Conference abstract

Long-lasting insecticide net ownership, access, and use in Mogode Health District, Far North region, Cameroon

Pan African Medical Journal - Conference Proceedings. 2023:18(188).03 Oct 2023.
doi: 10.11604/pamj-cp.2023.18.188.1978
Archived on: 03 Oct 2023
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Keywords: Long lasting insecticide treated net, access, ownership, LLIN use, Mogode Health District
Poster

Long-lasting insecticide net ownership, access, and use in Mogode Health District, Far North region, Cameroon

Collins Buh Nkum1,2,&, Jerome Ateudjieu2,3,4, Aude Nanfak2, Ketina H Tchio-Nighie2, Landry B Bita’a2, Willy AN Nguemnang2, Georges Nguefack-Tsague1

1Department of Public Health, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon, 2Department of Health Research, M.A. SANTE (Meilleur Accès aux Soins de Santé), Yaoundé, Cameroon, 3Department of Public Health, Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon, 4Division of Health Operations Research, Ministry of Public Health, Yaoundé, Cameroon

&Corresponding author

Introduction: Cameroon is a malaria-endemic country. Many control strategies have been proposed to reduce the burden of malaria including long-lasting insecticidal nets (LLIN). This study assessed the ownership, access, and use of LLNs in the Mogode Health District (MHD).

Methods: a community-based cross-sectional study was conducted in MHD in September 2021, a total of 332 households were included from eight health areas. Data on ownership, access, and use of LLINs were collected using structured questionnaires following the Roll Back Malaria (RBM) guidelines. Univariate and multivariate analyses were performed to assess the determinants of failure to LLIN access and use.

Results: the proportion of households with at least one LLIN was 72.0% (238). However, 232 (70.0%) reported having used LLIN (sleeping under LLIN the previous night). Only 35.0% (116) of the population accessed LLINs (with one or more LLIN for every two persons). Gender (P = 0.000), age of household head (P = 0.000), education level (P = 0.000), professional activity (P = 0.000), and household size (P = 0.000) were associated with failure to use LLINs in households. Household size (P = 0.000) with more than nine members was the main determinant of failure to LLIN access. Other associated factors were education level (P = 0.000) and religion (P = 0.000).

Conclusions: the LLIN ownership, access, and usage rates remained below the campaign target. Access to LLINs in MHDs remains challenging. Therefore, this finding will contribute to improving recommendations and updating strategies such as targeted messages aimed at raising awareness of malaria during mass LLIN distribution campaigns.