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Journal of Tropical Medicine
Volume 2010, Article ID 750978, 12 pages
Research Article

Rapid Increase in Ownership and Use of Long-Lasting Insecticidal Nets and Decrease in Prevalence of Malaria in Three Regional States of Ethiopia (2006-2007)

1The Carter Center, P. O. Box 13373, Woreda 17, Kebele 19, Addis Ababa, Ethiopia
2Strategic Information Team, The Global Fund to Fight AIDS, Tuberculosis and Malaria, Chemin de Blandonnet 8, Geneva 1214 Vernier, Switzerland
3The Carter Center, 1 Copenhill, Atlanta, GA 30307, USA
4Department of Public Health and Primary Care, Institute of Public Health, University of Cambridge, Robinson Way, Cambridge CB20SR, UK
5Malaria Control and Evaluation Partnership in Africa (MACEPA), a Programme at PATH, Bole Road, Addis Ababa, Ethiopia
6Centers for Disease Control and Prevention, Atlanta, GA 30333, USA
7Global Health Group, UCSF Global Health Sciences, San Francisco, CA 94143-0443, USA
8International Research Institute for Climate and Society, Columbia University, New York, NY 10016-4309, USA
9Ministry of Health, P. O. Box 1234, Addis Ababa, Ethiopia
10Central Statistical Agency, P. O. Box 1143, Addis Ababa, Ethiopia
11U.S. Agency for International Development, Riverside Building P. O. Box 1014, Addis Ababa, Ethiopia

Received 21 March 2010; Accepted 19 July 2010

Academic Editor: Hans-Peter Beck

Copyright © 2010 Estifanos Biru Shargie et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Following recent large scale-up of malaria control interventions in Ethiopia, this study aimed to compare ownership and use of long-lasting insecticidal nets (LLIN), and the change in malaria prevalence using two population-based household surveys in three regions of the country. Each survey used multistage cluster random sampling with 25 households per cluster. Household net ownership tripled from 19.6% in 2006 to 68.4% in 2007, with mean LLIN per household increasing from 0.3 to 1.2. Net use overall more than doubled from 15.3% to 34.5%, but in households owning LLIN, use declined from 71.7% to 48.3%. Parasitemia declined from 4.1% to 0.4%. Large scale-up of net ownership over a short period of time was possible. However, a large increase in net ownership was not necessarily mirrored directly by increased net use. Better targeting of nets to malaria-risk areas and sustained behavioural change communication are needed to increase and maintain net use.