Effect of Health Education through Community Leaders on Increase Utilization of Households Regarding LLINs in Intervention and Control Villages of New Halfa Locality-Kassala State (2017-2020)


  • Fazaa Abdallah Abdelseed Federal Ministry of Health
  • Magda Alhade Gezeira University
  • M.A Abdalmajed Ministry of Health
  • Bakri Yousif Mohammed Gezeira University




Health education, LLINs, New Halfa, Kassala State


The long-lasting insecticidal nets (LLIN) are effective against prevention of malaria and its utilization has been proven to save lives. Despite the mass distribution of LLIN, Nigeria remains the country with the highest malaria burden in Africa. . The current study aimed to assess the effect of Health Education through Community leaders on increased knowledge of Households Regarding malaria control, treatment and prevention in intervention and control villages of New Halfa Locality-Kassala State (2017-2020). Randomized community trials (Controlled intervention study) in New Halfa locality among two communities were randomly assigned to intervention group which receive health education messages regarding the use of LLINs and control group where there is no health education. Standard Questionnaire was use to collect data from the head of household at each village. The information collected should include the owner and using LLINs, distributed to household. The observation the conditions of LLINs. This Questionnaire was done with committee for integrated vector management - Federal Ministry of Health and WHO. The major source of information was TV in control (23.2%) and intervention villages (22.8%) with no significant difference, p> 0.05. There was no significant difference between intervention and control regarding sleeping under net last night (p=.87). The proportion of households slept under nets was not significantly slightly increased in intervention villages (51.9%) compared to control villages (48.1%).  The most reasons for not sleeping under nets in control and intervention villages was significantly  were no mosquito, no need, hot weather, bad feeling, owner absence and other reasons not mentioned. The frequency distribution of number of bed nets per household. The number of bed nets per household in control villages was found to be 3.7(1.9%) during survey I , 3.1 (1.5%) during survey П and 3.2 (1.6%) during the survey Ш with mean of 3.2 (1.6%). However, the number of bed nets in intervention villages during surveyI , survey П, survey were found 3.7 (1.9%), 3.2 (1.4%) and 2.9 (1.4%) respectively with mean of 3.3 (1.7%). The number of households in control group during survey I was 2541 (44.8%), survey П 1838 (32.4%) and during survey Ш 1300 (22.9%). While the number of households in intervention villages during survey I 2526 (41.8%), survey П 1997 (33.1%) and during survey Ш was 1514 (25.1%). The ownership of bed nets was 100% in control village during surveyI, survey П and survey Ш, but the ownership was slightly decreased in intervention villages during survey I (99.4%) and during survey Ш (99.6%).  Regarding use  of nets, the use  of bed nets during survey I in control villages was found high 70.8% compared to intervention villages (64.1%) while remarkable increased in bed nets use  during survey П (82%) and survey Ш ( 55.8%) in intervention villages compared to control villages (74.8%), (47%) respectively. This may be due to health education packages. It can be concluded that the overall knowledge was fair in the present study. This could be attributed to the media campaign sessions during net distribution and to the role of community leaders in these campaigns. Also in other words this study has demonstrated the effectiveness of health education as vital tool for improving the knowledge of malaria and utilization of LLINs.


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Author Biographies

Fazaa Abdallah Abdelseed, Federal Ministry of Health

Senior Public health specialist, Federal Ministry of Health

Magda Alhade, Gezeira University

Professor, Gezeira University

M.A Abdalmajed, Ministry of Health

Senior Public Health Specialists, Khartoum State, Ministry of Health

Bakri Yousif Mohammed, Gezeira University

Professor, Gezeira University


Aderibigbe, S. A., Olatona, F. A., Sogunro, O., Alawode, G., Babatunde, O. A., Onipe, A. I., ... & Olarinoye, A. O. Ownership and utilisation of long lasting insecticide treated nets following free distribution campaign in South West Nigeria. 2014. The Pan African medical journal, 17.

Allain JP, Owusu-Ofori AK, Assennato SM. Effect of Plasmodium inactivation in whole blood on the incidence of blood transfusion-transmitted malaria in endemic regions: the african investigation of the mirasol system (AIMS) randomised controlled trial. Lancet. 2016;387(10029):1753–1761.

Assan, A., Takian, A., Aikins, M., & Akbarisari, A. (2018). Universal health coverage necessitates a system approach: an analysis of Community-based Health Planning and Services (CHPS) initiative in Ghana. Globalization and health, 14(1), 1–10.

Bello-Bravo, J., & Lutomia, N. (2017). Malaria prevention and treatment using educational animations: A case study in Kakamega County, Kenya. International Journal of Education and Development Using Information and Communication Technology, 13(1), 70-86.

Biswas, A. K., Hutin, Y. J., Ramakrishnan, R., Patra, B., & Gupte, M. D. 2010. Increase financial accessibility and targeted education messages could increase ownership and use of mosquito nets in Purulia District, West Bengal, India. Transactions of the royal society of tropical medicine and hygiene, 104(6), 423-428.

Bukari, M. K.. Ownership and utilization of insecticide treated nets (ITNS) among pregnant women and children under five years in the prevention of malaria in the Nanumba South District of the Northern Region of Ghana (Doctoral dissertation). 2015.

Dako-gyeke, P., Amazigo, U. V, Halpaap, B. & Manderson, L. Social innovation for health: engaging communities to address infectious diseases. BMC Infect. Dis. Poverty 9, 1–4 (2020).

Deribew, A., Alemseged, F., Birhanu, Z., Sena, L., Tegegn, A., Zeynudin, A., ... & Tessema, F. 2010. Effect of training on the use of long-lasting insecticide-treated bed nets on the burden of malaria among vul-nerable groups, south-west Ethiopia: baseline results of a cluster randomized trial. Malaria journal, 9(1), 121.

Gerstl, S., Dunkley, S., Mukhtar, A., Maes, P., De Smet, M., Baker, S., & Maikere, J. 2010. Long-lasting insecticide–treated net usage in eastern Sierra Leone–the success of free distribution. Tropical Medi-cine & International Health, 15(4), 480-488.

Himeidan, Y.E., Chen, H., Chandre, F., Donnelly, M.J. and Yan, G., 2007. Permethrin and DDT resistance in the malaria vector Anopheles arabiensis from Eastern Sudan. The American journal of tropical medicine and hygiene, 77(6), pp.1066-1068.

Himeidan, Y.E., Elbashir, M.I. and Adam, I., 2004. Attractiveness of pregnant women to the malaria vector, Anopheles arabiensis, in Sudan. Annals of Tropical Medicine & Parasitology, 98(6), pp.631-633.

Ibor, U.W., Aigbe, G.O., Iwara, A.I., Okongor, O.E. and Okino, I.I., 2012. Ownership and utilization of insecti-cide treated nets in cross river state, Nigeria. Journal of Medical Sciences, 12(7), p.198.

Kateera, F., Ingabire, C. M., Hakizimana, E., Rulisa, A., Karinda, P., Grobusch, M. P., ... & Mens, P. F. (2015). Long-lasting insecticidal net source, ownership and use in the context of universal coverage: a house-hold survey in eastern Rwanda. Malaria journal, 14(1), 390.

Kilian, A., Koenker, H., Obi, E., Selby, R. a, Fotheringham, M., & Lynch, M. (2015).Field durability of the same type of long-lasting insecticidal net varies between regions in Nigeria due to differences in household behaviour and living conditions. Malaria Journal, 14(1), 1–16.

Kilian, A., Lawford, H., Ujuju, C. N., Abeku, T. A., Nwokolo, E., Okoh, F., & Baba, E. (2016). The impact of behaviour change communication on the use of insecticide treated nets: a secondary analysis of ten post-campaign surveys from Nigeria. Malaria journal, 15(1), 422.

Omonijo, A., & Omonijo, A. O. Assessment of the Status of Awareness, Ownership, and Usage of Long-Lasting Insecticide Treated Nets after Mass Distribution in Ekiti State, Nigeria. 2019. Journal of parasitology research.

Opoku, R., Amoah, P. A., & Nyamekye, K. A. (2021). Householders’ perception about sustaining the useful life of long-lasting insecticide-treated nets in Ghana. International Health, 13(1), 57–62.

Wakefield, M. A., Loken, B. & Hornik, R. C. Use of mass media campaigns to change health behaviour. The Lancet vol. 376 1261–1271 (2010).

WHO, “Achieving and maintaining universal coverage with long-lasting insecticidal nets for malaria control,” 2017a.

WHO, “Conditions for deployment of mosquito nets treated with a pyrethroid and piperonyl butoxide: recommendations,” 2017b.

WHO. Insecticide-treated nets to reduce the risk of malaria in pregnant women. Geneva: World Health Organization;. 2019 .https://www.who.int/elena/titles/.

Widmar, M., Nagel, C.J., Ho, D.Y., Benziger, P.W. and Hennig, N., 2009. Determining and addressing obstacles to the effective use of long-lasting insecticide-impregnated nets in rural Tanzania. Malaria jour-nal, 8(1), pp.1-7.

Worrall, E., Were, V., Matope, A., Gama, E., Olewe, J., Mwambi, D., … Niessen, L.W. 2020. Coverage outcomes (effects), costs, cost-effectiveness, and equity of two combinations of long-lasting insecticidal net (LLIN) distribution channels in Kenya:a two-arm study under operational conditions. BMC public health, 20(1), 1–16.





How to Cite

Abdelseed, F. A. ., Alhade, M. ., Abdalmajed, M., & Mohammed, B. Y. . (2022). Effect of Health Education through Community Leaders on Increase Utilization of Households Regarding LLINs in Intervention and Control Villages of New Halfa Locality-Kassala State (2017-2020). ABC Research Alert, 10(2), 16–23. https://doi.org/10.18034/ra.v10i2.610



Research Paper