Factors Affecting Utilization of Insecticide Treated Nets among People Living with HIV/Aids in Bahir Dar City, Northwest Ethiopia

Yibeltal Berie; Kasahun Alemu; Alemayehu Belay; Zemichale Gizaw

doi:doi:10.11648/j.sjcm.20130206.11

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Factors Affecting Utilization of Insecticide Treated Nets among People Living with HIV/Aids in Bahir Dar City, Northwest Ethiopia

Yibeltal Berie, Kasahun Alemu, Alemayehu Belay, Zemichale Gizaw

Published in Science Journal of Clinical Medicine (Volume 2, Issue 6)

Received: 30 August 2013 Published: 20 October 2013

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Abstract

Introduction: Malaria and HIV are among the two most important global health problems of this time. All HIV-positive persons (PLHAs) in the household were encouraged to sleep under insecticide treated nets (ITNs) at all times of year. However, the information on utilization and associated factors on these groups have been limited. Objective: the aim of the study was to assess utilization of ITN and associated factors among PLHA, who are members of the three PLHA associations in Bahir City Administration, northwest Ethiopia. Methods: A community based cross-sectional study was conducted from March to May, 2013. A simple random sampling technique was used to select the study participants. Pre-tested and structured questionnaire and observation check list was used to collect the data. Each variable were analyzed by using bi variate logistic regression to know their significance and to assess the separate effects and multi variate analysis was done using backward stepwise logistic regression to control the possible confounding effect for variables with p-value <0.2 in bi variate analysis. Result: Three hundred four304 (76.8%) of PLHA utilized ITNs properly. The main reasons for those who had not have ITN and not utilized ITN were, they did not know where obtained the ITNs 20 (41.7%), ITNs were expensive 16 (33.3%), and no fear of mosquito bite at this time 60(65.2%). Knowledge about malaria risks and ITNs importance (AOR= 2.3; 95% CI 1.23- 4.40), formal education (AOR= 2.39; 95% CI 1.40- 4.08) and better income was significantly associated with ITN utilizations (AOR= 1.83; 95%CI 1.05- 3.20) Conclusion: The PLHA needs special attention on the utilization of ITN. Free provision of ITNs, awareness creation on the utilization of ITN and participate in Income generating activities are supreme important.

Published in	Science Journal of Clinical Medicine (Volume 2, Issue 6)
DOI	10.11648/j.sjcm.20130206.11
Page(s)	147-152
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), 2013. Published by Science Publishing Group

Keywords

Malaria Control, PLHAS, ITNS Utilization, Bahir Dar City, Ethiopia

References

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[2]	WHO. Malaria and HIV/AIDs interaction and implication; conclustion of technical consulation. 2004.
[3]	Health FDRoEMo. Integrated Management of Newborn and Childhood Illness. Addis Ababa. FMOH; 2008.
[4]	Health FDRoEMo. Health and Health Related Indicators, Addis Ababa: FMOH, 2009/2010.
[5]	World Malaria Report : www.who.int/ malaria/ world_malaria_report_2011/en/. [27/02/2013].
[6]	Eisele TP LD, Steketee RW. Protective efficacy of interventions for preventing malaria mortality in children in plasmodium falciparum endemic areas. Int J Epidemiol. 2010;39:i88-i101.
[7]	FMOH. National Malaria Guideline. Addis Ababa: Federal Minitry of Health of Ethiopia; 2012.
[8]	WHO. Insecticide-Treated Mosquito Nets: a WHO Position Statement. . Geneva: World Health Organization; 2007.
[9]	WHO U. Protecting vulnerable groups in malaria-endemic areas of Africa through accelerated deployment of insecticide-treated nets. WHO and UNICEF. 2005:1-2.
[10]	CDC U. Presidant Malaria initative, Ethiopia Malaria Operational Plan. 2013.
[11]	Obinna N. Nnedu GCJ-S, Benson O. Singa , Ben Piper , Phelgona A. Otieno , Alicia Guidryg , Barbra A. Richardson and Judd Walson Prevalence and correlates of insecticide-treated bednet use among HIV-1-infected adults. AIDS Care 2012; 24(12):1559_64.
[12]	Patience Edoho Samson-Akpan OBE, Ekaette Francis Asuquo, Mary Achi Mgbekem and Idang Neji Ojong. control of malaria among PLWHA in Calabar,crossRiver State,. Nigeria: Life science; 2012.
[13]	Lauren Cohee LAM, Joseph Kagaayi, Ilana Jacobs, Ronald Galiwango, James Ludigo, Joseph Ssekasanvu and Steven J Reynolds. High retention and appropriate use of insecticide-treated nets distributed to HIV-affected households in Rakai, Uganda: results from interviews and home visits. Malaria Journa. 2009; 8 (76).

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APA Style

Yibeltal Berie, Kasahun Alemu, Alemayehu Belay, Zemichale Gizaw. (2013). Factors Affecting Utilization of Insecticide Treated Nets among People Living with HIV/Aids in Bahir Dar City, Northwest Ethiopia. Science Journal of Clinical Medicine, 2(6), 147-152. https://doi.org/10.11648/j.sjcm.20130206.11

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ACS Style

Yibeltal Berie; Kasahun Alemu; Alemayehu Belay; Zemichale Gizaw. Factors Affecting Utilization of Insecticide Treated Nets among People Living with HIV/Aids in Bahir Dar City, Northwest Ethiopia. Sci. J. Clin. Med. 2013, 2(6), 147-152. doi: 10.11648/j.sjcm.20130206.11

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AMA Style

Yibeltal Berie, Kasahun Alemu, Alemayehu Belay, Zemichale Gizaw. Factors Affecting Utilization of Insecticide Treated Nets among People Living with HIV/Aids in Bahir Dar City, Northwest Ethiopia. Sci J Clin Med. 2013;2(6):147-152. doi: 10.11648/j.sjcm.20130206.11

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@article{10.11648/j.sjcm.20130206.11,
  author = {Yibeltal Berie and Kasahun Alemu and Alemayehu Belay and Zemichale Gizaw},
  title = {Factors Affecting Utilization of Insecticide Treated Nets among People Living with HIV/Aids in Bahir Dar City, Northwest Ethiopia},
  journal = {Science Journal of Clinical Medicine},
  volume = {2},
  number = {6},
  pages = {147-152},
  doi = {10.11648/j.sjcm.20130206.11},
  url = {https://doi.org/10.11648/j.sjcm.20130206.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20130206.11},
  abstract = {Introduction: Malaria and HIV are among the two most important global health problems of this time. All HIV-positive persons (PLHAs) in the household were encouraged to sleep under insecticide treated nets (ITNs) at all times of year. However, the information on utilization and associated factors on these groups have been limited. Objective: the aim of the study was to assess utilization of ITN and associated factors among PLHA, who are members of the three PLHA associations in Bahir City Administration, northwest Ethiopia. Methods: A community based cross-sectional study was conducted from March to May, 2013. A simple random sampling technique was used to select the study participants. Pre-tested and structured questionnaire and observation check list was used to collect the data. Each variable were analyzed by using bi variate logistic regression to know their significance and to assess the separate effects and multi variate analysis was done using backward stepwise logistic regression to control the possible confounding effect for variables with p-value <0.2  in bi variate analysis. Result: Three hundred four304 (76.8%) of PLHA utilized ITNs properly.  The main reasons for those who had not have ITN and not utilized ITN were, they did not know where obtained the ITNs 20 (41.7%), ITNs were expensive 16 (33.3%), and no fear of mosquito bite at this time 60(65.2%). Knowledge about malaria risks and ITNs importance (AOR= 2.3; 95% CI 1.23- 4.40), formal education (AOR= 2.39; 95% CI 1.40- 4.08) and better income was significantly associated with ITN utilizations (AOR= 1.83; 95%CI 1.05- 3.20) Conclusion: The PLHA needs special attention on the utilization of ITN. Free provision of ITNs, awareness creation on the utilization of ITN and participate in Income generating activities are supreme important.},
 year = {2013}
}

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TY  - JOUR
T1  - Factors Affecting Utilization of Insecticide Treated Nets among People Living with HIV/Aids in Bahir Dar City, Northwest Ethiopia
AU  - Yibeltal Berie
AU  - Kasahun Alemu
AU  - Alemayehu Belay
AU  - Zemichale Gizaw
Y1  - 2013/10/20
PY  - 2013
N1  - https://doi.org/10.11648/j.sjcm.20130206.11
DO  - 10.11648/j.sjcm.20130206.11
T2  - Science Journal of Clinical Medicine
JF  - Science Journal of Clinical Medicine
JO  - Science Journal of Clinical Medicine
SP  - 147
EP  - 152
PB  - Science Publishing Group
SN  - 2327-2732
UR  - https://doi.org/10.11648/j.sjcm.20130206.11
AB  - Introduction: Malaria and HIV are among the two most important global health problems of this time. All HIV-positive persons (PLHAs) in the household were encouraged to sleep under insecticide treated nets (ITNs) at all times of year. However, the information on utilization and associated factors on these groups have been limited. Objective: the aim of the study was to assess utilization of ITN and associated factors among PLHA, who are members of the three PLHA associations in Bahir City Administration, northwest Ethiopia. Methods: A community based cross-sectional study was conducted from March to May, 2013. A simple random sampling technique was used to select the study participants. Pre-tested and structured questionnaire and observation check list was used to collect the data. Each variable were analyzed by using bi variate logistic regression to know their significance and to assess the separate effects and multi variate analysis was done using backward stepwise logistic regression to control the possible confounding effect for variables with p-value <0.2  in bi variate analysis. Result: Three hundred four304 (76.8%) of PLHA utilized ITNs properly.  The main reasons for those who had not have ITN and not utilized ITN were, they did not know where obtained the ITNs 20 (41.7%), ITNs were expensive 16 (33.3%), and no fear of mosquito bite at this time 60(65.2%). Knowledge about malaria risks and ITNs importance (AOR= 2.3; 95% CI 1.23- 4.40), formal education (AOR= 2.39; 95% CI 1.40- 4.08) and better income was significantly associated with ITN utilizations (AOR= 1.83; 95%CI 1.05- 3.20) Conclusion: The PLHA needs special attention on the utilization of ITN. Free provision of ITNs, awareness creation on the utilization of ITN and participate in Income generating activities are supreme important.
VL  - 2
IS  - 6
ER  -

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Author Information

Yibeltal Berie

Department of Health promotion and disease prevention Core Process, Amhara National Regional Health Bureau, Bahir Dar City, Ethiopia
Kasahun Alemu

Institute of Public Health, College of Medicine and Health Sciences, Gondar University, Gondar City, Ethiopia
Alemayehu Belay

Department of Health Education and Promotion, Felege Hiwot Referral Hospital, Bahir Dar City, Ethiopia
Zemichale Gizaw

Department of Environmental health Institute of Public Health, College of Medicine and Health Sciences, Gondar University, Gondar City, Ethiopia

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APA Style

Yibeltal Berie, Kasahun Alemu, Alemayehu Belay, Zemichale Gizaw. (2013). Factors Affecting Utilization of Insecticide Treated Nets among People Living with HIV/Aids in Bahir Dar City, Northwest Ethiopia. Science Journal of Clinical Medicine, 2(6), 147-152. https://doi.org/10.11648/j.sjcm.20130206.11

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ACS Style

Yibeltal Berie; Kasahun Alemu; Alemayehu Belay; Zemichale Gizaw. Factors Affecting Utilization of Insecticide Treated Nets among People Living with HIV/Aids in Bahir Dar City, Northwest Ethiopia. Sci. J. Clin. Med. 2013, 2(6), 147-152. doi: 10.11648/j.sjcm.20130206.11

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AMA Style

Yibeltal Berie, Kasahun Alemu, Alemayehu Belay, Zemichale Gizaw. Factors Affecting Utilization of Insecticide Treated Nets among People Living with HIV/Aids in Bahir Dar City, Northwest Ethiopia. Sci J Clin Med. 2013;2(6):147-152. doi: 10.11648/j.sjcm.20130206.11

Copy | Download

@article{10.11648/j.sjcm.20130206.11,
  author = {Yibeltal Berie and Kasahun Alemu and Alemayehu Belay and Zemichale Gizaw},
  title = {Factors Affecting Utilization of Insecticide Treated Nets among People Living with HIV/Aids in Bahir Dar City, Northwest Ethiopia},
  journal = {Science Journal of Clinical Medicine},
  volume = {2},
  number = {6},
  pages = {147-152},
  doi = {10.11648/j.sjcm.20130206.11},
  url = {https://doi.org/10.11648/j.sjcm.20130206.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20130206.11},
  abstract = {Introduction: Malaria and HIV are among the two most important global health problems of this time. All HIV-positive persons (PLHAs) in the household were encouraged to sleep under insecticide treated nets (ITNs) at all times of year. However, the information on utilization and associated factors on these groups have been limited. Objective: the aim of the study was to assess utilization of ITN and associated factors among PLHA, who are members of the three PLHA associations in Bahir City Administration, northwest Ethiopia. Methods: A community based cross-sectional study was conducted from March to May, 2013. A simple random sampling technique was used to select the study participants. Pre-tested and structured questionnaire and observation check list was used to collect the data. Each variable were analyzed by using bi variate logistic regression to know their significance and to assess the separate effects and multi variate analysis was done using backward stepwise logistic regression to control the possible confounding effect for variables with p-value <0.2  in bi variate analysis. Result: Three hundred four304 (76.8%) of PLHA utilized ITNs properly.  The main reasons for those who had not have ITN and not utilized ITN were, they did not know where obtained the ITNs 20 (41.7%), ITNs were expensive 16 (33.3%), and no fear of mosquito bite at this time 60(65.2%). Knowledge about malaria risks and ITNs importance (AOR= 2.3; 95% CI 1.23- 4.40), formal education (AOR= 2.39; 95% CI 1.40- 4.08) and better income was significantly associated with ITN utilizations (AOR= 1.83; 95%CI 1.05- 3.20) Conclusion: The PLHA needs special attention on the utilization of ITN. Free provision of ITNs, awareness creation on the utilization of ITN and participate in Income generating activities are supreme important.},
 year = {2013}
}

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TY  - JOUR
T1  - Factors Affecting Utilization of Insecticide Treated Nets among People Living with HIV/Aids in Bahir Dar City, Northwest Ethiopia
AU  - Yibeltal Berie
AU  - Kasahun Alemu
AU  - Alemayehu Belay
AU  - Zemichale Gizaw
Y1  - 2013/10/20
PY  - 2013
N1  - https://doi.org/10.11648/j.sjcm.20130206.11
DO  - 10.11648/j.sjcm.20130206.11
T2  - Science Journal of Clinical Medicine
JF  - Science Journal of Clinical Medicine
JO  - Science Journal of Clinical Medicine
SP  - 147
EP  - 152
PB  - Science Publishing Group
SN  - 2327-2732
UR  - https://doi.org/10.11648/j.sjcm.20130206.11
AB  - Introduction: Malaria and HIV are among the two most important global health problems of this time. All HIV-positive persons (PLHAs) in the household were encouraged to sleep under insecticide treated nets (ITNs) at all times of year. However, the information on utilization and associated factors on these groups have been limited. Objective: the aim of the study was to assess utilization of ITN and associated factors among PLHA, who are members of the three PLHA associations in Bahir City Administration, northwest Ethiopia. Methods: A community based cross-sectional study was conducted from March to May, 2013. A simple random sampling technique was used to select the study participants. Pre-tested and structured questionnaire and observation check list was used to collect the data. Each variable were analyzed by using bi variate logistic regression to know their significance and to assess the separate effects and multi variate analysis was done using backward stepwise logistic regression to control the possible confounding effect for variables with p-value <0.2  in bi variate analysis. Result: Three hundred four304 (76.8%) of PLHA utilized ITNs properly.  The main reasons for those who had not have ITN and not utilized ITN were, they did not know where obtained the ITNs 20 (41.7%), ITNs were expensive 16 (33.3%), and no fear of mosquito bite at this time 60(65.2%). Knowledge about malaria risks and ITNs importance (AOR= 2.3; 95% CI 1.23- 4.40), formal education (AOR= 2.39; 95% CI 1.40- 4.08) and better income was significantly associated with ITN utilizations (AOR= 1.83; 95%CI 1.05- 3.20) Conclusion: The PLHA needs special attention on the utilization of ITN. Free provision of ITNs, awareness creation on the utilization of ITN and participate in Income generating activities are supreme important.
VL  - 2
IS  - 6
ER  -

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