Utilization of Insecticide Treated Net and Indoor Residual Spray Among A Subset of Nigerians In The Prevention of Malaria Infection

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Abstract

Background : Malaria remains a health concern in Sub-Saharan Africa despite effective control measures such as the use of insecticide-treated nets (ITNs) and indoor residual sprays (IRS). This study assessed the use of ITNs and IRS in the prevention of malaria among a subset of Nigerians. Methods This was a quantitative cross-sectional study conducted among clients visiting community pharmacies in five local government areas in Benin City. A structured questionnaire was used to collect data. Descriptive data analysis was conducted. Results : Of the 500 participants, 216 (43.2%) reported that they have an insecticide treated net currently, while only 121 (24.2%) have used in the past week. However, 124 (24.8%) of them used non-ITN. About half [267 (53.4%)] of the respondents currently have IRS but only 243 (49%) of them used it within the month of data collection. Barriers to use of ITN includes difficulty in setting it up [266 (53.6%)], hot weather [298 (59.2%)], lack of space in the apartment [265 (53%)] and cost implication [224 (45.1%)]. Some hindrances to the use of IRS are unpleasant smell [196(39.2)], cost consideration [248 (52.6%)], and non-effectiveness 210 (42%). These barriers can be addressed using multi-sectorial approaches. Conclusion : The utilization of ITNs and IRS among this study population is low. There is need to increase public awareness on malaria prevention, preventive strategies and subsidization of these strategies to increase utilization.

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