Evidence map›Paper›PMID 42627786›Full record

ArticlePLOS global public health2026

Acceptability of insecticide treated nets in an urban setting in a malarious area: Application of theoretical framework of acceptability.

Sosina W Tilahun, Berhan Tassaw, Guofa Zhou, Dagim Tefera, Ahmed Ali, Daibin Zhong, Ming-Chieh Lee, Randy E David, Wakgari Deressa, Guiyun Yan and 2 more

Abstract read
In one paragraph

Article in PLOS global public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Sosina W TilahunSchool of Nursing and Midwifery, Addis Ababa University, Addis Ababa, Ethiopia.ORCID https://orcid.org/0000-0002-5799-9412
Berhan TassawSchool of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.
Guofa ZhouProgram in Public Health, University of California, Irvine, California, United States of America.
Dagim TeferaSchool of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.
Ahmed AliSchool of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.
Daibin ZhongProgram in Public Health, University of California, Irvine, California, United States of America.
Ming-Chieh LeeProgram in Public Health, University of California, Irvine, California, United States of America.
Randy E DavidSchool of Medicine, Wayne State University, Detroit, Michigan, United States of America.
Wakgari DeressaSchool of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.ORCID https://orcid.org/0000-0002-9712-2375
Guiyun YanProgram in Public Health, University of California, Irvine, California, United States of America.
Daniel M ParkerProgram in Public Health, University of California, Irvine, California, United States of America.ORCID https://orcid.org/0000-0002-5352-7338
Werissaw HaileselassieSchool of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.

Funding

Vector Biology of Invasive Anopheles stephensi in Rural to Urban Landscapes in EthiopiaU19AI129326 · NIAID · UNIVERSITY OF CALIFORNIA-IRVINE · PI Guiyun Yan · 2017 to 2026
$19.9M
Research Training in Mosquito Genomics and Bioinformat*D43TW001505 · FIC · UNIVERSITY OF CALIFORNIA-IRVINE · PI Guiyun Yan · 2000 to 2026
$6.0M
Larval Ecology of Invasive Anopheles stephensi in EthiopiaR21AI178613 · NIAID · UNIVERSITY OF CALIFORNIA-IRVINE · PI ZHOU, GUOFA · 2024 to 2025
$414k
FIC NIH HHS D43 TW001505NIAID NIH HHS R21 AI178613NIAID NIH HHS U19 AI129326
6 · The paper itself

Abstract

Malaria has long been considered a rural disease. However, rapid urbanization, the expansion of urban malaria vectors, and the subsequent, ongoing surge in malaria cases across sub-Saharan Africa, including Ethiopia, underscore the need to address malaria in urban contexts. This study therefore aims to explore the acceptability of insecticide-treated bed nets (ITNs) in an urban setting using the theoretical framework of acceptability. Eight Focus Group Discussions (FGDs), comprising a total of 48 participants, were conducted in the four Kebeles of Batu town, East Shoa, Oromia, Ethiopia. A semi-structured interview guide, developed based on the constructs of the Theoretical Framework of Acceptability (TFA), was used to facilitate the discussions. Data were analyzed using content analysis with a deductive approach, focusing on the seven components of the TFA. All data were managed with Atlas. ti software, version 9. Participants demonstrated a strong understanding of ITNs, expressing positive attitudes and noting a reduction in malaria cases following their introduction. However, concerns regarding the ethicality of ITNs emerged, particularly in relation to sexual assault and the discomfort experienced by pregnant women due to chemical exposure, which was perceived as violating the principle of non-maleficence. Participants also voiced dissatisfaction with the short height of currently available ITNs and expressed mixed feelings about their shapes; women preferred circular shaped nets, while men favored squared ones. In addition, they reported burdens such as adverse skin and respiratory reactions. Female participants, in particular, emphasized the increased household chores associated with handling the ITNs as a part of their morning routine. In conclusion, ITNs can be considered an appropriate intervention in controlling urban malaria. However, practical challenges must be addressed to improve their acceptance and usability.

Identifiers

PMID42627786
PMCPMC13496428

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.