Trial reportPloS one2019
Low use of long-lasting insecticidal nets for malaria prevention in south-central Ethiopia: A community-based cohort study.
Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.
- Under utilization of long-lasting insecticidal nets (LLINs) is challenging malaria elimination program in Ethiopia: a systematic review and meta-analysis.BMC public health · 2024Pooled it
- Impact of combining indoor residual spraying and long-lasting insecticidal nets on Anopheles arabiensis in Ethiopia: results from a cluster randomized controlled trial.Malaria journal · 2019Trial
- Trial
- Spatiotemporal clustering of malaria in southern-central Ethiopia: A community-based cohort study.PloS one · 2019Trial
- A decline in the coverage and utilization of long-lasting insecticidal nets in Southern Ethiopia: A repeated cross-sectional study.PloS one · 2025Article
- Reasons for low long-lasting insecticide-treated net use and repurposing: qualitative study from southern Ethiopia.Frontiers in public health · 2025Article
- Article
- Preserving nets, protecting children: an evaluation of factors influencing the utilization and physical integrity of long-lasting insecticidal nets among under-five children in Osun State, Nigeria.Malaria journal · 2024Article
- Impact of a large-scale fruit and vegetable irrigation scheme on the micro-epidemiology of malaria in southwest Ethiopia.BMC public health · 2024Article
- Prevalence of malaria and associated risk factors among household members in South Ethiopia: a multi-site cross-sectional study.Malaria journal · 2024Article
- Insecticide treated eaves screens provide additional marginal protection compared to untreated eave screens under semi-field conditions in western Kenya.MalariaWorld journal · 2024Article
- Association between Livestock Ownership and Malaria Incidence in South-Central Ethiopia: A Cohort Study.The American journal of tropical medicine and hygiene · 2023Article
- Long-lasting insecticidal nets (LLINs) use among household members for protection against mosquito bite in Mogadishu districts.PLOS global public health · 2023Article
- Impact of malaria control interventions on malaria infection and anaemia in low malaria transmission settings: a cross-sectional population-based study in Sudan.BMC infectious diseases · 2022Article
- Screening eaves of houses reduces indoor mosquito density in rural, western Kenya.Malaria journal · 2022Article
- An evolutionary game model of individual choices and bed net use: elucidating key aspect in malaria elimination strategies.Royal Society open science · 2022Article
- Willingness to accept malaria vaccine among caregivers of under-5 children in Southwest Ethiopia: a community based cross-sectional study.Malaria journal · 2022Article
- Detection of temporal, spatial and spatiotemporal clustering of malaria incidence in northwest Ethiopia, 2012-2020.Scientific reports · 2022Article
- The effect of long-lasting insecticidal nets (LLINs) physical integrity on utilization.Malaria journal · 2021Article
- Ownership and utilization of bed nets and reasons for use or non-use of bed nets among community members at risk of malaria along the Thai-Myanmar border.Malaria journal · 2021Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionA decline in malaria morbidity and mortality has been documented in Ethiopia since 2005 following a scale-up of the distribution of long-lasting insecticidal nets (LLINs). However, universal access to LLINs ownership and use has not yet been achieved. This study aimed to determine ownership and use of LLINs over time in south-central Ethiopia.
methodsA cohort of 17,142 individuals residing in 3,006 households was followed-up from October 2014 to January 2017 (121 weeks). New PermaNet2.0 LLINs were given to households in October 2014. Once per week, the LLIN use status was documented for each individual. A survey was conducted after 110 weeks of LLIN distribution to determine LLIN ownership. A multilevel negative binomial regression model was fitted to identify significant predictors of LLIN use.
resultsAt baseline, the LLIN ownership was 100%. After 110 weeks only 233 (8%) of the households owned at least one LLIN. The median proportion of LLIN use per individuals during the study period was only 14%. During the first year (week 1-52) the average LLIN use per individuals was 36% and during the second year (week 53-104) it was 4.6%. More frequent LLIN use was reported among age group [5-14 years (adjusted IRR = 1.13, 95% CI 1.04-1.22), 15-24 years (adjusted IRR = 1.33, 95% CI 1.23-1.45), ≥25 years (adjusted IRR = 1.99, 95% CI 1.83-2.17)] compared to <5 years, and household head educational status [read and write (adjusted IRR = 1.17, 95% CI 1.09-1.26), primary (adjusted IRR = 1.20, 95% CI 1.12-1.27), secondary or above (adjusted IRR = 1.20, 95% CI (1.11-1.30)] compared to illiterate. Having a family size of over five persons (adjusted IRR = 0.78, 95% CI 0.73-0.84) was associated with less frequent use of LLINs compared to a family size of ≤5 persons.
conclusionsThe study showed a low LLIN ownership after 110 weeks and a low LLIN use during 121 weeks of follow-up, despite 100% LLIN coverage at baseline. The study highlights the need to design strategies to increase LLIN ownership and use for setting similar to those studied here.
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