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Effect of training on the use of long-lasting insecticide-treated bed nets on the burden of malaria among vulnerable groups, south-west Ethiopia: baseline results of a cluster randomized trial
- Source :
- Malaria Journal, Malaria Journal, Vol 9, Iss 1, p 121 (2010)
- Publisher :
- Springer Nature
-
Abstract
- Background In Ethiopia, the utilization of long-lasting insecticide-treated bed nets (LLITN) is hampered by behavioural factors such as low awareness and negative attitude of the community. The aim of this study was to present the design and baseline results of a cluster randomized trial on the effect of training of household heads on the use of LLITN. Methods This baseline survey was undertaken from February to March, 2009 as part of a randomized cluster trial. A total of 11 intervention and 11 control Gots (villages) were included in the Gilgel Gibe Field Research Centre, south-west Ethiopia. House to house visit was done in 4135 households to collect information about the use of LLITN and socio-demographic variables. For the diagnosis of malaria and anaemia, blood samples were collected from 2410 under-five children and 242 pregnant women. Results One fourth of the households in the intervention and control Gots had functional LLITN. Only 30% of the observed LLITN in the intervention and 28% in the control Gots were hanged properly. Adults were more likely to utilize LLITN than under-five children in the control and intervention Gots. The prevalence of malaria in under-five children in the intervention and control Gots was 10.5% and 8.3% respectively. The intervention and control Gots had no significant difference concerning the prevalence of malaria in under-five children, [OR = 1.28, (95%CI: 0.97, 1.69)]. Eight (6.1%) pregnant women in the intervention and eight (7.2%) in the control Gots were positive for malaria (P = 0.9). Children in the intervention Gots were less likely to have anaemia than children in the control Gots, [OR = 0.75, (95%CI: 0.62, 0.85)]. Conclusion The availability and utilization of LLITN was low in the study area. The prevalence of malaria and anaemia was high. Intervention strategies of malaria should focus on high risk population and vulnerable groups.
- Subjects :
- Adult
Veterinary medicine
Health Knowledge, Attitudes, Practice
lcsh:Arctic medicine. Tropical medicine
Mosquito Control
lcsh:RC955-962
Population
Plasmodium falciparum
Prevalence
Disease cluster
Vulnerable Populations
lcsh:Infectious and parasitic diseases
law.invention
Education
Young Adult
Randomized controlled trial
law
Pregnancy
Environmental health
medicine
Animals
Cluster Analysis
Humans
lcsh:RC109-216
Cluster randomised controlled trial
Insecticide-Treated Bednets
education
Child
education.field_of_study
Family Characteristics
Mosquito Nets
business.industry
Research
Patient Acceptance of Health Care
medicine.disease
Malaria
Diagnosis of malaria
Infectious Diseases
Pregnancy Complications, Parasitic
Health education
Female
Parasitology
Ethiopia
business
Subjects
Details
- Language :
- English
- ISSN :
- 14752875
- Volume :
- 9
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Malaria Journal
- Accession number :
- edsair.doi.dedup.....8dbe8cfdf34392dc16b662145530d5bc
- Full Text :
- https://doi.org/10.1186/1475-2875-9-121