Factors Affecting Use of Insecticide Treated Nets by Children Under Five Years of Age in Kenya
American Journal of Health Research
Volume 6, Issue 4, July 2018, Pages: 86-92
Received: Aug. 26, 2018;
Accepted: Sep. 27, 2018;
Published: Oct. 25, 2018
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Geraldine Minoo Kyalo, National Treasury, Nairobi, Kenya
Urbanus Mutuku Kioko, School of Economics, University of Nairobi, Nairobi, Kenya
Malaria is a major cause of morbidity and mortality worldwide and mostly affects pregnant women and children under five years of age. It is among the leading cause of deaths in under five years of age with an approximate of 20 percent of all deaths in Kenya. The World Health Organization recommends the use of Long Lasting Insecticide Treated Nets (LLINs) and Insecticide Treated Nets (ITNs) for prevention of malaria infection. Although several studies have analysed the accessibility, availability, ownership and utilization of ITNs by children less than five years of age, information on intra-household factors that influence utilization of ITNs by children less than five years of age is very limited. This study investigated the factors that influence use of ITNs and LLINs by children under five years across the country using the random utility model because of the nature of the outcomes which are discrete in nature. The regression results showed that age of household head, household size, gender of child and the head of the household, presence of fever, treatment of net since acquisition significantly affected use of ITNs. The study concludes that these factors hinder use of ITNs by children under five years and therefore presence of an ITN in a household may not guarantee utilisation. The study recommends that efforts be made to increase awareness on the importance of ensuring children under five years sleep under an ITN if reduction in morbidity and mortality in this age group is to be realised.
Geraldine Minoo Kyalo,
Urbanus Mutuku Kioko,
Factors Affecting Use of Insecticide Treated Nets by Children Under Five Years of Age in Kenya, American Journal of Health Research.
Vol. 6, No. 4,
2018, pp. 86-92.
World Health Organization (2003). www.who.int
World Health Organisation (2016). World Malaria Report
Kenya Malaria Indicator Survey 2015
Republic of Kenya (2009). Kenya malaria programme performance review
Tilson, D (2007). The social marketing of Insecticide Treated Nets in Kenya.
Atleli, H, Zhou, G, Afrane, Y, Lee, M, Mwanzo, I, Githeko, A & Yan, G (2011). ‘Insecticide treated net ownership, usage and malaria transmission in the highlands of western Kenya’, Research article.
Graves, P, Ngondi, J, Hwang, J, Getachew, A, Gebre, T, Wosher, A, Patterson, A, Shargle, E, Tadesse, Z, Wolkon, A, Reithinger, R, Emerson, P & Richards, F (2011). ‘Factors associated with mosquito net use by individuals in households owning nets in Ethiopia’, malaria journal, vol.10 no 354.
Garcia-Basteiro, A, Schwabe, C, Aragon, C, Baltazar, G, Rehman, A, Matias, A, NSeng, G & Kleinschmidt, I (2011). ‘Determinants of Bed Net Use in Children Under Five and Household Bed Net Ownership on Bioko Island, Equitorial Guinea’, Malaria journal, vol.10 no.179.
Oresanya, O, Hoshen, M., Sofala, O (2008). ‘Utilisation of insecticide – treated nets by under – five children in Nigeria: Assessing progress towards the Abuja targets’, Malaria journal vol.7 no.145.
Hetzel, M, Gideon, G, Lero, N, Makita, L, Siba, P & Mueller, I (2012), ‘Ownership and usage of mosquito nets after four years of large scale distribution in Papua, New Guinea’, Malaria Journal, vol.11 no.192.
Bennett, A, Smith, S, Yambasu, S, Janbai, A, Alemu, W, Kabano, A & Elsele, T (2012). ‘Household possession and use of insecticide –treated mosquito nets in Sierra Leone 6 months after a National mass- Distribution campaign’.
Astatkie, A & Feleke, A (2009). ‘Utilization of insecticide treated nets in Arbabinca Town and the malarious villages of Arbaminca Zuna District, Southern Ethiopia’, Ethiopia Journal of Health development, vol.23 no.3, pp 206-215.
Biadgilign, S, Reda, A & Kedir, H (2012). ‘Determinants of ownership and utilisation of insecticide-treated bed nets for malaria control in Eastern Ethiopia’, Journal of Tropical medicine.
Nketiah-Amponsah, E (2010). ‘Mother’s demand for preventive healthcare for children aged under five years: The case of utilization of insecticide treated bed nets in Ghana’, Journal of sustainable development, vol.3 no.2.
Kenya National Bureau of Statistics & ICF Macro, (2011). Kenya malaria indicator
Varian. H (1992). Microeconomic Analysis, Third Edition, Norton & company, New York.
Green, W (2012). Econometric Analysis, Seventh edition, Pearson education limited, London.
Institute of economic affairs (2011). A cost Effectiveness Analysis: Malaria vector control in Kenya.
Edward R. Moreya, Vijaya R. Sharmaa, Anne Mills (2003). Willingness to pay and determinants of choice for improved malaria treatment in rural Nepal. Social Science & Medicine 57 (2003) 155–165