Rapid increase in ownership and use of long-lasting insecticidal nets and decrease in prevalence of malaria in three regional states of Ethiopia (2006-2007)

Shargie, Estifanos, Ngondi, Jeremiah, Graves, Patricia M., Getachew, Asefaw, Hwang, Jimee, Gebre, Teshome, Mosher, Aryc W., Ceccato, Pietro, Endeshaw, Tekola, Jima, Daddi, Tadesse, Zerihun, Tenaw, Eskindir, Reithinger, Richard, Emerson, Paul M., Richards, Frank O., and Ghebreyesus, Tedros Adhanom (2010) Rapid increase in ownership and use of long-lasting insecticidal nets and decrease in prevalence of malaria in three regional states of Ethiopia (2006-2007). Journal of Tropical Medicine, 2010. 750978. pp. 1-12.

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Abstract

Following recent large scale-up of malaria control interventions in Ethiopia, this study aimed to compare ownership and use of long-lasting insecticidal nets (LLIN), and the change in malaria prevalence using two population-based household surveys in three regions of the country. Each survey used multistage cluster random sampling with 25 households per cluster. Household net ownership tripled from 19.6% in 2006 to 68.4% in 2007, with mean LLIN per household increasing from 0.3 to 1.2. Net use overall more than doubled from 15.3% to 34.5%, but in households owning LLIN, use declined from 71.7% to 48.3%. Parasitemia declined from 4.1% to 0.4%. Large scale-up of net ownership over a short period of time was possible. However, a large increase in net ownership was not necessarily mirrored directly by increased net use. Better targeting of nets to malaria-risk areas and sustained behavioural change communication are needed to increase and maintain net use.

Item ID: 28618
Item Type: Article (Research - C1)
ISSN: 1687-9694
Keywords: insecticidal nets, decrease in prevalence, malaria, three regions, Ethiopia
Additional Information:

This 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.

Date Deposited: 27 Aug 2013 05:21
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920499 Public Health (excl. Specific Population Health) not elsewhere classified @ 100%
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