Ownership and Use of Insecticide Treated Nets in Selected Rural Communities of Oyo State, Nigeria: Implication for Policy Action

Ajibola Idowu^1, , Gbenga Omotade Popoola², Babatunde Akintunde³, Samuel Aaanu Olowookere⁴ and Samson Ayo Deji⁵

¹Departmnet of Community Medicine, Bowen University Teaching Hospital, Nigeria

²College of Health Sciences, University of Ilorin, Ilorin, Nigeria

³Department of Community Medicine, Ladoke Akintola University of Technology Teaching Hospital, Ogbomoso, Oyo State, Nigeria

⁴Department of Community Health, Faculty of Clinical Sciences, Obafemi Awolowo University, Ile-Ife

⁵Department of Epidemiology and Community Health, Faculty of Clinical Sciences, College of Medicine, Ekiti State University, Ado Ekiti, Ekiti State, Nigeria

Cite this paper

Ajibola Idowu, Gbenga Omotade Popoola, Babatunde Akintunde, Samuel Aaanu Olowookere and Samson Ayo Deji. Ownership and Use of Insecticide Treated Nets in Selected Rural Communities of Oyo State, Nigeria: Implication for Policy Action. American Journal of Public Health Research. 2016; 4(6):222-229. doi: 10.12691/AJPHR-4-6-5

Abstract

Introduction: Insecticide Treated Net (ITN) coverage and use remain low in Sub-Sahara Africa. The study assessed factors associated with ITN use in the rural settings of Nigeria. Methodology: Descriptive epidemiological design was employed and multi-stage sampling technique used to select 381 consenting participants in four rural communities of Oyo State, Nigeria. Interviewer-administered, semi-structured questionnaire was used for data collection and analyses done using SPSS; bi-variate analyses were done using chi-square test and binary-logistic regression was used to identify factors that were significantly associated with ITN use. Level of statistical significance was set at p<0.05. Result: The mean age of the respondents was 30±8 years. While 90.1% of the participants possessed ITNs, only 69.3% of them slept under the nets a night before the survey. Respondents who were less than 19 years of age had significantly lesser odds of ITN use compared to older women ((OR; 0.87, CI; 0.82-0.93). Also, women with no formal education had significantly lesser odds of ITN use compared to those with tertiary education (OR; 0.14, CI; 0.02-0.73). Respondents whose households’ monthly income was more than $64 had significantly higher odds of ITN use compared to households earning less (OR; 6.94, CI; 2.76-17.42). Pregnant women were ten times more likely to use ITN compared to non-pregnant participants (OR; 9.84, CI; 1.03-93.88). Conclusion: There is urgent need for more awareness creation on benefits of ITN use particularly among teenage mothers in Nigeria.

Keywords

insecticide treated nets, ITN ownership and use, malaria, prevention

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	World Health Organization. World Malaria Report 2011. Geneva Switzerland: World Health Organization; 2011.
[2]	Centre for Disease Control and Prevention (CDC). Global Health-Nigeria. Available on http://www.cdc.gov/globalhealth/countries/nigeria/what/malaria.htm. Accessed on 15th June, 2016.
[3]	Federal Ministry of Health. National strategic plan for RBM in Nigeria. Abuja: fmoh Nigeria. 2001.
[4]	World Health Organization. A strategic frame work for malaria prevention and control during pregnancy in the African regions. Geneva Switszerland: World Health Organization, Regional office for Africa; 2004.
[5]	African summit on RBM. The Abuja Declaration on RBM in Africa by the African Heads of State and Governments. Abuja, Nigeria. 2000.
[6]	Lengeler C. Insecticide-treated bed nets and curtains for preventing malaria. The Cochrane Database of Systematic Reviews. 2004: CD000363.
[7]	Lim SS, Fullman N, Stokes A, Ravishankar N, Masiye F, Murray CJ, Gakidou E. Net benefits: a multicountry analysis of observational data examining associations between insecticide-treated mosquito nets and health outcomes. PLoS Medicine. 2011; 8: e09672.
[8]	World Health Organization: The African Summit on Roll Back Malaria, Abuja. 2000, (WHO/CDS/RBM/2000.17) WHO, Geneva.
[9]	Millennium Project. Final report to United Nations Secretary General. London/Sterling VA: United Nations; 2005. p. 356. RBM. The Global Strategic Plan Roll Back Malaria 2005-2015. Geneva, Switzerland: Roll Back Malaria Partnership Secretariat; 2005.
[10]	World Health Organization. World Malaria Report. Geneva: National Press Club; 2013a.
[11]	Noor AM, Mutheu JJ, Tatem AJ, Hay SI, Snow RW. Insecticide-treated net coverage in africa: mapping progress in 2000-07. The Lancet. 2009; 373: 58-67.
[12]	Monasch R, Reinisch A, Steketee RW, Korenromp EL, Alnwick D, Bergevin Y. Child coverage with mosquito nets and malaria treatment from population-based surveys in African countries: a baseline for monitoring progress in roll back malaria. The American Journal of Tropical Medicine and Hygiene. 2004; 71: 232-238.
[13]	Oyo State, Local Governments. Available on http://www.oyostate.gov.local-governments/. Accessed 23rd June, 2016.
[14]	National Population Commission (NPC) [Nigeria] and ICF International. 2014. Nigeria Demographic and Health Survey 2013. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF International.
[15]	Oyedeji G. Socio-economic and cultural background of hospitalized children in Ilesha. Nigerian Medical Practitioner. 1985; 12: 111-117.
[16]	Sunday AA, Foluke AO, Oluremi S, Gafar A, Oluwole AB, Ambrose IO, Oladimeji AB, Hafsat AA, Gordon KO, Emmanuel OS, Adebunmi OO, Tanimola MA. Ownership and utilisation of long lasting insecticide treated nets following free distribution campaign in south West Nigeria. The Pan African Medical Journal. 2014; 17: 263.
[17]	Berkessa T, Oljira D, Tesfa B. Insecticide treated nets use and its determinants among settlers of Southwest Ethiopia. BMC Public Health. 2016; 16: 106.
[18]	Kateera F, Ingabire CM, Hakizimana E, Rulisa A, Karinda P, Grobusch MP, Mutesa L, van Vugt M, Mens PF. Long-lasting insecticidal net source, ownership and use in the context of universal coverage: a household survey in eastern Rwanda. Malaria Journal. 2015; 14(1): 390.
[19]	Augustine A, Samson B A, Ekundayo D A, Jennifer A, Ernest N, Olaronke L, Martin M M. Determinants of insecticide-treated net ownership and utilization among pregnant women in Nigeria. BMC public health.2012; 12: 105
[20]	Onoriode E, Samson BA, Omokhudu I, Elijah AB and Ernest N. Determinants of use of insecticide-treated nets among pregnant women in Nigeria. International Journal of Womens Health. 2015; 7: 655-661.
[21]	Deressa W, Fentie G, Girma S, Reithinger R. Ownership and use of insecticide-treated nets in Oromia and Amhara regional states of Ethiopia two years after a nationwide campaign. Tropical Medicine and International Health. 2011; 16(12): 1552-61.