15 The Effect of Household Heads Training on Long-Lasting Insecticide-Treated Bed Nets Utilization: A Cluster Randomized Controlled Trial in Ethiopia

Tuesday, April 24, 2012
Abay Poster Exhibition and Hall (Millennium Hall)
Kebede Deribe, BSc, MPH LETARC consulting, Ethiopia
Amare Deribew Jimma University, Ethiopia
Zewdie Birhanu Jimma University, Ethiopia
Lelisa Sena Jimma University, Ethiopia
Tariku Dejene Jimma University, Ethiopia
Ayalu A. Reda Haramaya University, Ethiopia
Morankar Sudhakar Jimma University, Ethiopia
Fessehaye Alemseged Jimma University, Ethiopia
Fasil Tessema Jimma University, Ethiopia
Ahmed Zeynudin Jimma University
Sibhatu Biadigilign Jimma University, Ethiopia
Background: Despite demonstrable effectiveness of LLITN barriers to utilization have hampered the desired outcomes. No study has investigated the impact of skill based training on LLITN utilization. Here we report results from a cluster randomized trial on the effect of training of household heads on the use of LLITN. Methods: A cluster randomized trial was done in 22 (11 intervention and 11 control) villages in southwest Ethiopia. The intervention consisted of tailored training of household heads about the proper use of LLITN. All households in each group received free LLITNs. Data was collected at baseline, 6 and 12 months follow up time. Results were compared using the complex surveys logistic regression model in order to take into account clustering. Results: A sample of 4135 households (2105 intervention and 2030 control) and 21,673 people in the baseline survey, 14,735 during 6th month and 13,758 during 12th month people were included in study. At the baseline survey 47.9% of individuals in the intervention villages and 68.4% in the control group reported that they had utilized LLITN the night before the survey. At six month, the LLITN utilization rate has increased in both groups (79.3% control versus 81.0% intervention). Due to the intervention LLITN utilization increased by 17.7 percentage-points (95%; CI: 9.7-25.6) at 6 month and by 31.0 percentage-points (95% CI: 16.9-45.1) at 12 month in the general population. Among children under five the LLITN utilization increased by 31.6 percentage-points (95%CI: 17.3, 45.8) at six month and 38.4 percentage-points (95%CI: 12.1-64.7) by the end of 12 month. Conclusion: In this study household level skill based training has demonstrated a marked effect in increasing LLITN utilization. The effect of the intervention steadily increased overtime. Therefore skill based training of households on LLITN use is a promising tool to increase utilization.

Learning Objectives: The effect of household heads training on long-lasting insecticide-treated bed nets utilization
See more of: Poster Session: Achieving the Millennium Development Goals: Vital for Global Health Equity
See more of: Achieving Millennium Development Goals: Vital for Global Health Equity
<< Previous Abstract | Next Abstract >>