The status of ownership and utilization of long-lasting insecticidal treated nets in war-torn Tigray, Ethiopia
Abstract Malaria is a major public health problem, with nearly half of the world’s population at risk. In Ethiopia, despite prevention efforts, malaria continues to be a significant issue, particularly in the post-war Tigray region. Insecticide-treated net (ITN) is a key preventive tool, but data on...
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Nature Portfolio
2025-07-01
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| author | Gebregziabher Berihu Gebrekidan Hagos Degefa Hidru Haftom Gebrehiwot Woldearegay Mengistu Hagazi Tequare Tedros Bereket Gebru Hailu Redae Mohamedawel Mohamedniguss Ebrahim Gebrekiros Gebremichael Meles Abadi Kidanemariam Berhe Yemane Berhane Tesfau Muzey Gebremichael Berhe Gebremedhin Gebreegziabher Gebretsadik Hailay Gebretnsae Meresa Gebremedhin Weldu Weldegerima Gebremedhin Hagos Aregay Gebremedhin Gebreset Micheale Hagos Debesay Rieye Esayas Akeza Awealom Asgedom Mache Tsadik |
| author_facet | Gebregziabher Berihu Gebrekidan Hagos Degefa Hidru Haftom Gebrehiwot Woldearegay Mengistu Hagazi Tequare Tedros Bereket Gebru Hailu Redae Mohamedawel Mohamedniguss Ebrahim Gebrekiros Gebremichael Meles Abadi Kidanemariam Berhe Yemane Berhane Tesfau Muzey Gebremichael Berhe Gebremedhin Gebreegziabher Gebretsadik Hailay Gebretnsae Meresa Gebremedhin Weldu Weldegerima Gebremedhin Hagos Aregay Gebremedhin Gebreset Micheale Hagos Debesay Rieye Esayas Akeza Awealom Asgedom Mache Tsadik |
| author_sort | Gebregziabher Berihu Gebrekidan |
| collection | DOAJ |
| description | Abstract Malaria is a major public health problem, with nearly half of the world’s population at risk. In Ethiopia, despite prevention efforts, malaria continues to be a significant issue, particularly in the post-war Tigray region. Insecticide-treated net (ITN) is a key preventive tool, but data on its distribution and usage in this region are limited. A community-based, cross-sectional study was conducted from January to February 2024 across 24 randomly selected districts, involving 2,338 households. Data were collected using Open Data Kit and analyzed with SPSS version 21, with statistical significance set at P < 0.05. The findings revealed that 58.1% (95% CI 56.1–59.9) of households owned at least one ITN, and 61.6% (95% CI 59.1–64.2) reported using it the previous night. Multivariable logistic regression identified that being single was associated with lower ITN use (AOR = 0.5; 95% CI 0.3–0.7), while households with 3–4 members (AOR = 1.8; 95% CI 1.2–2.6) and those with sufficient ITNs (AOR = 1.4; 95% CI 1.1–1.8) had higher usage rates. These findings highlight the need for tailored malaria prevention strategies, including sustained ITN distribution, ongoing health education, and targeted interventions to improve ITN utilization, to contribute to malaria elimination and achieve universal health coverage. |
| format | Article |
| id | doaj-art-6b17ee3c602b49fc92980ac58ee3f02f |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Nature Portfolio |
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| spelling | doaj-art-6b17ee3c602b49fc92980ac58ee3f02f2025-08-20T03:45:53ZengNature PortfolioScientific Reports2045-23222025-07-011511810.1038/s41598-025-03180-8The status of ownership and utilization of long-lasting insecticidal treated nets in war-torn Tigray, EthiopiaGebregziabher Berihu Gebrekidan0Hagos Degefa Hidru1Haftom Gebrehiwot Woldearegay2Mengistu Hagazi Tequare3Tedros Bereket4Gebru Hailu Redae5Mohamedawel Mohamedniguss Ebrahim6Gebrekiros Gebremichael Meles7Abadi Kidanemariam Berhe8Yemane Berhane Tesfau9Muzey Gebremichael Berhe10Gebremedhin Gebreegziabher Gebretsadik11Hailay Gebretnsae12Meresa Gebremedhin Weldu13Weldegerima Gebremedhin Hagos14Aregay Gebremedhin Gebreset15Micheale Hagos Debesay16Rieye Esayas17Akeza Awealom Asgedom18Mache Tsadik19College of Health Sciences, Mekelle UniversityTigray Health Research InstituteCollege of Health Sciences, Mekelle UniversityCollege of Health Sciences, Mekelle UniversityCollege of Health Sciences, Mekelle UniversityCollege of Health Sciences, Mekelle UniversityCollege of Health Sciences, Mekelle UniversityCollege of Health Sciences, Mekelle UniversityCollege of Medicine and Health Sciences, Adigrat UniversityCollege of Medicine and Health Sciences, Adigrat UniversityCollege of Medicine and Health Sciences, Adigrat UniversityCollege of Medicine and Health Sciences, Adigrat UniversityTigray Health Research InstituteCollege of Health Sciences and Comprehensive Specialized Hospital, Aksum UniversityTigray Regional Health BureauTigray Regional Health BureauTigray Regional Health BureauTigray Regional Health BureauCollege of Health Sciences, Mekelle UniversityCollege of Health Sciences, Mekelle UniversityAbstract Malaria is a major public health problem, with nearly half of the world’s population at risk. In Ethiopia, despite prevention efforts, malaria continues to be a significant issue, particularly in the post-war Tigray region. Insecticide-treated net (ITN) is a key preventive tool, but data on its distribution and usage in this region are limited. A community-based, cross-sectional study was conducted from January to February 2024 across 24 randomly selected districts, involving 2,338 households. Data were collected using Open Data Kit and analyzed with SPSS version 21, with statistical significance set at P < 0.05. The findings revealed that 58.1% (95% CI 56.1–59.9) of households owned at least one ITN, and 61.6% (95% CI 59.1–64.2) reported using it the previous night. Multivariable logistic regression identified that being single was associated with lower ITN use (AOR = 0.5; 95% CI 0.3–0.7), while households with 3–4 members (AOR = 1.8; 95% CI 1.2–2.6) and those with sufficient ITNs (AOR = 1.4; 95% CI 1.1–1.8) had higher usage rates. These findings highlight the need for tailored malaria prevention strategies, including sustained ITN distribution, ongoing health education, and targeted interventions to improve ITN utilization, to contribute to malaria elimination and achieve universal health coverage.https://doi.org/10.1038/s41598-025-03180-8MalariaOwnershipITNsUtilizationTigrayEthiopia |
| spellingShingle | Gebregziabher Berihu Gebrekidan Hagos Degefa Hidru Haftom Gebrehiwot Woldearegay Mengistu Hagazi Tequare Tedros Bereket Gebru Hailu Redae Mohamedawel Mohamedniguss Ebrahim Gebrekiros Gebremichael Meles Abadi Kidanemariam Berhe Yemane Berhane Tesfau Muzey Gebremichael Berhe Gebremedhin Gebreegziabher Gebretsadik Hailay Gebretnsae Meresa Gebremedhin Weldu Weldegerima Gebremedhin Hagos Aregay Gebremedhin Gebreset Micheale Hagos Debesay Rieye Esayas Akeza Awealom Asgedom Mache Tsadik The status of ownership and utilization of long-lasting insecticidal treated nets in war-torn Tigray, Ethiopia Scientific Reports Malaria Ownership ITNs Utilization Tigray Ethiopia |
| title | The status of ownership and utilization of long-lasting insecticidal treated nets in war-torn Tigray, Ethiopia |
| title_full | The status of ownership and utilization of long-lasting insecticidal treated nets in war-torn Tigray, Ethiopia |
| title_fullStr | The status of ownership and utilization of long-lasting insecticidal treated nets in war-torn Tigray, Ethiopia |
| title_full_unstemmed | The status of ownership and utilization of long-lasting insecticidal treated nets in war-torn Tigray, Ethiopia |
| title_short | The status of ownership and utilization of long-lasting insecticidal treated nets in war-torn Tigray, Ethiopia |
| title_sort | status of ownership and utilization of long lasting insecticidal treated nets in war torn tigray ethiopia |
| topic | Malaria Ownership ITNs Utilization Tigray Ethiopia |
| url | https://doi.org/10.1038/s41598-025-03180-8 |
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