School of Public Health, Haramaya University College of Health and Medical Sciences, P. O. Box 235, Harar, Ethiopia.
Research Centre for Generational Health and Ageing, University of Newcastle, P.O. Box 2308, Callaghan, Newcastle, NSW, Australia.
BMC Public Health. 2018 Jan 10;18(1):124. doi: 10.1186/s12889-018-5022-8.
Many countries in sub-Saharan Africa, including Ethiopia, are focusing on the distribution of Long Lasting Insecticidal Nets (LLINs) to combat malaria. However, utilization of the LLIN is low when compared with LLIN possession because of various factors. This study was conducted to measure the actual LLIN usage and identify factors associated with its utilization in Limmu Seka District, South West Ethiopia.
A community based cross-sectional survey was conducted among 830 households from December 25, 2011 to February 29, 2012.
A total of 830 households were selected by stratified systematic sampling and surveyed. Ninety percent of those surveyed owned LLINs and 68.3% reported that someone had slept under the net on the night prior to the survey. The factors associated with LLIN usage were knowledge of the mode of malaria transmission (AOR; 0.086, 95% CI 0.03, 0.24), the preferred conical shapes of the LLIN (AOR; 1.6, 95% CI 1.31, 4.1), receiving information about their use from Health Extension Workers (HEWs) (AOR; 2.4, 95% CI 1.5, 3.9), hearing media campaigns (AOR; 3.2 95% CI 3.5, 9.2), education at a health facility (AOR; 2 95% CI 1.5, 3.9) or having a family size of three or less (AOR; 2.1, 95% CI 1.3, 3.5).
Although ownership of Long Lasting Insecticidal Nets was high at 90%, the actual usage of LLIN was low, and not all family members were protected. Promoting the usage of LLINs utilization by those at most risk, especially the conical shaped ones, through intensified health education using HEWs and mass media campaigns at all health facilities, schools and communities will improve LLIN utilization.
包括埃塞俄比亚在内的撒哈拉以南非洲的许多国家都专注于发放长效驱虫蚊帐（LLINs）以对抗疟疾。然而，由于各种因素，与拥有 LLIN 相比，LLIN 的利用率较低。本研究旨在衡量 Limmu Seka 区（埃塞俄比亚西南部）实际使用 LLIN 的情况，并确定与使用 LLIN 相关的因素。
2011 年 12 月 25 日至 2012 年 2 月 29 日，对 830 户家庭进行了一项基于社区的横断面调查。
通过分层系统抽样选择了 830 户家庭进行调查。接受调查的家庭中有 90%拥有 LLIN，68.3%的家庭报告说在前一天晚上有人睡在蚊帐下。与使用 LLIN 相关的因素包括对疟疾传播模式的了解（AOR；0.086，95%CI 0.03，0.24）、首选圆锥形的 LLIN（AOR；1.6，95%CI 1.31，4.1）、从健康推广工作者（HEWs）那里获得有关其使用的信息（AOR；2.4，95%CI 1.5，3.9）、听到媒体宣传（AOR；3.2，95%CI 3.5，9.2）、在医疗机构接受教育（AOR；2，95%CI 1.5，3.9）或家庭规模为 3 人或以下（AOR；2.1，95%CI 1.3，3.5）。
尽管长效驱虫蚊帐的拥有率高达 90%，但实际使用率较低，并非所有家庭成员都受到保护。通过在所有卫生机构、学校和社区加强使用 HEW 和大众媒体宣传来促进高危人群（特别是圆锥形）使用 LLIN，将提高 LLIN 的利用率。
