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Breakthrough ACTION is funded by the U.S. Agency for International Development (USAID) and U.S. President’s Malaria Initiative under the terms of Cooperative Agreement No. AID-OAA-A-17-00017. The opinions and assertions expressed herein are those of the author(s) and do not necessarily reflect the official policy or position of USAID, the Uniformed Services University or the Department of Defense." 0 1 2 3 4 Currently pregnant Has child<5 years old† Christian >30 years ≥Primary Education ≥1 ITN/2 persons in … Household size>4 Close to Health Facility Rural Residence Southern Region Central Region High ITN Ideation †Reference group is the null category or Couples Concordance on Consistent ITN Use in Malawi Bolanle Olapeju1, Michael Bride2, Anna Passaniti2, Shelby Cash3, Edson Dembo4, Michael Kayange5, Austin Gumbo5, Taonga Mafuleka5, Nyanyiwe Mbeye6, Jennifer Boyle2 , Chime Mukwakwa2, Chitsime Angela2, Chisambi Alvin2. 1Uniformed Services University of the Health Sciences, Bethesda, MD, United States, 2Johns Hopkins University Center for Communications Programs, Baltimore, MD, United States, 3U.S.President’s Malaria Initiative, Malaria Branch, U.S. Centers for Disease Control and Prevention, Atlanta, GA, United States, 4U.S.President’s Malaria Initiative, USAID, Lilongwe, Malawi, 5National Malaria Control Program, Lilongwe, Malawi, 6Kamuzu University of Health Sciences, Lilongwe, Malawi BACKGROUND Universal ITN Coverage brings more opportunities for effective Social and Behavior Change (SBC) interventions This analysis explored couples' concordance on ITN related psychosocial factors and consistent ITN use (nightly in the past week). Level of agreement was assessed using Cohens Kappa statistic, and logistic regression of concordant ITN use Data were from a nationally representative Malaria Behaviors Survey in 2021 (N=1213 Couples). OBJECTIVES Explore couples concordant ITN use and concordant ITN related ideation to inform the design of effective SBC interventions. RE, RITM0030046, Universal ITN Coverage brings more opportunities for effective Social and Behavior Change (SBC) interventions This analysis explored couples' concordance on ITN related psychosocial factors and consistent ITN use (nightly in the past week). Level of agreement was assessed using Cohens Kappa statistic, and logistic regression of concordant ITN use Data were from a nationally representative Malaria Behaviors Survey in 2021 (N=1213 Couples).