Assessment of insecticide-treated bednet use among children and pregnant women across 15 countries using standardized national surveys

Thomas P. Eisele, Joseph Keating, Megan Littrell, David Larsen, Kate Macintyre

Research output: Contribution to journalArticle

114 Scopus citations


Impact of insecticide-treated bednets (ITNs) on preventing malaria may be minimized if they are not used by vulnerable populations. Among ITN-owning households from 15 standardized national surveys from 2003 to 2006, we identify factors associated with ITN use among children younger than 5 years of age and make comparisons of ITN use among children and pregnant women across countries. Within ITN-owning households, many children and pregnant women are still not using them. Between-country analysis with linear regression showed child ITN use increases as intra-household access to ITNs increases (P = 0.020, R2 = 0.404), after controlling for season and survey year. Results from within-country logistic regression analyses were consistent with between-country analysis showing intra-household access to ITNs is the strongest and most consistent determinant of use among children. The gaps in ITN use and possession will likely persist in the absence of achieving a ratio of no more than two people per ITN.

Original languageEnglish (US)
Pages (from-to)209-214
Number of pages6
JournalAmerican Journal of Tropical Medicine and Hygiene
Issue number2
StatePublished - Feb 1 2009
Externally publishedYes


ASJC Scopus subject areas

  • Parasitology
  • Virology
  • Infectious Diseases

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