Abstract:

Background: LLIN is one of the proven interventions adopted by the national malaria program to reduce malaria burden in Nigeria. Despite the marginal high ownership of LLIN across the geo-political zones of Nigeria, utilization among the under-five children is low. The study aimed to identify determinants of household use of long-lasting insecticidal net among under-five children in Nigeria.

Methods: A review of 2015 Malaria Indicator Survey was done. Independent variables include household’s and women socio-demographic and economic characteristics. Outcome variables of interest was LLIN use by persons in household. Univariate, bivariate and multivariate analysis done to identify predictors of HH LLIN use in under-five children. Level of significance was set at <0.05.

Results: Twenty-five thousand six hundred and thirty-nine (66.7%) of under-five children slept under LLIN the night before the conduct of the survey. There was statistically significant association (p<0.05) between age, type of residence, wealth index, fever in the last two weeks before the conduct of the survey, number of mosquito bed nets and number of sleeping rooms.

Conclusion : LLIN ownership among household members most especially the under-five children were still not optimal bearing in mind the need for universal coverage of LLIN. Predictors of LLIN use among under-five children include age, type of residence, wealth index, fever in the last two weeks before the conduct of the survey, number of mosquito bed nets and number of sleeping rooms.

Keywords: LLIN ownership, LLIN utilization, Under-five children, Malaria, Household, Nigeria.

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