Assessment of Long-Lasting Insecticidal Net Utilization and Its Associated Factors Among Households in Adama District, Oromia Region, Ethiopia
Science Journal of Public Health
Volume 4, Issue 6, November 2016, Pages: 476-481
Received: Sep. 28, 2016; Accepted: Oct. 7, 2016; Published: Nov. 7, 2016
Views 4164      Downloads 255
Asnakech Getahun Gebre Mariam, Oromia Public Health Research, Capacity Building and Quality Assurance Laboratory Center, Adama, Ethiopia
Worku Dugassa Girsha, Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia
Article Tools
Follow on us
The distribution and use of long-lasting insecticidal net (LLIN) is one of the central interventions for preventing malaria infection. National policy aims to provide one LLIN for every sleeping space (approximately one net per 2 persons in malaria-endemic areas). But still there is inadequate follow-up of its utilization status. This study aimed to assess LLINs utilization and its’ associated factors among households in Adama district, Oromia region, Ethiopia. A community-based cross-sectional study was conducted. The study subjects were randomly selected 422 households by simple random sampling. Data was collected through interview and observation checklist. Among households who owned LLIN (96.7%), only 76% of household members had slept under LLIN during the previous night prior to interview. Regarding LLINs priority to household family members, only 65.4% households given priority to their children under five years and 50% for pregnant women. Concerning to the reasons for not utilizing LLIN, 52.4% of respondents said that sleeping under LLIN was not convenient and 23.1% of them were used for other purposes. Those households who are literate (AOR = 2.05, 95% CI =1.53-7.09), governmental employees (AOR=2.52, 95% CI=1.1-6.53), roof made up of corrugated iron sheet (AOR=1.90, 95% CI=1.79-4.6) were almost two times more likely to slept under LLIN during the previous night prior to interview. Despite high percentages LLIN ownership, there was still a gap between ownership and use of LLIN. Therefore Public health interventions should also address problems related to utilization status of LLIN.
LLINs Utilization, Associated Factors, Households, Ethiopia
To cite this article
Asnakech Getahun Gebre Mariam, Worku Dugassa Girsha, Assessment of Long-Lasting Insecticidal Net Utilization and Its Associated Factors Among Households in Adama District, Oromia Region, Ethiopia, Science Journal of Public Health. Vol. 4, No. 6, 2016, pp. 476-481. doi: 10.11648/j.sjph.20160406.20
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Federal democratic republic of Ethiopia, ministry of health, national malaria guidelines, Addis Ababa January 2012.
Federal minisry of health, Ethiopia National Malaria Indicator Survey 2011. Addis Ababa: Federal Ministry of Health, 2012.
Hawley WA, Phillips-Howard PA, terKuile FO, Terlouw DJ, Vulule JM, Ombac M, et al. Community wide effect of permethrin-treated bed nets on child mortality and malaria morbidity in western Kenya. Am J Trop Med Hyg. 2003; 68: 121-7.
President’s malaria initiative, Ethiopia Malaria Operational Plan, 2013.
Partnership in Roll Back Malaria. Global Strategic Plan. 2005- 2015.
World Health Organization. World Malaria Report. WHO, Geneva, 2013.
SouleymaneDiabaté, Thomas Druetz, Emmanuel Bonnet, Seni Kouanda 4, Haddad VRS, Insecticide-treated nets ownership and utilization among under-five children following the 2010 mass distribution in Burkina Faso.: Malaria Journal, 2014; 13 (10.1186/1475-2875): 353.
Johnson OE, Inyang AC, Etuknwa UI, Ekanem UD, Udo UO, Ubom I, et al. Awareness, Ownership and Utilization of Insecticide Treated Nets among Households in a Rural Community in Southern Nigeria. Sch J App Med Sci. 2015; 3 ((2A)): 608-13.
Derebew A, Alemseged F, Birhanu Z, Sena L, Tegegn A, Zeynudin A, et al.: Effect of training on the use of Long Lasting Insecticide Nets on the burden of malaria among vluerable groups, South West Ethiopia. Malar J: 2010; 9: 121.
Sibhatu Biadgilign, Ayalu Reda. HK, Volume. Determinants of Ownership and Utilization of Insecticide-Treated Bed Nets for Malaria Control in Eastern Ethiopia. Journal of Tropical Medicine. 2012 (235015): 7.
Heggenhougen, H. K., Hackenthal, V. V, Geneva: P. Bed net usage and its acceptance at the local level: The behavior and social aspects of malaria control: an introduction and (TDR), World Health Organization, 2015, 3: 7-106.
Bikila Lencha & Wakgari Deressa; A Qualitative Study on Insecticide Treated Net Utilization and its barriers among Under-Five Children in Adami Tulu District, Oromia Regional State, Ethiopia: Global Journal of Medical Research: 2015: 15 (5).
Ownership and use of insecticide-treated nets during pregnancy in sub-Saharan Africa: a review Malaria Journal 2013, 12: 268).
Tsegaye Berkessa, D. Oljira and B. Tesfa: Insecticide treated nets use and its determinants among settlers of Southwest Ethiopia, BMC Public Health (2016) 16: 106.
Adama district health office report 2015.
Ayalew Astatkie, Amsalu Feleke, Utilization of insecticide treated nets in Arbaminch Town and the malarious villages of Arbaminch Zuria District, Southern Ethiopia, Ethiop. J. Health Dev. 2009; 24 (1).
Zelalem Teklemariam, &, Aymere Awoke, Yadeta Dessie, Fitsum Weldegebreal: Ownership and utilization of insecticide-treated nets (LLIN) for malaria control in Harari National Regional State Eastern Ethiopia, Pan African Medical Journal. 2015; 21: 52 doi: 10.11604/pamj.2015.21.52.5380.
Girmay Desta Araya, Hailemariam Lemma Reda, Azeb Gebresilassie Tesema, Utilization of Long Lasting Insecticidal Nets Among Household in Malarious Areas of Raya Alamata District, Tigray, Ethiopia Science Journal of Public Health 2015; 3 (2): 216-221.
Deressa W, Yihdego YY, Kebede Z, Batiso E, Tekalegne A. Individual and household factors associated with the use of LLIN in Southern Ethiopia. Trans R Soc Trop Med Hyg 2014 Oct 108 (10); 616-23.
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
Tel: (001)347-983-5186