Insecticide Treated bed Net Utilization among Under Five Children and Household bed Net Ownership in Adami Tulu District, Oromia Regional State, Ethiopia

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Addis Abeba Universty


Background: In Ethiopia, despite the increasing availability of Insecticidal Treated Nets (ITNs); its use among net owning households has not been satisfactory. Hence, in addition to scaling up ITNs distribution, periodic assessment of the utilization and associated factors among high risk population is highly recommended. Objective: The objective was to assess level of Insecticide Treated Net utilization and associated factors among under-five children and household net ownership in Adami Tullu District, Oromia Region, Ethiopia. Methods: A community based cross sectional study was conducted in Adami Tullu district from February 10-20, 2014. Data was collected using structured questionnaire and observation checklist. Focus Group Discussions were conducted. Cluster random sampling technique was used to select the study units. Bivariate logistic regression was applied for the analysis of each of the independent variables against ITN utilization among under five children and household net ownership. Those significant variables were entered into model to determine independent predictors of both outcome variables. Results: Household ownership of at least one ITN was 25.3%. The indoor residual spray (IRS) coverage was 97.0%. ITN utilization among under-five children was 63.9% for those owning at least one ITN. Awareness of sleeping under net every night prevents malaria [AOR (95%CI) =4.7 (1.1-9.6)], spouse education [AOR (95%CI) =1.74 (1.2-2.6)], and kebeles (i.e. Boccessa [AOR (95%CI) =2.2 (1.2-4.1)], Elka Chellemo [AOR (95%CI) =2.3(1.2-4.4)]) were the independent predictors of the ITNs ownership. While, ITN utilization among under-five children was affected by knowledge of ITN kills malaria mosquitoes [AOR (95%CI) =3.8 (1.15-12.4), knowing fever as a symptom of malaria [AOR (95%CI) =3.2(1.05-9.6)] and gender of the child [AOR (95%CI) =6.0 (2.5-12.8). Qualitative result found lack of understanding, fear of side effect and misuse of the nets as the main barriers of ITN use. Conclusion and Recommendation: Even though the indoor residual spray coverage reached the national target (90%), the ownership of ITNs and the utilization among high risk population remained far from 2015 target of universal coverage and 80% utilization. Information, Education and Communication (IEC) on the ITN utilization need to address misconception regarding durability of ITNs and focus on avoiding gender discrimination among under-five child



Insecticide Treated bed Net Utilization among Under Five Children