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)

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 mu...

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Main Authors: Estifanos Biru Shargie, 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
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Journal of Tropical Medicine
Online Access:http://dx.doi.org/10.1155/2010/750978
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author Estifanos Biru Shargie
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
author_facet Estifanos Biru Shargie
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
author_sort Estifanos Biru Shargie
collection DOAJ
description 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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publishDate 2010-01-01
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spelling doaj-art-2f02687c126f40589f4fbbea928c59612025-02-03T05:44:01ZengWileyJournal of Tropical Medicine1687-96861687-96942010-01-01201010.1155/2010/750978750978Rapid 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 Shargie0Jeremiah Ngondi1Patricia M. Graves2Asefaw Getachew3Jimee Hwang4Teshome Gebre5Aryc W. Mosher6Pietro Ceccato7Tekola Endeshaw8Daddi Jima9Zerihun Tadesse10Eskindir Tenaw11Richard Reithinger12Paul M. Emerson13Frank O. Richards14Tedros Adhanom Ghebreyesus15The Carter Center, P. O. Box 13373, Woreda 17, Kebele 19, Addis Ababa, EthiopiaThe Carter Center, 1 Copenhill, Atlanta, GA 30307, USAThe Carter Center, 1 Copenhill, Atlanta, GA 30307, USAMalaria Control and Evaluation Partnership in Africa (MACEPA), a Programme at PATH, Bole Road, Addis Ababa, EthiopiaCenters for Disease Control and Prevention, Atlanta, GA 30333, USAThe Carter Center, P. O. Box 13373, Woreda 17, Kebele 19, Addis Ababa, EthiopiaThe Carter Center, 1 Copenhill, Atlanta, GA 30307, USAInternational Research Institute for Climate and Society, Columbia University, New York, NY 10016-4309, USAThe Carter Center, P. O. Box 13373, Woreda 17, Kebele 19, Addis Ababa, EthiopiaMinistry of Health, P. O. Box 1234, Addis Ababa, EthiopiaThe Carter Center, P. O. Box 13373, Woreda 17, Kebele 19, Addis Ababa, EthiopiaCentral Statistical Agency, P. O. Box 1143, Addis Ababa, EthiopiaU.S. Agency for International Development, Riverside Building P. O. Box 1014, Addis Ababa, EthiopiaThe Carter Center, 1 Copenhill, Atlanta, GA 30307, USAThe Carter Center, 1 Copenhill, Atlanta, GA 30307, USAMinistry of Health, P. O. Box 1234, Addis Ababa, EthiopiaFollowing 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.http://dx.doi.org/10.1155/2010/750978
spellingShingle Estifanos Biru Shargie
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
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)
Journal of Tropical Medicine
title 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)
title_full 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)
title_fullStr 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)
title_full_unstemmed 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)
title_short 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)
title_sort 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
url http://dx.doi.org/10.1155/2010/750978
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