ArticleMalaria journal2024
Ownership and use of insecticide-treated nets in Myanmar: insights from a nationally representative demographic and health survey.
Article in Malaria journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Context-specific drivers of non-regular long-lasting insecticidal net use in the Greater Mekong Subregion.Malaria journal · 2026Article
- Drivers of delay in reported malaria care-seeking in Myanmar and Thailand.Malaria journal · 2025Article
- Malaria care-seeking among febrile patients in Myanmar and Thailand: an accelerated failure time analysis.Research square · 2025Article
- Access versus utilization: determinants of insecticide-treated net non-use in Myanmar.Malaria journal · 2025Article
- Slide positivity, trends, and risk factors of febrile Plasmodium vivax malaria along the Thailand-Myanmar border, 2018-2023.Infectious diseases of poverty · 2025Article
- Determinants of access to insecticide-treated nets in Sub-Saharan Africa: A multilevel cross-country analysis using 29 DHS data.PloS one · 2025Article
- Insecticide-treated bed nets (ITN) ownership and utilization patterns among caregivers with children under five years: A community-based cross-sectional study in Battor, North Tongu District, Ghana.PLOS global public health · 2025Article
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4 authors.
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Abstract
backgroundMalaria poses a substantial public health threat in Myanmar, indicating the need for rigorous efforts to achieve elimination of the disease nationwide by 2030. The use of insecticide-treated nets (ITNs) forms part of a pivotal strategy for preventing transmission. This study explored the ownership and use of ITNs in Myanmar and identified factors associated with non-use of ITNs.
methodsHousehold datasets from the 2015-2016 Myanmar Demographic and Health Survey were utilised, which encompassed all household members except children under the age of five. Descriptive statistics and inferential tests, including simple and multiple logistics regression models and Pearson correlations, were employed for analysis. All analyses, taking the two-stage stratified cluster sampling design into account, used weighting factors and the "svyset" command in STATA. The ownership and use of bed nets were also visualised in QGIS maps.
resultsAmong the 46,507 participants, 22.3% (95% CI 20.0%, 24.5%) had access to ITNs, with only 15.3% (95% CI 13.7, 17.1%) sleeping under an ITN the night before the survey. Factors associated with the non-use of ITNs included age category (15-34 years-aOR: 1.17, 95% CI 1.01, 1.30; 50+ years-aOR: 1.19, 95% CI 1.06, 1.33), location (delta or lowland-aOR: 5.39, 95% CI 3.94, 7.38; hills-aOR: 1.80, 95% CI 1.20, 2.71; plains-aOR: 3.89, 95% CI 2.51, 6.03), urban residency (aOR: 1.63, 95% CI 1.22, 2.17), and wealth quintile (third-aOR: 1.38, 95% CI 1.08, 1.75; fourth-aOR: 1.65, 95% CI 1.23, 2.23; fifth-aOR: 1.47, 95% CI 1.02, 2.13). A coherent distribution of the ownership and use of ITNs was seen across all states/regions, and a strong correlation existed between the ownership and use of ITNs (r: 0.9795, 95% CI 0.9377, 0.9933, alpha < 0.001).
conclusionsThis study identified relatively low percentages of ITN ownership and use, indicating the need to increase the distribution of ITNs to achieve the target of at least one ITN per every two people. Strengthening the use of ITNs requires targeted health promotion interventions, especially among relatively affluent individuals residing in delta or lowland areas, hills, and plains.
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