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Determinants of Bed Net Use in Southeast Nigeria following Mass Distribution of LLINs: Implications for Social Behavior Change Interventions.

Russell CL, Sallau A, Emukah E, Graves PM, Noland GS, Ngondi JM, Ozaki M, Nwankwo L, Miri E, McFarland DA, Richards FO, Patterson AE - PLoS ONE (2015)

Bottom Line: LLIN ownership, however, does not necessarily guarantee use.The odds of net use increased among individuals who were exposed to tailored SBC in the context of a home visit (OR = 17.11; 95% CI 4.45-65.79) or who received greater degrees of social support from friends and family (ptrend < 0.001).The findings suggest that LLIN use is significantly influenced by social support and exposure to a malaria-related SBC home visit.

View Article: PubMed Central - PubMed

Affiliation: Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.

ABSTRACT
Millions of long-lasting insecticide treated nets (LLINs) have been distributed as part of the global malaria control strategy. LLIN ownership, however, does not necessarily guarantee use. Thus, even in the ideal setting in which universal coverage with LLINs has been achieved, maximal malaria protection will only be achieved if LLINs are used both correctly and consistently. This study investigated the factors associated with net use, independent of net ownership. Data were collected during a household survey conducted in Ebonyi State in southeastern Nigeria in November 2011 following a statewide mass LLIN distribution campaign and, in select locations, a community-based social behavior change (SBC) intervention. Logistic regression analyses, controlling for household bed net ownership, were conducted to examine the association between individual net use and various demographic, environmental, behavioral and social factors. The odds of net use increased among individuals who were exposed to tailored SBC in the context of a home visit (OR = 17.11; 95% CI 4.45-65.79) or who received greater degrees of social support from friends and family (ptrend < 0.001). Factors associated with decreased odds of net use included: increasing education level (ptrend = 0.020), increasing malaria knowledge level (ptrend = 0.022), and reporting any disadvantage of bed nets (OR = 0.39; 95% CI 0.23-0.78). The findings suggest that LLIN use is significantly influenced by social support and exposure to a malaria-related SBC home visit. The malaria community should thus further consider the importance of community outreach, interpersonal communication and social support on adoption of net use behaviors when designing future research and interventions.

No MeSH data available.


Related in: MedlinePlus

Map of the survey area.Map highlights Ebonyi State in southeast Nigeria, and the Local Government Areas of Ohaukwu and Abakaliki, where the November 2011 survey was conducted.
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pone.0139447.g001: Map of the survey area.Map highlights Ebonyi State in southeast Nigeria, and the Local Government Areas of Ohaukwu and Abakaliki, where the November 2011 survey was conducted.

Mentions: Ebonyi (Fig 1), a primarily rural state, occupies an area of approximately 5,935 square kilometers and all of its 1.7 million inhabitants are at risk of malaria. Anopheles gambiae s.l. are the most common vectors for malaria and LF in the area [30], meaning that LLINs can be used to reduce transmission of both diseases. Ebonyi State has two distinct seasons—generally rainy from April to October and dry from November to March. The dominant species of malaria parasite, Plasmodium falciparum, is transmitted perennially, although malaria episodes usually peak towards the end of the rainy season [30].


Determinants of Bed Net Use in Southeast Nigeria following Mass Distribution of LLINs: Implications for Social Behavior Change Interventions.

Russell CL, Sallau A, Emukah E, Graves PM, Noland GS, Ngondi JM, Ozaki M, Nwankwo L, Miri E, McFarland DA, Richards FO, Patterson AE - PLoS ONE (2015)

Map of the survey area.Map highlights Ebonyi State in southeast Nigeria, and the Local Government Areas of Ohaukwu and Abakaliki, where the November 2011 survey was conducted.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4591998&req=5

pone.0139447.g001: Map of the survey area.Map highlights Ebonyi State in southeast Nigeria, and the Local Government Areas of Ohaukwu and Abakaliki, where the November 2011 survey was conducted.
Mentions: Ebonyi (Fig 1), a primarily rural state, occupies an area of approximately 5,935 square kilometers and all of its 1.7 million inhabitants are at risk of malaria. Anopheles gambiae s.l. are the most common vectors for malaria and LF in the area [30], meaning that LLINs can be used to reduce transmission of both diseases. Ebonyi State has two distinct seasons—generally rainy from April to October and dry from November to March. The dominant species of malaria parasite, Plasmodium falciparum, is transmitted perennially, although malaria episodes usually peak towards the end of the rainy season [30].

Bottom Line: LLIN ownership, however, does not necessarily guarantee use.The odds of net use increased among individuals who were exposed to tailored SBC in the context of a home visit (OR = 17.11; 95% CI 4.45-65.79) or who received greater degrees of social support from friends and family (ptrend < 0.001).The findings suggest that LLIN use is significantly influenced by social support and exposure to a malaria-related SBC home visit.

View Article: PubMed Central - PubMed

Affiliation: Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.

ABSTRACT
Millions of long-lasting insecticide treated nets (LLINs) have been distributed as part of the global malaria control strategy. LLIN ownership, however, does not necessarily guarantee use. Thus, even in the ideal setting in which universal coverage with LLINs has been achieved, maximal malaria protection will only be achieved if LLINs are used both correctly and consistently. This study investigated the factors associated with net use, independent of net ownership. Data were collected during a household survey conducted in Ebonyi State in southeastern Nigeria in November 2011 following a statewide mass LLIN distribution campaign and, in select locations, a community-based social behavior change (SBC) intervention. Logistic regression analyses, controlling for household bed net ownership, were conducted to examine the association between individual net use and various demographic, environmental, behavioral and social factors. The odds of net use increased among individuals who were exposed to tailored SBC in the context of a home visit (OR = 17.11; 95% CI 4.45-65.79) or who received greater degrees of social support from friends and family (ptrend < 0.001). Factors associated with decreased odds of net use included: increasing education level (ptrend = 0.020), increasing malaria knowledge level (ptrend = 0.022), and reporting any disadvantage of bed nets (OR = 0.39; 95% CI 0.23-0.78). The findings suggest that LLIN use is significantly influenced by social support and exposure to a malaria-related SBC home visit. The malaria community should thus further consider the importance of community outreach, interpersonal communication and social support on adoption of net use behaviors when designing future research and interventions.

No MeSH data available.


Related in: MedlinePlus