Mekuria Mulugeta, Binegde Dereje Negasa, Derega Jirenga, Teferi Bala Elias, Tesfa Bikila, Deriba Berhanu Senbeta
Department of Public Health, Ambo University College of Medicine and Health Sciences, Ambo, Ethiopia.
Oromia Regional Health Bureau, West Shewa Zonal Health office, Ambo, Ethiopia.
Environ Health Insights. 2022 Feb 24;16:11786302221078122. doi: 10.1177/11786302221078122. eCollection 2022.
Insecticide-treated mosquito nets are often used as a physical barrier to prevent infection of malaria. In sub-Saharan Africa, one of the most important ways of lowering malaria burden is the utilization of insecticide-treated nets (ITNs). However, there is no sufficient information on ITN utilization and its associated factors in Ethiopia. Therefore, this study aimed to assess the utilization of insecticide-treated bed nets and its associated factors among households in Ilu Galan district, Oromia Region, Ethiopia.
A community-based cross-sectional study was conducted in the Ilu Galan district to select 550 households using systematic random sampling techniques. Interviewer-administered questionnaire and observational checklists were used to collect data. The collected data was entered into Epi data version 3.1 and exported to SPSS version 23 for analysis. The results were presented by texts, tables, and graphs. Both binary and multivariate logistic regressions were used to assess factors associated with ITN utilization.
A total of 532 study participants responded to the questionnaire making a response rate of 96.7%. About 72.2%, [95% CI: 68.4%, 75.8%] of the respondents utilized insecticide-treated nets in the night before the day data was collected. Being female [AOR = 0.55, 95% CI: 0.36, 0.81], age less than 25 years [AOR = 0.38, 95% CI: 0.23, 0.95], monthly income >1000 ETB [AOR = 2.24, 95% CI: 1.14, 4.69], and having more than 3 beds [AOR = 2.04, 95% CI: 1.29, 3.51] were significantly associated with ITN utilization.
Insecticide-treated nets utilization was found to be low in this study. There is a gap between the ownership and ITN utilization. Sex, age, monthly income, and number of beds were factors associated with ITN utilization. The provision of behavioral change communication to the community on the importance of ITN utilization is compulsory.
经杀虫剂处理的蚊帐常被用作预防疟疾感染的物理屏障。在撒哈拉以南非洲，降低疟疾负担的最重要方法之一是使用经杀虫剂处理的蚊帐（ITN）。然而，在埃塞俄比亚，关于ITN使用情况及其相关因素的信息并不充分。因此，本研究旨在评估埃塞俄比亚奥罗米亚州伊卢加兰区家庭中经杀虫剂处理的蚊帐的使用情况及其相关因素。
在伊卢加兰区开展了一项基于社区的横断面研究，采用系统随机抽样技术选取550户家庭。通过访谈式问卷和观察清单收集数据。收集到的数据录入Epi数据3.1版，并导出到SPSS 23版进行分析。结果通过文字、表格和图表呈现。二元和多因素逻辑回归均用于评估与ITN使用相关的因素。
共有532名研究参与者对问卷做出回应，回应率为96.7%。在收集数据的前一天晚上，约72.2%[95%置信区间：68.4%，75.8%]的受访者使用了经杀虫剂处理的蚊帐。女性[AOR = 0.55，95%置信区间：0.36，0.81]、年龄小于25岁[AOR = 0.38，95%置信区间：0.23，0.95]、月收入>1000埃塞俄比亚比尔[AOR = 2.24，95%置信区间：1.14，4.69]以及拥有超过3张床[AOR = 2.04，95%置信区间：1.29，3.51]与ITN使用显著相关。
本研究发现经杀虫剂处理的蚊帐使用率较低。蚊帐拥有率和使用率之间存在差距。性别、年龄、月收入和床的数量是与ITN使用相关的因素。必须向社区提供关于ITN使用重要性的行为改变宣传。
