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Increase in Long-Lasting Insecticidal Net(LLIN) access(i.e. household ownership) only does not necessarily translate to equal increase in utilization,becausethe success of LLIN utilization by household family members depends on several factors. The pictures below showeda correctly hung LLIN for utilization by households in Ethiopia.
By Dr Yemane Ye-ebiyoYihdego, 2016, from Communicable Diseases part one, Blended Learning Modules for the Ethiopian Health Extension Programme.
In recent paper by authors Ms.AsnakechGetahun and Mr. WorkuDugassa, LLINs utilization and its’ associated factors among households in Adama district, Ethiopia were evaluated. The study subjects were randomly selected households from high malaria-risk areas by simple random sampling.
In the paper they showed that,The key strategy used by the country is a rolling periodic (every three years) free distribution of LLINs to all population groups living in malaria risk areas of Ethiopia. CurrentlyEthiopia aims to achieve universal coverage by distributing one LLIN per two persons (sleeping space) with first priority to children under five years and pregnant women. However, 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 were 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
They also revealed that, there was a significant association between educational status, occupation and material used to build roof of the house with LLINs utilization. Those households who are literate (AOR = 2.05, 95% CI =1.53-7.09), governmental employees (AOR=2.52, 95% CI=1.11-6.53), roof made up of corrugated iron sheet (AOR=1.90, 95% CI=1.79-4.60) were almost two times more likely to slept under LLIN during the previous night prior to interview.The reasons may be those households who are literate and governmental employee may get more information than others and those housing roof made up of corrugated iron sheet may not preferred by mosquito for indoor resting.
They concluded that, despite high percentages LLIN ownership, there was still a gap between ownership and use of LLIN in Adama district, Oromia region of Ethiopia. Therefore to achieve sustained control of malaria, household coverage of nets alone is not sufficient. Therefore, district health office and all concerned bodies should encourage and supervise all family members to sleep under LLINs every night.
Asnakech Getahun GebreMariam, Technical head of Oromia Public Health Research, Capacity building and Quality assurance laboratory centre, Adama, Ethiopia
Worku Dugassa Girsha, lecturer of Public Health, Adama Hospital Medical College, Adama, Ethiopia
A paper about the study appeared recently in Master of Public Health Thesis Defense in Adama General Hospital and Medical College, Adama, Ethiopia