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Factors Associated with Utilization of Insecticide Treated Nets Among Residents of Kamwenge Town Council-Kamwenge District-Uganda

Received: 20 February 2019     Accepted: 26 March 2019     Published: 18 April 2019
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Abstract

Background: Malaria continues to be a leading cause of morbidity and mortality in sub-Saharan Africa. In Uganda, malaria remains the leading cause of morbidity, accounting for 30 to 50 percent of outpatient visits, 15 to 20 percent of admissions, and 9 to 14 percent of inpatient deaths. The first national-wide Insecticide Treated Nets (ITNs) coverage campaign was launched in 2010 targeted at households with pregnant women and children below 5yrs of age. Objective: To determine the factors associated with utilization of Insecticide Treated Nets (ITNs) among residents of Kamwenge Town Council, Kamwenge District-Western Uganda. Methodology: The study design was cross-sectional in which data were collected using an interviewer administered structured questionnaire and analyzed using Stata version 13. Results: A total of 285 respondents were interviewed of which 39.7% were male. Ownership of ITNs was 60% whereas utilization in the night prior to the study was 54.4%. The factors associated with the ownership of the ITNs included: marital status: married respondents (p=0.05), level of education (p=0.001), knowledge of malaria cause (p=0.033), presence of children under 5 years (p=0.025). The factors associated with the utilization of ITNs included: marital status of the respondents: married respondents (p=0.018), education level (p=0.009), presence of children under five years (p=0.048), knowledge of cause of malaria (p=0.019), having faced challenges in using ITNs (p=0.001), and malaria episode in the last one month (p=0.011). Conclusion: The study concludes that the ownership and utilization of ITNs were low since they were all below the national target of universal coverage. The factors statistically associated with the ownership of the ITNs included: marital status, level of education, knowledge of malaria cause and the number of children under 5 years in a household. The factors statistically associated with the utilization of ITNs were marital status, education level of the respondents, and presence of children under five years of age in the household, having knowledge about malaria, having faced challenges in using ITNs in the past and malaria episode in the last one month.

Published in International Journal of Infectious Diseases and Therapy (Volume 4, Issue 1)
DOI 10.11648/j.ijidt.20190401.11
Page(s) 1-6
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), 2019. Published by Science Publishing Group

Keywords

Residents, Insecticide Treated Nets (ITNS), Utilization

References
[1] World Health Organisation (2017), World Malaria Report, a WHO global malaria program accessed at www.who.int on 9th May 2017. WHO international.
[2] World Health Organisation (2014). World Malaria Report. Geneva: World Health Organization.
[3] National Malaria Control Programme (NMCP). (2014). Uganda Malaria Reduction Strategic Plan 2014-2020. Kampala, Uganda.
[4] Lengeler C. (2014). Insecticide-treated bed nets and curtains for preventing malaria. Cochrane Database Syst Rev. 2014; 2: CD000363.
[5] Guyatt HL, Ochola SA, Snow RW (2002): Too poor to pay: charging for Insecticide treated bed nets in highland Kenya. Trop Med Int health 2002, 7: 846-850.
[6] Ministry of Health (MoH). (2015). Uganda Malaria Indicator Report 2014-15. Kampala: Ministry of Health. Retrieved 6 21, 2017, from https://dhsprogram.com/pubs/pdf/mis21/mis21.pdf
[7] Uganda Bureau of Statistcs (UBOS) and ICF. 2017. Uganda Demographic and Health Survey 2016: Key Indicators Report. Kampala, Uganda: UBOS, and Rockville, Maryland, USA: UBOS and ICF.
[8] Kish, Leslie (1965): Survey Sampling. New York: John Wiely and Sons, Inc. p. 78-94.
[9] Binka et al, (2009), Impact of spatial distribution of permethrin-impregnated bed nets on child mortality in rural northern Ghana. Am J Trop Med Hyg, 59: 80-85.
[10] Biadgilign, S, Reda, A & Kedir, H (2012), ‘Determinants of ownership and utilisation of insecticide-treated bed nets for malaria control in Eastern Ethiopia’, Journal of Tropical medicine.
[11] Gobena, T, Berhane, Y & Worka, A, (2012), ‘Low long-lasting insecticide nets use among household members for protection against mosquito bite in Kerse, Eastern Ethiopia’, Research article.
[12] Axame, Wisdom & Kweku, Margaret & Amelor, Sedoafia & Kye-Duodu, Gideon & Agboli, Eric & Agbemafle, Isaac & Kwami Takramah, Wisdom & Tarkang, Elvis & Binka, Fred. (2016). Ownership and Utilization of Long Lasting Insecticide Treated Nets (LLIN) and Factors Associated to Non-Utilization Among Pregnant Women in Ho Municipality of Ghana. 2. 35-42. 10.11648/j.cajph.20160201.16.
[13] Onwejekwe O, Akpala C, Ghasi S, Shu E, Okonkwo P, (2013). How do rural households perceive and prioritize malaria and mosquito nets? A study in five communities of Nigeria. Public Health 2015, 114: 407-410.
[14] Pulford, J., Hetzel, W. M., Bryant, M.., Siba, M. P. and Mueller, I., (2011). Reported reasons for not using a mosquito net when one is available: a review of the published literature. Malar J. 2011, 10: 83.
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  • APA Style

    Ikiriza Antony, Maureen Andinda, Kamukama Robert, Mugisa Tony, Rubaihayo John, et al. (2019). Factors Associated with Utilization of Insecticide Treated Nets Among Residents of Kamwenge Town Council-Kamwenge District-Uganda. International Journal of Infectious Diseases and Therapy, 4(1), 1-6. https://doi.org/10.11648/j.ijidt.20190401.11

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    ACS Style

    Ikiriza Antony; Maureen Andinda; Kamukama Robert; Mugisa Tony; Rubaihayo John, et al. Factors Associated with Utilization of Insecticide Treated Nets Among Residents of Kamwenge Town Council-Kamwenge District-Uganda. Int. J. Infect. Dis. Ther. 2019, 4(1), 1-6. doi: 10.11648/j.ijidt.20190401.11

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    AMA Style

    Ikiriza Antony, Maureen Andinda, Kamukama Robert, Mugisa Tony, Rubaihayo John, et al. Factors Associated with Utilization of Insecticide Treated Nets Among Residents of Kamwenge Town Council-Kamwenge District-Uganda. Int J Infect Dis Ther. 2019;4(1):1-6. doi: 10.11648/j.ijidt.20190401.11

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  • @article{10.11648/j.ijidt.20190401.11,
      author = {Ikiriza Antony and Maureen Andinda and Kamukama Robert and Mugisa Tony and Rubaihayo John and Arseni R. Semana},
      title = {Factors Associated with Utilization of Insecticide Treated Nets Among Residents of Kamwenge Town Council-Kamwenge District-Uganda},
      journal = {International Journal of Infectious Diseases and Therapy},
      volume = {4},
      number = {1},
      pages = {1-6},
      doi = {10.11648/j.ijidt.20190401.11},
      url = {https://doi.org/10.11648/j.ijidt.20190401.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijidt.20190401.11},
      abstract = {Background: Malaria continues to be a leading cause of morbidity and mortality in sub-Saharan Africa. In Uganda, malaria remains the leading cause of morbidity, accounting for 30 to 50 percent of outpatient visits, 15 to 20 percent of admissions, and 9 to 14 percent of inpatient deaths. The first national-wide Insecticide Treated Nets (ITNs) coverage campaign was launched in 2010 targeted at households with pregnant women and children below 5yrs of age. Objective: To determine the factors associated with utilization of Insecticide Treated Nets (ITNs) among residents of Kamwenge Town Council, Kamwenge District-Western Uganda. Methodology: The study design was cross-sectional in which data were collected using an interviewer administered structured questionnaire and analyzed using Stata version 13. Results: A total of 285 respondents were interviewed of which 39.7% were male. Ownership of ITNs was 60% whereas utilization in the night prior to the study was 54.4%. The factors associated with the ownership of the ITNs included: marital status: married respondents (p=0.05), level of education (p=0.001), knowledge of malaria cause (p=0.033), presence of children under 5 years (p=0.025). The factors associated with the utilization of ITNs included: marital status of the respondents: married respondents (p=0.018), education level (p=0.009), presence of children under five years (p=0.048), knowledge of cause of malaria (p=0.019), having faced challenges in using ITNs (p=0.001), and malaria episode in the last one month (p=0.011). Conclusion: The study concludes that the ownership and utilization of ITNs were low since they were all below the national target of universal coverage. The factors statistically associated with the ownership of the ITNs included: marital status, level of education, knowledge of malaria cause and the number of children under 5 years in a household. The factors statistically associated with the utilization of ITNs were marital status, education level of the respondents, and presence of children under five years of age in the household, having knowledge about malaria, having faced challenges in using ITNs in the past and malaria episode in the last one month.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Factors Associated with Utilization of Insecticide Treated Nets Among Residents of Kamwenge Town Council-Kamwenge District-Uganda
    AU  - Ikiriza Antony
    AU  - Maureen Andinda
    AU  - Kamukama Robert
    AU  - Mugisa Tony
    AU  - Rubaihayo John
    AU  - Arseni R. Semana
    Y1  - 2019/04/18
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ijidt.20190401.11
    DO  - 10.11648/j.ijidt.20190401.11
    T2  - International Journal of Infectious Diseases and Therapy
    JF  - International Journal of Infectious Diseases and Therapy
    JO  - International Journal of Infectious Diseases and Therapy
    SP  - 1
    EP  - 6
    PB  - Science Publishing Group
    SN  - 2578-966X
    UR  - https://doi.org/10.11648/j.ijidt.20190401.11
    AB  - Background: Malaria continues to be a leading cause of morbidity and mortality in sub-Saharan Africa. In Uganda, malaria remains the leading cause of morbidity, accounting for 30 to 50 percent of outpatient visits, 15 to 20 percent of admissions, and 9 to 14 percent of inpatient deaths. The first national-wide Insecticide Treated Nets (ITNs) coverage campaign was launched in 2010 targeted at households with pregnant women and children below 5yrs of age. Objective: To determine the factors associated with utilization of Insecticide Treated Nets (ITNs) among residents of Kamwenge Town Council, Kamwenge District-Western Uganda. Methodology: The study design was cross-sectional in which data were collected using an interviewer administered structured questionnaire and analyzed using Stata version 13. Results: A total of 285 respondents were interviewed of which 39.7% were male. Ownership of ITNs was 60% whereas utilization in the night prior to the study was 54.4%. The factors associated with the ownership of the ITNs included: marital status: married respondents (p=0.05), level of education (p=0.001), knowledge of malaria cause (p=0.033), presence of children under 5 years (p=0.025). The factors associated with the utilization of ITNs included: marital status of the respondents: married respondents (p=0.018), education level (p=0.009), presence of children under five years (p=0.048), knowledge of cause of malaria (p=0.019), having faced challenges in using ITNs (p=0.001), and malaria episode in the last one month (p=0.011). Conclusion: The study concludes that the ownership and utilization of ITNs were low since they were all below the national target of universal coverage. The factors statistically associated with the ownership of the ITNs included: marital status, level of education, knowledge of malaria cause and the number of children under 5 years in a household. The factors statistically associated with the utilization of ITNs were marital status, education level of the respondents, and presence of children under five years of age in the household, having knowledge about malaria, having faced challenges in using ITNs in the past and malaria episode in the last one month.
    VL  - 4
    IS  - 1
    ER  - 

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Author Information
  • Department of Public Health, Mountains of the Moon University, Fort Portal, Uganda

  • Department of Public Health, Mountains of the Moon University, Fort Portal, Uganda

  • Department of Public Health, Mountains of the Moon University, Fort Portal, Uganda

  • Department of Public Health, Mountains of the Moon University, Fort Portal, Uganda

  • School of Health Sciences, Mountains of the Moon University, Fort Portal, Uganda

  • School of Agriculture and Environmental Science, Mountains of the Moon University, Fort Portal, Uganda

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