Merga Tilahun, Adane Mesafint Molla, Shibabaw Tebkew, Salah Fekie Ahemed, Ejigu Lemessa Jira, Mulatu Sileshi
Department of Public Health, Pawie College of Health Sciences, Pawie, Ethiopia.
Department of Environmental Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Sci Rep. 2024 Dec 30;14(1):31712. doi: 10.1038/s41598-024-81090-x.
Insecticide-treated bed nets are often used as a physical barrier to prevent infection of malaria. In Sub-Saharan Africa, one of the most important ways of reducing the malaria burden is the utilization of insecticide-treated bed nets. However, there is no sufficient information on the utilization of insecticide-treated bed nets and their associated factors in Ethiopia.
This study aimed to assess the utilization of insecticide-treated bed nets and associated factors among households in Pawie District, Benshangul Gumuz, North West Ethiopia.
A community-based cross-sectional study was conducted in the Pawie district to identify factors influencing the use of insecticide-treated nets (ITNs). Diverse household groups were engaged, and data were collected using a structured questionnaire and observational checklists by trained interviewers. The data were entered into Epi-Data version 3.1 and analyzed using SPSS version 23. Advanced statistical methods, including binary and multi-variable logistic regression, were employed to examine the factors associated with ITN utilization.
From the total of 633 respondents, more than two third, 438 (69.2% with 95% CI: 65.2%, 72.5%) had utilized insecticide-treated bed nets during the early morning of the interview. Approximately 297 respondents (67.8%) successfully hung their insecticide-treated nets (ITNs) properly during the early morning of observation. In this study, 406 respondents (64.1%, 95% CI: 60.5, 68.1) showed a solid understanding of insecticide-treated nets (ITNs) utilization. Key predictors for the utilization of insecticide-treated bed nets (ITNs) included age (AOR = 1.86, 95% CI: 1.11, 3.13, p = 0.019), educational status (AOR = 0.45, 95% CI: 0.26, 0.77, p = 0.008), knowledge level (AOR = 2.64, 95% CI: 1.89, 3.81, p < 0.001), and family size (AOR = 1.89, 95% CI: 1.31, 2.74, p = 0.001). All of these variables were found to be statistically significant for the utilization of insecticide-treated bed net.
Utilization of the insecticide-treated bed nets (ITNs) remains low in the study area. To address this, it is crucial to raise public awareness and improve utilization of the insecticide-treated bed nets (ITNs) to decrease malaria transmission in the district. Ongoing health education initiatives, including demonstrations on the proper way to hang bed nets, will be essential in fostering better practices and improving community health outcomes.
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，减轻疟疾负担的最重要方法之一是使用经杀虫剂处理的蚊帐。然而，在埃塞俄比亚，关于经杀虫剂处理的蚊帐的使用情况及其相关因素的信息并不充分。
本研究旨在评估埃塞俄比亚西北部本尚古勒-古穆兹州帕维区家庭中经杀虫剂处理的蚊帐的使用情况及其相关因素。
在帕维区开展了一项基于社区的横断面研究，以确定影响经杀虫剂处理蚊帐（ITNs）使用的因素。纳入了不同的家庭群体，由经过培训的访谈员使用结构化问卷和观察清单收集数据。数据录入Epi-Data 3.1版本，并使用SPSS 23版本进行分析。采用包括二元和多变量逻辑回归在内的先进统计方法来检验与ITN使用相关的因素。
在总共633名受访者中，超过三分之二，即438人（69.2%，95%置信区间：65.2%，72.5%）在访谈清晨使用了经杀虫剂处理的蚊帐。在观察清晨，约297名受访者（67.8%）成功正确悬挂了他们的经杀虫剂处理的蚊帐（ITNs）。在本研究中，406名受访者（64.1%，95%置信区间：60.
