Use of Mosquito Nets by Persons in the Household

Percentage of the household population who slept the night before the survey under a mosquito net, under an insecticide-treated net (ITN), and among the population in households with at least one ITN, the percentage who slept under an ITN the night before the survey

Definition

1)      Percentage of the de facto household population who slept the night before the survey under a mosquito net (treated or untreated).

2)      Percentage of the de facto household population who slept the night before the survey under an insecticide-treated net (ITN).

3)      Among the de facto household population in households with at least one ITN, the percentage who slept under an ITN the night before the survey.

Coverage:

Population base: De facto household members (PR file, HR file)

Time period: Night before the survey

Numerators:

1)      Number of de facto persons who reported sleeping under any mosquito net the night before the survey (hv103 = 1 & hml12 in 1:3)

2)      Number of de facto persons who reported sleeping under an ITN the night before the survey (hv103 = 1 & hml12 in 1:2)

3)      Number of de facto persons in households with at least one ITN who reported sleeping under an ITN the night before the survey (hv103 = 1 & hml12 in 1:2 & any hml10_1 – hml10_7 = 1)

Denominators:

a)       Number of persons in the de facto household population (hv103 = 1)

b)      Number of persons in the de facto household population (hv103 = 1)

c)       Number of persons in the de facto household population in households owning at least one ITN (hv103 = 1 & any hml10_1 – hml10_7 = 1)

Variables: HR file, PR file.

Calculation

This indicator uses the net roster from the HR file to produce summary variables applied to the household members. First merge hml10_1 – hml10_7 from the HR file to the PR file using hhid as the variable for matching before calculating the indicator (see Matching and Merging Datasets in Chapter 1).

Numerator divided by the denominator, multiplied by 100.

Handling of Missing Values

Households with missing information on ownership of nets are considered not to own nets. Nets with missing information on type are considered not to be ITNs.

Notes and Considerations

May be biased by the seasonality of the survey data collection. Some surveys collect information on more than 7 nets. Please check variable hml10_#.

Changes over Time

An insecticide-treated net (ITN) is a factory-treated net that does not require any further treatment. Prior to 2018, this was known as a long-lasting insecticidal net (LLIN). See Changes over Time for this chapter.

References

Jima, D., A. Getachew, H. Bilak, R.W. Steketee, P.M. Emerson, P.M. Graves, T. Gebre, R. Reithinger, and J. Hwang. 2010. "Malaria indicator survey 2007, Ethiopia: coverage and use of major malaria prevention and control interventions." Malaria journal 9(1): 58. https://malariajournal.biomedcentral.com/articles/10.1186/1475-2875-9-58

Samadoulougou, S., M. Pearcy, Y. Yé, and F. Kirakoya-Samadoulougou. 2017. "Progress in coverage of bed net ownership and use in Burkina Faso 2003–2014: evidence from population-based surveys." Malaria journal 16(1): 302. https://link.springer.com/article/10.1186/s12936-017-1946-1

Resources

DHS-8 Tabulation plan: Table 12.4

API Indicator IDs:

ML_NETU_P_ANY, ML_NETU_P_ITN, ML_NETU_P_LLN, ML_NETU_P_IT1

(API link, STATcompiler link)

Household Survey Indicators for Malaria Control Indicator 4: Proportion of population that slept under an ITN the previous night

WHO 100 Core Health Indicators: Use of insecticide treated nets (ITNs)

MICS6 Indicator TC.22: Population that slept under an ITN