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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

Survey sample.A depiction of the survey sample selection process.
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pone.0139447.g002: Survey sample.A depiction of the survey sample selection process.

Mentions: A complete list of census enumeration areas (EAs) was utilized to systematically select 14 rural clusters from both Ohaukwu and Abakaliki LGAs (28 clusters total). An additional 30 clusters were systematically selected from the six sentinel villages where the SBC intervention was conducted to allow for comparative analysis. It was assumed a priori that all EAs were of approximately equal size. Twenty-six large EAs were segmented according to the UNICEF Multiple Indicator Cluster Survey (MICS) sampling methodology [32]. All households in the selected EA or segment thereof were included in the survey. The survey team visited 995 households in 58 selected clusters (Fig 2).


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)

Survey sample.A depiction of the survey sample selection process.
© Copyright Policy
Related In: Results  -  Collection

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

pone.0139447.g002: Survey sample.A depiction of the survey sample selection process.
Mentions: A complete list of census enumeration areas (EAs) was utilized to systematically select 14 rural clusters from both Ohaukwu and Abakaliki LGAs (28 clusters total). An additional 30 clusters were systematically selected from the six sentinel villages where the SBC intervention was conducted to allow for comparative analysis. It was assumed a priori that all EAs were of approximately equal size. Twenty-six large EAs were segmented according to the UNICEF Multiple Indicator Cluster Survey (MICS) sampling methodology [32]. All households in the selected EA or segment thereof were included in the survey. The survey team visited 995 households in 58 selected clusters (Fig 2).

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