Long-lasting insecticidal nets care and repair practices among households in Olio Sub county, Serere District

Abstract

Introduction The use of Long-Lasting Insecticidal Nets (LLINs) is considered the most cost-effective malaria control intervention in Sub-Saharan Africa. However, LLIN lifespan is determined by insecticide bio-efficacy and physical fabric integrity, which in turn depends on net care behaviour of users. Objectives This study assessed attitude and practices towards LLIN care and repair, and factors affecting LLIN care practices. Methods This was a cross-sectional study conducted in Olio S/C, Serere District. A total of 396 respondents were enrolled in the study. Both quantitative and qualitative data collection methods were used to collect data from respondents. A total of 06 key informants were purposely selected for the study and data from the other respondents was obtained using semi- structured questionnaires and observation checklist. Data obtained was analysed using STATA 14.0. Results The study revealed that majority of respondents had positive attitude towards net care and repair 82.9% (329/396). This included respondents agreeing they repair their nets when torn and 66.41%(213/396) and that repaired nets are effective against mosquitoes bites 53.79% (263/396). Regarding practices, the study showed that majority respondent had poor practices towards LLINs care and repair. This included hanging LLINs under direct sunshine or anywhere 58.3% (231/396), frequent washing more than once in 3months 88.1% (349/396) and 64.0% of respondents never repaired their torn LLINs. The best LLIN care practice reported was drying under the shade 34.9% (281/805). Stitching using needles was the most reported repair method 52.8% (38/72). On factors associated with LLIN repair, both bivariate and multivariate analysis showed that confidence in LLIN repair was associated with repairing torn LLINs. The rest of other variables like marital status, education level, hearing LLIN care and repair message practices were found to have no significant relationship with LLIN repair among those who had holes in their LLINs in the last 6months. Conclusion LLIN care and repair practice was common among households in Olio Sub County, Serere District. Having confidence in LLIN repair and a positive attitude influenced LLIN care and repair practices.