区的横断面研究。从疟疾流行地区纳入了784户家庭。通过使用结构化问卷和观察清单收集数据。
约57.9%的参与者至少拥有一顶ITN。根据前一晚在蚊帐下睡觉的历史记录，ITN的使用率为73.3%。关于ITN的正确使用，57.9%的受访者展示了正确的悬挂和掖边方法。受过中学教育的家庭（调整后的比值比：1.775（1.047，3.009））、对ITN使用的了解（调整后的比值比：2.400（1.593，3.615））以及对蚊虫叮咬传播疟疾的了解（调整后的比值比：1.653（1.156，2.365））拥有ITN的可能性更大。
与埃塞俄比亚联邦卫生部的目标相比，ITN的所有权较低。尽管ITN的使用率很可观，但仍有相当数量的参与者展示了不正确的悬挂和掖边方法。因此，卫生局需要努力增加每户ITN的分发数量，并通过卫生推广工作者提供健康信息，以加强ITN的定期和正确使用。
