Factors Associated with Mosquito Net Ownership and Use in Haiti, December 2014-February 2015 Open Access
Franczek, Meghan (Spring 2018)
Published
Abstract
Background: As the majority of Haiti’s population is at-risk of malaria infection, there is a need to better understand current malaria control strategies in Haiti. Previous studies have highlighted various factors associated with household ownership and utilization of mosquito nets; however, nearly all of these studies were conducted in Africa and many factors appear to be context-specific. Recognizing Haiti’s strategic plan to eliminate malaria by 2020, the purpose of this study is to investigate factors associated with household ownership and use of mosquito nets.
Methods: A household-based survey was conducted in all ten departments in Haiti between 2014 and 2015 to assess ownership and use of mosquito nets. In total, 1,755 households were enrolled, and responses were analyzed. Univariate logistic models were developed to investigate household, respondent, and net characteristics associated with mosquito net ownership and use. Net ownership was self-reported. Net use was defined as a household member reporting that someone had slept under the net the previous night. The statistically significant factors identified in the univariate models were evaluated in a final multivariate logistic regression model.
Results: Of 1,755 households, 688 (39%) reported ownership of at least one mosquito net, of which, 477 (69%) reported net use. In adjusted analysis of potential explanatory factors for net ownership, a household member with fever in the previous two weeks, a child under five in the household, and larger household size were associated with net ownership. In adjusted analysis of potential explanatory factors for net use, younger age of the respondent, rural household location, net observation by study staff, if the net was hung to sleep under, and household purchase of the net versus provided for free were associated with net use.
Conclusion: Mosquito net ownership in Haiti is lacking, and not all mosquito net-owning households report using their net in the previous night. Greater health education on the purpose and proper use of mosquito nets is needed in conjunction with improved distribution mechanisms. Further research into additional factors associated with net ownership and use in Haiti will allow for more effective distribution campaigns and more targeted malaria education initiatives.
Table of Contents
Chapter I: Background and Literature Review……………………………………..............1-6
Chapter II: Manuscript……………………………………………………………..........7-33
Abstract……………………………………………………………………...........7-8
Introduction…………………………………………………………………….9-10
Methods……………………………………………………………………….10-13
Results…………………………………………………………………….........13-16
Discussion……………………………………………………………………..16-21
References……………………………………………………………………..22-26
Tables……………………………………………………………………..........27-33
Chapter III: Future Directions and Public Health Implications………………………...34-37
Appendix………………………………………………………………………………38-43
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