Haileselassie, Berhane (2006) Assessment of Insecticide Treated Nets Coverage for Malaria Control in Kafta-Humera District, Tigray: Possession Vs. Use By High-Risk Groups. Masters thesis, Addis Ababa University.
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Abstract
Background: In endemic areas, children under five and pregnant women are vulnerable to malaria and are likely to benefit most from the use of nets. Use of insecticide-treated nets (ITNs) for protection against mosquito bite during sleep is highly effective. Kafta-Humera is one of the targeted Districts in the Region for ITNs intervention, but with limited information pertaining to priority of utilization. Objective: to examine the status of children under five years of age and/or pregnant women ITNs possession and utilization and its determinants for malaria control. Methodology: A comparative cross-sectional study was conducted in the rural and urban areas of the District. Based on a systematic random sampling method, 414 households were interviewed each from the selected Kebeles for both settings, regarding net possession and utilization by high-risk groups. Qualitative data were also collected through focus group discussions (FGDs) to identify views of participants, pertaining to ownership and utilization. An early morning survey was also carried out in order to observe the actual behavior of the community towards net use. Result: Net and ITN possession was 84.5% and 80.0% for rural, but 96.1% and 91.1% for urban settings. Net possession was higher among urban (OR 3.33, 95%CI 1.39, 7.98) compared to rural areas. Observed net and ITN use during the preceding night by children under five years of age was 68.6% and 67.0% for rural; and 84.6% and 79.5% for urban areas. Likewise, similar practice for pregnant women was 52.1% and 64.7%, the same for net and ITN in rural and urban areas respectively. Net re-impregnation was 93.5% for rural and 94.1% for urban areas. The FGD suggested that lower net possession in rural areas could be due to scarcity of net provision and inequity while distribution. Occupation, family size in rural areas; radio possession in urban areas and vii relative wealth and number of sleeping places had effect in both settings to own a net. Relative wealth, radio possession, malaria education message in rural and occupation in both settings had a positive effect on net use. Conclusions: Not all nets owned by the households were being utilized properly. Nevertheless, mal distribution, and scarcity were also observed within the settings. Effective IEC should be promoted and continues availability of ITNs should be in place in order to achieve effective control of malaria among the high-risk groups.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 04 Jul 2018 10:26 |
| Last Modified: | 04 Jul 2018 10:26 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6606 |
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