A THESISSUBMITTED TO THE SCHOOL OF GRADUATE STUDIES HARAMAYA UNIVERSITY IN FULFILENT OF THE REQUIRMENTS FOR THE DEGREE OF MASTER OF FIELD EPIDEMIOLOGY

Abstract

In Ethiopia, Long Lasting Insecticide bed Nets were being distributed based on the average number of person per household. Despite the large scale distribution of Insecticide Treated Nets in many malaria endemic countries, there is a wide variation in the availability and use of Insecticide Treated Nets Long Lasting Insecticide bed Netsat the household level especially in Lume District Objective;This study aimed to assess Long Lasting Insecticidal Nets utilization and its’ associated factors among households in Lume district, Oromia region, Ethiopia,from 1 December 2019 up to 30 February 2020 Methodology: A community-based cross sectional study was conducted. The study subjects were randomly selected 592 households by simple random sampling. Data was collected through interview and observation checklist. Data was coded entered and cleaned using Epi- info version 3.5.1 and Statistical analysis was conducted using SPSS version 21 Bivariate analysis were used to select candidate variables for multivariate analysis at (p<0.25) Variables found to have association was entered into multiple logistic regression models for controlling the possible effect of confounders. Model fitness was checked by Hosmer and Lemeshow test. OR along with 95% CI were estimated to measure the strength of the association.Level of statistical significance were declared at P-value ≤ 0.05. Result: AmonghouseholdswhoownedLong Lasting Insecticide Net509(86.6%),only 63.5% of householdmembershadslept underLong Lasting Insecticide Net duringthe previousnightpriortointerviewwhiletheremaining36.5% didnot usetheiravailablenets the previousnight priorto interview.Four variables showed statistically significant association with the outcome of interest at p < 0.05 showed that TheEducational level of Household head elementary were 1.86 times more likely to utilizeLong Lasting Insecticide Nets compared to those unable to write and read(AOR = 1.86, 95% CI 1.20,2.87). , Those household who living in xii the Corrugated iron roof houses were 1.91 times more likelyutilize Long Lasting Insecticide Nets compared to those households living inThatched houses (AOR = 1.91, 95% CI 1.17,3.11). The average monthly income of respondents above 1501 ET birr were 2.58 times more likely to utilize LLINs compared to those respondents whose monthly income was under 1500ET Birr (AOR = 2.58, 95% CI 1.17, 4.52) and also those households who properly hanged bed nets over sleeping place were 4.01times more likely to utilize Long Lasting Insecticide Nets compared to those respondents those not properly hanged bed nets over the sleeping place (AOR = 4.01, 95% (2.72, 5.89)). Conclusion:This study found that Long Lasting Insecticidal Net utilization was low compared with national target (Federal Minister of Health).