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. 2010:2010:750978.
doi: 10.1155/2010/750978. Epub 2010 Sep 23.

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)

Estifanos Biru Shargie  1 , Jeremiah Ngondi, Patricia M Graves, Asefaw Getachew, Jimee Hwang, Teshome Gebre, Aryc W Mosher, Pietro Ceccato, Tekola Endeshaw, Daddi Jima, Zerihun Tadesse, Eskindir Tenaw, Richard Reithinger, Paul M Emerson, Frank O Richards, Tedros Adhanom Ghebreyesus
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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)

Estifanos Biru Shargie et al. J Trop Med. 2010.

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.

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Figures

Figure 1
Figure 1
Map of Amhara, Oromia, and SNNP Regional States showing the baseline-2006 and MIS-2007 (subsample) survey clusters.
Figure 2
Figure 2
The sample population by survey.
Figure 3
Figure 3
Proportion of households owning one or more nets.
Figure 4
Figure 4
Mean number of long lasting insecticidal nets per household by survey and regional state.
Figure 5
Figure 5
Age adjusted prevalence of malaria by blood slide microscopy, by survey and regional state.
Figure 6
Figure 6
Average nighttime temperature and rainfall over 8 day periods, by survey and regional state. AM: Amhara; OR: Oromia; SN: SNNPR.
See this image and copyright information in PMC

References

    1. The Roll Back Malaria Partnership: The global malaria action plan for a malaria free world. Geneva: RBM Secretariat, 2008.
    1. WHO Global Malaria Programme: Position Statement on ITNs. Geneva: WHO, http://apps.who.int/malaria/docs/itn/ITNspospaperfinal.pdf.
    1. Federal Ministry of Health: Insecticide treated nets: national strategic plan for going to scale with coverage and utilization in Ethiopia, 2004—2007. FMOH, Addis Ababa, Ethiopia, 2004.
    1. Ministry of Health: Malaria prevention and control extension package. FMOH, Addis Ababa, Ethiopia, 2003.
    1. Health Extension and Education Center: Health Extension Program In Ethiopia: profile. FMOH, Addis Ababa, Ethiopia, 2007.

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