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About 75% of landmass of Ethiopia is malaria-endemic, and 65% (58.5 million) of the population is estimated to be at risk of malaria infection. Malarious areas are targeted to receive key malaria control interventions (LLITNs and IRS) and we aimed to assess the utilization of ITN/IRS and factors affecting it. We conducted Community based Cross sectional study in Adama district from January 1-30, 2018 among 818 households using Multi stage sampling system followed by Simple random sampling method in selecting districts and camps. Bi-variate and multivariate logistic regression was used to calculate the association. Of 818 visited HHs 73% were utilizing ITN regularly and sprayed by IRS in the past one year. The prevalence rate of malaria was found to be six percent. Having good awareness about malaria transmission and control measures (AOR 1.4 (1.1-2), sharing one bed with a member of 3-5 compared to not sharing (AOR=0.7 (0.4-0.9), family head educational level of higher level compared to illiterate (AOR=4.8, 95% CI 1.1- 6.6), Employed family head Compared to Farmers (AOR=8.1, 95% CI 7.8-10.7) are significantly associated with ITN utilization. ITN utilization was influenced by Lack of knowledge, lack of education and family sharing one bed. Increasing the knowledge of community on malaria transmission and prevention methods including ITN proper usage is important.

journal of family medicine and health care

Assessment of Malaria Vector Control Measures (ITNs &amp; IRS) Utilization and Factors Affecting it in Adama District, East Shoa Zone, Oromia Region Ethiopia, 2018