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Factors Affecting Utilization of Insecticide Treated Nets among People Living with HIV/Aids in Bahir Dar City, Northwest Ethiopia

Received: 30 August 2013     Published: 20 October 2013
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Abstract

Introduction: Malaria and HIV are among the two most important global health problems of this time. All HIV-positive persons (PLHAs) in the household were encouraged to sleep under insecticide treated nets (ITNs) at all times of year. However, the information on utilization and associated factors on these groups have been limited. Objective: the aim of the study was to assess utilization of ITN and associated factors among PLHA, who are members of the three PLHA associations in Bahir City Administration, northwest Ethiopia. Methods: A community based cross-sectional study was conducted from March to May, 2013. A simple random sampling technique was used to select the study participants. Pre-tested and structured questionnaire and observation check list was used to collect the data. Each variable were analyzed by using bi variate logistic regression to know their significance and to assess the separate effects and multi variate analysis was done using backward stepwise logistic regression to control the possible confounding effect for variables with p-value <0.2 in bi variate analysis. Result: Three hundred four304 (76.8%) of PLHA utilized ITNs properly. The main reasons for those who had not have ITN and not utilized ITN were, they did not know where obtained the ITNs 20 (41.7%), ITNs were expensive 16 (33.3%), and no fear of mosquito bite at this time 60(65.2%). Knowledge about malaria risks and ITNs importance (AOR= 2.3; 95% CI 1.23- 4.40), formal education (AOR= 2.39; 95% CI 1.40- 4.08) and better income was significantly associated with ITN utilizations (AOR= 1.83; 95%CI 1.05- 3.20) Conclusion: The PLHA needs special attention on the utilization of ITN. Free provision of ITNs, awareness creation on the utilization of ITN and participate in Income generating activities are supreme important.

Published in Science Journal of Clinical Medicine (Volume 2, Issue 6)
DOI 10.11648/j.sjcm.20130206.11
Page(s) 147-152
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2013. Published by Science Publishing Group

Keywords

Malaria Control, PLHAS, ITNS Utilization, Bahir Dar City, Ethiopia

References
[1] Adhanom T DW, Witten KH, Getachew A, Seboxa T. Malaria. In: Berhane Y, Haile-Mariam, D., Kloos, H (Eds), editor. Epidemiology and Ecology of Health and Disease in Ethiopia. Addis Ababa: Shama Books; 2006. p. 556–76.
[2] WHO. Malaria and HIV/AIDs interaction and implication; conclustion of technical consulation. 2004.
[3] Health FDRoEMo. Integrated Management of Newborn and Childhood Illness. Addis Ababa. FMOH; 2008.
[4] Health FDRoEMo. Health and Health Related Indicators, Addis Ababa: FMOH, 2009/2010.
[5] World Malaria Report : www.who.int/ malaria/ world_malaria_report_2011/en/. [27/02/2013].
[6] Eisele TP LD, Steketee RW. Protective efficacy of interventions for preventing malaria mortality in children in plasmodium falciparum endemic areas. Int J Epidemiol. 2010;39:i88-i101.
[7] FMOH. National Malaria Guideline. Addis Ababa: Federal Minitry of Health of Ethiopia; 2012.
[8] WHO. Insecticide-Treated Mosquito Nets: a WHO Position Statement. . Geneva: World Health Organization; 2007.
[9] WHO U. Protecting vulnerable groups in malaria-endemic areas of Africa through accelerated deployment of insecticide-treated nets. WHO and UNICEF. 2005:1-2.
[10] CDC U. Presidant Malaria initative, Ethiopia Malaria Operational Plan. 2013.
[11] Obinna N. Nnedu GCJ-S, Benson O. Singa , Ben Piper , Phelgona A. Otieno , Alicia Guidryg , Barbra A. Richardson and Judd Walson Prevalence and correlates of insecticide-treated bednet use among HIV-1-infected adults. AIDS Care 2012; 24(12):1559_64.
[12] Patience Edoho Samson-Akpan OBE, Ekaette Francis Asuquo, Mary Achi Mgbekem and Idang Neji Ojong. control of malaria among PLWHA in Calabar,crossRiver State,. Nigeria: Life science; 2012.
[13] Lauren Cohee LAM, Joseph Kagaayi, Ilana Jacobs, Ronald Galiwango, James Ludigo, Joseph Ssekasanvu and Steven J Reynolds. High retention and appropriate use of insecticide-treated nets distributed to HIV-affected households in Rakai, Uganda: results from interviews and home visits. Malaria Journa. 2009; 8 (76).
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    Yibeltal Berie, Kasahun Alemu, Alemayehu Belay, Zemichale Gizaw. (2013). Factors Affecting Utilization of Insecticide Treated Nets among People Living with HIV/Aids in Bahir Dar City, Northwest Ethiopia. Science Journal of Clinical Medicine, 2(6), 147-152. https://doi.org/10.11648/j.sjcm.20130206.11

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    ACS Style

    Yibeltal Berie; Kasahun Alemu; Alemayehu Belay; Zemichale Gizaw. Factors Affecting Utilization of Insecticide Treated Nets among People Living with HIV/Aids in Bahir Dar City, Northwest Ethiopia. Sci. J. Clin. Med. 2013, 2(6), 147-152. doi: 10.11648/j.sjcm.20130206.11

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    AMA Style

    Yibeltal Berie, Kasahun Alemu, Alemayehu Belay, Zemichale Gizaw. Factors Affecting Utilization of Insecticide Treated Nets among People Living with HIV/Aids in Bahir Dar City, Northwest Ethiopia. Sci J Clin Med. 2013;2(6):147-152. doi: 10.11648/j.sjcm.20130206.11

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  • @article{10.11648/j.sjcm.20130206.11,
      author = {Yibeltal Berie and Kasahun Alemu and Alemayehu Belay and Zemichale Gizaw},
      title = {Factors Affecting Utilization of Insecticide Treated Nets among People Living with HIV/Aids in Bahir Dar City, Northwest Ethiopia},
      journal = {Science Journal of Clinical Medicine},
      volume = {2},
      number = {6},
      pages = {147-152},
      doi = {10.11648/j.sjcm.20130206.11},
      url = {https://doi.org/10.11648/j.sjcm.20130206.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20130206.11},
      abstract = {Introduction: Malaria and HIV are among the two most important global health problems of this time. All HIV-positive persons (PLHAs) in the household were encouraged to sleep under insecticide treated nets (ITNs) at all times of year. However, the information on utilization and associated factors on these groups have been limited. Objective: the aim of the study was to assess utilization of ITN and associated factors among PLHA, who are members of the three PLHA associations in Bahir City Administration, northwest Ethiopia. Methods: A community based cross-sectional study was conducted from March to May, 2013. A simple random sampling technique was used to select the study participants. Pre-tested and structured questionnaire and observation check list was used to collect the data. Each variable were analyzed by using bi variate logistic regression to know their significance and to assess the separate effects and multi variate analysis was done using backward stepwise logistic regression to control the possible confounding effect for variables with p-value <0.2  in bi variate analysis. Result: Three hundred four304 (76.8%) of PLHA utilized ITNs properly.  The main reasons for those who had not have ITN and not utilized ITN were, they did not know where obtained the ITNs 20 (41.7%), ITNs were expensive 16 (33.3%), and no fear of mosquito bite at this time 60(65.2%). Knowledge about malaria risks and ITNs importance (AOR= 2.3; 95% CI 1.23- 4.40), formal education (AOR= 2.39; 95% CI 1.40- 4.08) and better income was significantly associated with ITN utilizations (AOR= 1.83; 95%CI 1.05- 3.20) Conclusion: The PLHA needs special attention on the utilization of ITN. Free provision of ITNs, awareness creation on the utilization of ITN and participate in Income generating activities are supreme important.},
     year = {2013}
    }
    

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  • TY  - JOUR
    T1  - Factors Affecting Utilization of Insecticide Treated Nets among People Living with HIV/Aids in Bahir Dar City, Northwest Ethiopia
    AU  - Yibeltal Berie
    AU  - Kasahun Alemu
    AU  - Alemayehu Belay
    AU  - Zemichale Gizaw
    Y1  - 2013/10/20
    PY  - 2013
    N1  - https://doi.org/10.11648/j.sjcm.20130206.11
    DO  - 10.11648/j.sjcm.20130206.11
    T2  - Science Journal of Clinical Medicine
    JF  - Science Journal of Clinical Medicine
    JO  - Science Journal of Clinical Medicine
    SP  - 147
    EP  - 152
    PB  - Science Publishing Group
    SN  - 2327-2732
    UR  - https://doi.org/10.11648/j.sjcm.20130206.11
    AB  - Introduction: Malaria and HIV are among the two most important global health problems of this time. All HIV-positive persons (PLHAs) in the household were encouraged to sleep under insecticide treated nets (ITNs) at all times of year. However, the information on utilization and associated factors on these groups have been limited. Objective: the aim of the study was to assess utilization of ITN and associated factors among PLHA, who are members of the three PLHA associations in Bahir City Administration, northwest Ethiopia. Methods: A community based cross-sectional study was conducted from March to May, 2013. A simple random sampling technique was used to select the study participants. Pre-tested and structured questionnaire and observation check list was used to collect the data. Each variable were analyzed by using bi variate logistic regression to know their significance and to assess the separate effects and multi variate analysis was done using backward stepwise logistic regression to control the possible confounding effect for variables with p-value <0.2  in bi variate analysis. Result: Three hundred four304 (76.8%) of PLHA utilized ITNs properly.  The main reasons for those who had not have ITN and not utilized ITN were, they did not know where obtained the ITNs 20 (41.7%), ITNs were expensive 16 (33.3%), and no fear of mosquito bite at this time 60(65.2%). Knowledge about malaria risks and ITNs importance (AOR= 2.3; 95% CI 1.23- 4.40), formal education (AOR= 2.39; 95% CI 1.40- 4.08) and better income was significantly associated with ITN utilizations (AOR= 1.83; 95%CI 1.05- 3.20) Conclusion: The PLHA needs special attention on the utilization of ITN. Free provision of ITNs, awareness creation on the utilization of ITN and participate in Income generating activities are supreme important.
    VL  - 2
    IS  - 6
    ER  - 

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Author Information
  • Department of Health promotion and disease prevention Core Process, Amhara National Regional Health Bureau, Bahir Dar City, Ethiopia

  • Institute of Public Health, College of Medicine and Health Sciences, Gondar University, Gondar City, Ethiopia

  • Department of Health Education and Promotion, Felege Hiwot Referral Hospital, Bahir Dar City, Ethiopia

  • Department of Environmental health Institute of Public Health, College of Medicine and Health Sciences, Gondar University, Gondar City, Ethiopia

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