Determinants of Insecticidal Treated Mosquito Nets Use Among School Age Children After Implementation of School Net Program; A Comparative Study Between Kilombero and Mvomero Districts, Eastern Tanzania
Material type:
Item type | Current library | Collection | Status | Barcode | |
---|---|---|---|---|---|
POSTGRADUATE DISSERTATIONS | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | NFIC | 1 | PD0400 |
Abstract:
Background: Malaria is a serious mosquito-borne infectious disease that affects humans particularly in tropical countries like Tanzania. As a response to this threat the National Malaria Control Program in Tanzania has been spearheading the National Insecticide Treated Nets (LLINs) Programs as one of the strategic interventions. These programs utilize mass distribution and voucher-based system to pregnant mothers and under five children as strategic approached to ensure universal coverage. To supplement these methods of LLINs distribution, school net program (SNP) was introduced to more than 12 regions of Tanzania mainland. Despite of the expanding SNP initiative, studies evaluating its impact in terms of LLINs usage, ownership and attitude to school age children remain scarce in Tanzania.
Objective: This study aimed to assessing the use of long lasting insecticidal treated nets and their determinants among school age children located in different communities in Kilombero and Mvomero Districts, in Morogoro region.
Methods: The study used a cross-sectional design to determine mosquito net use (n=449 pupils) and explore the factors affecting their use using a structured questionnaire. An observation checklist was also deployed for the purpose of assessing quality of LLINs (n=40 households). Data were analyzed using STATA version 10 computer software.
Results: Finding from this particular study showed that there was significant higher usage of LLINs in Kilombero district (98.76%, n=239) than in Mvomero (86.78%, n=210) (p<0.001). Out of all samples households (n=40) while examining the quality of LLINs, households in Kilombero district had a higher proportion net with good condition compared to Mvomero (100% vs. 65%), p<0.05. The usage of LLINs was associated with being a resident of Kilombero district (aOR=19, 95% CI 10.02-38.23), parents having at a least a primary level of education (aOR=4.04, (95% CI 1.11-14.76) and poor social economic status (aOR=2.91, (95%, CI 1.82-10.33). Other factors include positive attitude towards LLINs use (aOR=2.01, (95%, CI 1.63-6.54) and malaria awareness (aOR=2.32, 95%CI 1.74-5.13).
Conclusion: A district implementing the school net program had an improved ownership as well as usage of LLINs as compared to the counterpart district without. Interventions targeting on raising levels of malaria awareness, changing negative attitude on LLINs use and ownership among school age children residing in Morogoro.
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