ISSN: 2705-2214
Model: Open Access/Peer Reviewed
DOI: 10.31248/JPHD
Start Year: 2018
Email: jphd@integrityresjournals.org
https://doi.org/10.31248/JPHD2025.164 | Article Number: 428064505 | Vol.7 (4) - August 2025
Received Date: 26 June 2025 | Accepted Date: 30 August 2025 | Published Date: 30 August 2025
Authors: AbdulMumin Ahmed K.* , Babatunde S. A. , Ojo O. Y. , Garba D. , Popoola A. M. , Adediran A. S. , Ojeblenu F. and Abubakar M. J.
Keywords: Nigeria., perception, Kaiama communities, LLITN, ownership, north-central, utilisation.
Mosquito nets, most commonly in the form of long-lasting insecticide-treated nets (LLINs), are a central component of current global malaria control initiatives. Ownership rates remain low in many malaria-endemic regions or amongst particular groups in such regions. Malaria continues to be the leading cause of childhood mortality and morbidity despite government efforts, donors and the private sector’s interventions to ensure that the children under five, who are most vulnerable, own and sleep under LLINs. This study aims to assess ownership and utilisation of long-lasting insecticide-treated nets among households in Kaiama LGA, Kwara State, North-central, Nigeria. A descriptive cross-sectional study, interviewer-administered questionnaire, which had been pretested in a similar community, was used for data collection. The respondents were the heads of household in the selected communities in Kaiama LGA of Kwara State. Data analysis was done using SPSS version 20. The mean age of the respondents was 34.6 ± 11.9 years. The majority of the respondents, 385 (81.9%), had knowledge of LLINs. Similarly, most of the respondents, 261(67.8%), got to know about LLINs through health workers, while 111 (28.8%) heard through the radio. The majority of the respondents, 164 (42.6%), agreed that LLINs cause heat when you sleep in them. Almost all the respondents, 436 (92.8%), owned nets. Utilisation among age groups among 1-year-olds was 97 (35.7%); while 1-5 years was 117(43.0%), and 5-14 years accounted for 13 (4.8%). Utilisation among non-pregnant women was 6 (2.2%), while pregnant women had 105 (38.6%). The knowledge of the importance of LLITN among the study community was encouraging; however, negative perception affected utilisation by the most vulnerable groups despite adequate ownership of nets.
| Aderibigbe, S. A., Olatona, F. A., Sogunro, O., Alawode, G., Babatunde, O. A., Onipe, A. I., Bolarinwa, O. A., Ameen, H. A., Osagbemi, G. K., Sanya, E.O., & Akande, T. M. (2014). Ownership and utilisation of long lasting insecticide treated nets following free distribution campaign in South West Nigeria. The Pan African medical journal, 17, 263. https://doi.org/10.11604/pamj.2014.17.263.3927 |
||||
| Afolabi, B. M., Sofola, O. T., Fatunmbi, B. S., Komakech, W., Okoh, F., Saliu, O., Otsemobor, P., Oresanya, O. B., Amajoh, C. N., Fasiku, D., & Jalingo, I. (2009). Household possession, use and non-use of treated or untreated mosquito nets in two ecologically diverse regions of Nigeria-Niger Delta and Sahel Savannah. Malaria Journal, 8, 30. https://doi.org/10.1186/1475-2875-8-30 |
||||
| Aina, B. A., & Ayeni, F. A. (2011). Knowledge and use of insecticide treated nets as a malaria preventive tool among pregnant women in a local government area of Lagos state, Nigeria. Journal of Applied Pharmaceutical Science, 1(7), 162-166. | ||||
| Baume CA, Marin MC (2008). Gains in awareness, ownership and use of insecticide-treated nets in Nigeria, Senegal, Uganda and Zambia. Malar J, 7: Pg 153. https://doi.org/10.1186/1475-2875-7-153 |
||||
| Baume, C. A., & Marin, M. C. (2007). Intra-household mosquito net use in Ethiopia, Ghana, Mali, Nigeria, Senegal, and Zambia: are nets being used? Who in the household uses them? The American Journal of Tropical Medicine and Hygiene, 77(5), 963-971. https://doi.org/10.4269/ajtmh.2007.77.963 |
||||
| Eisele, T. P., Keating, J., Littrell, M., Larsen, D., & Macintyre, K. (2009). Assessment of insecticide-treated bednet use among children and pregnant women across 15 countries using standardized national surveys. The American Journal of Tropical Medicine and Hygiene, 80(2), 209-214. https://doi.org/10.4269/ajtmh.2009.80.209 |
||||
| Ezire, O., Adebayo, S. B., Idogho, O., Bamgboye, E. A., & Nwokolo, E. (2015). Determinants of use of insecticide-treated nets among pregnant women in Nigeria. International Journal of Women's Health, 7, 655-661. https://doi.org/10.2147/IJWH.S77807 |
||||
| Federal Ministry of Health (2009a). National Malaria and Vector Control Programme. Guidelines for the Implementation of Insecticide. Treated Mosquito Nets in Nigeria. | ||||
| Federal Ministry of Health (2009b). National Framework for monitoring and evaluation of malaria control in Nigeria. | ||||
| Federal Ministry of Health (2010). National Malaria control programme; Advocacy, communication, and social mobilization strategic framework and implementation plan. Pp. 16-19 | ||||
| Federal Ministry of Health (2013). National Malaria Control Programme, Abuja, Nigeria. Strategic Plan 2009-2013. Pp. 20-21 | ||||
| Gerstl, S., Dunkley, S., Mukhtar, A., Maes, P., De Smet, M., Baker, S., & Maikere, J. (2010). Long‐lasting insecticide-treated net usage in eastern Sierra Leone-the success of free distribution. Tropical Medicine & International Health, 15(4), 480-488. https://doi.org/10.1111/j.1365-3156.2010.02478.x |
||||
| Hetzel, M. W., Gideon, G., Mueller, I., & Siba, P. M. (2010). Papua New Guinea/The Global Fund Round 3 Malaria Control Programme Evaluation 2008/2009: Results from Cross-Sectional Surveys and Sentinel Sites. Goroka: Papua New Guinea Institute of Medical Research. | ||||
| Hlongwana, K. W., Mabaso, M. L., Kunene, S., Govender, D., & Maharaj, R. (2009). Community knowledge, attitudes and practices (KAP) on malaria in Swaziland: a country earmarked for malaria elimination. Malaria journal, 8, 29. https://doi.org/10.1186/1475-2875-8-29 |
||||
| Jekel, J. F, Katz, D. L., & Elmor J. G. (2013). Sample size, randomization, and probability theory. In: Epidemiology, biostatistics and preventive medicine (pp. 197-202). 3rd Edition. Philadelphia: Saunders Elsevier. | ||||
| Kanyangarara, M., Hamapumbu, H., Mamini, E., Lupiya, J., Stevenson, J. C., Mharakurwa, S., ... & Southern Africa International Centers of Excellence for Malaria Research. (2018). Malaria knowledge and bed net use in three transmission settings in southern Africa. Malaria journal, 17(1), 41. https://doi.org/10.1186/s12936-018-2178-8 |
||||
| Komomo, E. A., Egena, R., Irene, C., Ayorinde, A. O., & Agada, P. O. (2016). Assessment of the Utilization of Insecticide Treated nets (ITNs) in Calabar Metropolis, Cross River State, Nigeria. Journal of Health, Medicine and Nursing, 26(2422-8419). | ||||
| Kwara State Government (2024). Retrieved 24th June 2024 from https://kwarastate.gov.ng. . | ||||
| Kwara State, Nigeria) (2024) - Population Statistics, Charts, Map and Location. Retrieved 24th June 2024 from https://www. citypopulation.de/en/nigeria/admin/NGA024_ _kwara. | ||||
| Nigeria Demographic and Health Survey (NDHS) 2018. National Population Commission, Federal Republic of Nigeria. Retrieved from https://dhsprogram.com/pubs/pdf/FR359/ FR359.pdf | ||||
| Ng'ang'a, P. N., Aduogo, P., & Mutero, C. M. (2021a). Long lasting insecticidal mosquito nets (LLINs) ownership, use and coverage following mass distribution campaign in Lake Victoria basin, Western Kenya. BMC Public Health, 21(1), 1046. https://doi.org/10.1186/s12889-021-11062-7 |
||||
| Ng'ang'a, P. N., Aduogo, P., & Mutero, C. M. (2021b). Strengthening community and stakeholder participation in the implementation of integrated vector management for malaria control in western Kenya: a case study. Malaria Journal, 20(1), 155. https://doi.org/10.1186/s12936-021-03692-4 |
||||
| Nigeria Demographic and Health Survey (NDHS) (2024). National Population Commission, Federal Republic of Nigeria. | ||||
| Noor, A. M., Amin, A. A., Akhwale, W. S., & Snow, R. W. (2007). Increasing coverage and decreasing inequity in insecticide-treated bed net use among rural Kenyan children. PLoS Medicine, 4(8), e255. https://doi.org/10.1371/journal.pmed.0040255 |
||||
| Ntonifor, N. H., & Veyufambom, S. (2016). Assessing the effective use of mosquito nets in the prevention of malaria in some parts of Mezam division, Northwest Region Cameroon. Malaria journal, 15(1), 390. https://doi.org/10.1186/s12936-016-1419-y |
||||
| Nyavor, K. D., Kweku, M., Agbemafle, I., Takramah, W., Norman, I., Tarkang, E., & Binka, F. (2017). Assessing the ownership, usage and knowledge of insecticide treated nets (ITNs) in malaria prevention in the hohoe municipality, Ghana. Pan African Medical Journal, 28(1), 1-8. https://doi.org/10.11604/pamj.2017.28.67.9934 |
||||
| Omonijo, A. O., Omonijo, A., Okoh, H. I., & Ibrahim, A. O. (2021). Relationship between the Usage of Long‐Lasting Insecticide‐Treated Bed Nets (LLITNs) and Malaria Prevalence among School‐Age Children in Southwestern Nigeria. Journal of Environmental and Public Health, Volume 2021, Article ID 8821397, 9 pages. https://doi.org/10.1155/2021/8821397 |
||||
| Roll Back Malaria Partnership (2015). The Global Strategic Plan 2005-2015. Roll Back Malaria Partnership. | ||||
| Thwing, J., Hochberg, N., Eng, J. V., Issifi, S., Eliades, M. J., Minkoulou, E., Wolkon, A., Gado, H., Ibrahim, O., Newman, R. D., Lama, M. (2008). Insecticide‐treated net ownership and usage in niger after a nationwide integrated campaign. Tropical Medicine & International Health, 13(6), 827-834. https://doi.org/10.1111/j.1365-3156.2008.02070.x |
||||
| Tula, M. Y., Iyoha, O., Toy, B. D., Aziegbemhin, A. S., & Musa, T. (2023). Ownership, usage, and perception of insecticide-treated nets (ITNs) for the prevention of malaria among students of a tertiary institution in northeastern Nigeria. Public Health Toxicology, 3(1), 8. https://doi.org/10.18332/pht/162333 |
||||
| Wanzira, H., Yeka, A., Kigozi, R., Rubahika, D., Nasr, S., Sserwanga, A., Kamya, M., Filler, S., Dorsey, G., & Steinhardt, L. (2014). Long-lasting insecticide-treated bed net ownership and use among children under five years of age following a targeted distribution in central Uganda. Malaria journal, 13(1), 185. https://doi.org/10.1186/1475-2875-13-185 |
||||
| World Health Organisation (WHO) (2020). World Malaria Report 2020. Geneva: World Health Organisation. Retrieved from https://www.who.int/teams/global-malaria-programme/reports/ world-malaria-report-2020 | ||||
| World Health Organization (WHO) (2016). World Malaria Report. Geneva: World Health Organization. Retrieved from https://iris.who.int/bitstream/handle/10665/252038/9789241511711-eng.pdf | ||||
| World Health Organisation (WHO) (2012). World Malaria Report: 2012. Geneva: World Health Organization. https://www.who.int/publications/i/item/9789241564533 | ||||
| World Health Organisation (WHO) (2019). World Malaria Report 2019. Geneva: World Health Organization. Retrieved from https://www.who.int/publications/i/item/9789241565721. | ||||
| Zerdo, Z., Bastiaens, H., Anthierens, S., Massebo, F., Masne, M., Biresaw, G., Shewangizaw, M., Tunje, A., Chisha, Y., Yohannes, T., & Van Geertruyden, J. P. (2020). Long-lasting insecticide-treated bed net ownership, utilization and associated factors among school-age children in Dara Mallo and Uba Debretsehay districts, Southern Ethiopia. Malaria Journal, 19(1), 369. https://doi.org/10.1186/s12936-020-03437-9 |
||||