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Insecticide Treated Nets Utilization and Associated Factors Among Under 5 Children and Pregnant Women in Hawwa Gelan Woreda, Kellem Wollega Zone

Received: 2 December 2023    Accepted: 26 December 2023    Published: 23 January 2024
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Abstract

Malaria remains a substantial public health and development challenge, causing 216 million cases and 445,000 deaths worldwide in 2016. Of these, 81% of the cases and 91% of the deaths occurred in Sub-Saharan Africa. Insecticide-treated nets have been at the forefront of efforts to prevent and control malaria at the community and individual levels. This study conducted a community-based cross-sectional evaluation among 824 households in Hawwa Gelan Woreda, Kellem Wollega Zone, aiming to assess the utilization and associated factors of Insecticide-Treated Bed Nets (ITNs) among pregnant women and children under 5 years old. The households with eligible individuals were identified through registration, and study units were selected using systematic random sampling techniques. The collected data were entered and cleaned using EPI-Info 7, and then transferred to SPSS version 21 for further analysis. Results revealed that 69.3% of children fewer than 5 years and 74.9% of pregnant women utilized ITNs. Notably, educational status was significantly associated with ITN use in both children under 5 years (AOR=1.76, 95%CI=1.17-2.65) and pregnant women (AOR=3.26, 95%CI=1.62-6.56). Moreover, rural residence was a noteworthy factor influencing ITN utilization in children under 5 years old (AOR=7.21, 95%CI=3.11-16.68). The findings signify the need for targeted community sensitization programs, particularly emphasizing the proper installation and use of ITNs, especially among children under 5 years and pregnant women, carried out by primary healthcare units and district health extension workers.

Published in Journal of Health and Environmental Research (Volume 10, Issue 1)
DOI 10.11648/j.jher.20241001.12
Page(s) 6-14
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Insecticide, Treated, Nets, Utilization, Pregnant and Under-5, Malaria

References
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[3] Abeje K, Melaku W, Tesfu F. Assessment of insectcide treated bed net possession proper utilization and the prevalence of malaria, in Dejen Woreda, East Gojem, Ethiopia. Acadamic. 2014; 6(7): 92-102.
[4] al. Ze. Ownership and utilization of insecticide-treated nets (ITNs) for malaria control in Harari National Regional State, Eastern Ethiopia. Pan African Medical. 2015.
[5] Group EPF. Insecticide-treated net coverage in Africa: mapping progress in 2000–07. 2009 3(373): 58-67.
[6] Daddi J, Tesfaye W, Deressa A. Baseline survey for the implementation of insecticide treated mosquito nets in Malaria control in Ethiopia. 2005.
[7] Zelalem T, Aymere A, Yadeta D, Fitsum W. Ownership and utilization of insecticide-treated nets (ITNs) for malaria control in Harari National Regional State, Eastern Ethiopia. 2015.
[8] Ayodeji M, Adebayo, Oluwaseun O, Eniola O. Knowledge of malaria prevention among pregnant women and female caregivers of under-five children in rural southwest Nigeria. 2015.
[9] NATIONAL STRATEGIC PLAN FOR MALARIA PREVENTION CONTROL AND ELIMINATION IN ETHIOPIA 2011 – 2015. 2010.
[10] Re-imagining the control of malaria in tropical Africa during the early years of the World Health Organization. Litsios Malaria Journal. 2015(14): 178.
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[12] WHO. A Strategic Framework for Malaria Prevention and Control During Pregnancy in the African Region. 2004.
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[18] LUKMAN O, Rakiya S, Abdul W, Abdul G. The Determinants of Utilization of Insecticide Treated Nets Among Pregnant Women Attending Antenatal Clinic at University of Ilorin Teaching Hospital, Ilorin, Nigeria. Int J Biol Med Res. 2012; 3(4): 2538-41.
[19] Yibeltal B, Kasahun A, Alemayehu B, G Z. Factors affecting utilization of Insecticide treated nets among people living with HIV/AIDs in Bahir Dar city, northwest Ethiopia. Science Journal of Clinical Medicine. 2013; 2(6): 147-52.
[20] Taratisio N, Robert M, Odiver W. Utilization of Insecticide Treated Bed Nets among Mothers Attending MCH/FP in Webuye District Hospital, Bungoma County, Kenya. Open Journal of Preventive Medicine. 2014; 4: 470-80.
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  • APA Style

    Mekonnen, P., Aredo, M. T., Demise, H. F. (2024). Insecticide Treated Nets Utilization and Associated Factors Among Under 5 Children and Pregnant Women in Hawwa Gelan Woreda, Kellem Wollega Zone. Journal of Health and Environmental Research, 10(1), 6-14. https://doi.org/10.11648/j.jher.20241001.12

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    ACS Style

    Mekonnen, P.; Aredo, M. T.; Demise, H. F. Insecticide Treated Nets Utilization and Associated Factors Among Under 5 Children and Pregnant Women in Hawwa Gelan Woreda, Kellem Wollega Zone. J. Health Environ. Res. 2024, 10(1), 6-14. doi: 10.11648/j.jher.20241001.12

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    AMA Style

    Mekonnen P, Aredo MT, Demise HF. Insecticide Treated Nets Utilization and Associated Factors Among Under 5 Children and Pregnant Women in Hawwa Gelan Woreda, Kellem Wollega Zone. J Health Environ Res. 2024;10(1):6-14. doi: 10.11648/j.jher.20241001.12

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  • @article{10.11648/j.jher.20241001.12,
      author = {Paulos Mekonnen and Melese Tadesse Aredo and Hailu Fekadu Demise},
      title = {Insecticide Treated Nets Utilization and Associated Factors Among Under 5 Children and Pregnant Women in Hawwa Gelan Woreda, Kellem Wollega Zone},
      journal = {Journal of Health and Environmental Research},
      volume = {10},
      number = {1},
      pages = {6-14},
      doi = {10.11648/j.jher.20241001.12},
      url = {https://doi.org/10.11648/j.jher.20241001.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jher.20241001.12},
      abstract = {Malaria remains a substantial public health and development challenge, causing 216 million cases and 445,000 deaths worldwide in 2016. Of these, 81% of the cases and 91% of the deaths occurred in Sub-Saharan Africa. Insecticide-treated nets have been at the forefront of efforts to prevent and control malaria at the community and individual levels. This study conducted a community-based cross-sectional evaluation among 824 households in Hawwa Gelan Woreda, Kellem Wollega Zone, aiming to assess the utilization and associated factors of Insecticide-Treated Bed Nets (ITNs) among pregnant women and children under 5 years old. The households with eligible individuals were identified through registration, and study units were selected using systematic random sampling techniques. The collected data were entered and cleaned using EPI-Info 7, and then transferred to SPSS version 21 for further analysis. Results revealed that 69.3% of children fewer than 5 years and 74.9% of pregnant women utilized ITNs. Notably, educational status was significantly associated with ITN use in both children under 5 years (AOR=1.76, 95%CI=1.17-2.65) and pregnant women (AOR=3.26, 95%CI=1.62-6.56). Moreover, rural residence was a noteworthy factor influencing ITN utilization in children under 5 years old (AOR=7.21, 95%CI=3.11-16.68). The findings signify the need for targeted community sensitization programs, particularly emphasizing the proper installation and use of ITNs, especially among children under 5 years and pregnant women, carried out by primary healthcare units and district health extension workers.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Insecticide Treated Nets Utilization and Associated Factors Among Under 5 Children and Pregnant Women in Hawwa Gelan Woreda, Kellem Wollega Zone
    AU  - Paulos Mekonnen
    AU  - Melese Tadesse Aredo
    AU  - Hailu Fekadu Demise
    Y1  - 2024/01/23
    PY  - 2024
    N1  - https://doi.org/10.11648/j.jher.20241001.12
    DO  - 10.11648/j.jher.20241001.12
    T2  - Journal of Health and Environmental Research
    JF  - Journal of Health and Environmental Research
    JO  - Journal of Health and Environmental Research
    SP  - 6
    EP  - 14
    PB  - Science Publishing Group
    SN  - 2472-3592
    UR  - https://doi.org/10.11648/j.jher.20241001.12
    AB  - Malaria remains a substantial public health and development challenge, causing 216 million cases and 445,000 deaths worldwide in 2016. Of these, 81% of the cases and 91% of the deaths occurred in Sub-Saharan Africa. Insecticide-treated nets have been at the forefront of efforts to prevent and control malaria at the community and individual levels. This study conducted a community-based cross-sectional evaluation among 824 households in Hawwa Gelan Woreda, Kellem Wollega Zone, aiming to assess the utilization and associated factors of Insecticide-Treated Bed Nets (ITNs) among pregnant women and children under 5 years old. The households with eligible individuals were identified through registration, and study units were selected using systematic random sampling techniques. The collected data were entered and cleaned using EPI-Info 7, and then transferred to SPSS version 21 for further analysis. Results revealed that 69.3% of children fewer than 5 years and 74.9% of pregnant women utilized ITNs. Notably, educational status was significantly associated with ITN use in both children under 5 years (AOR=1.76, 95%CI=1.17-2.65) and pregnant women (AOR=3.26, 95%CI=1.62-6.56). Moreover, rural residence was a noteworthy factor influencing ITN utilization in children under 5 years old (AOR=7.21, 95%CI=3.11-16.68). The findings signify the need for targeted community sensitization programs, particularly emphasizing the proper installation and use of ITNs, especially among children under 5 years and pregnant women, carried out by primary healthcare units and district health extension workers.
    
    VL  - 10
    IS  - 1
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Author Information
  • Kellem Wollega Zonal Health Department, Oromia Regional State, Dembidolo, West Ethiopia

  • College of Health Science, Arsi University, Asella, South East Ethiopia

  • College of Health Science, Arsi University, Asella, South East Ethiopia

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