Perceived Effectiveness of Insecticide-Treated Nets Use in the Prevention of Malaria among Students of a Tertiary Institution in Oyo State, Nigeria

Authors

Oyetunji Felicia Odunayo

Nurse Educator, Oyo State College of Nursing Sciences, Eleyele, Ibadan (Nigeria)

Ezeike Edith Chinyere

Nurse Educator, Oyo State College of Nursing Sciences, Eleyele, Ibadan (Nigeria)

Magbagbeola Omolabake Elizabeth

Nurse Educator, Oyo State College of Nursing Sciences, Eleyele, Ibadan (Nigeria)

Olaniyi O. Taiwo

Nurse Educator, Oyo State College of Nursing Sciences, Eleyele, Ibadan (Nigeria)

Article Information

DOI: 10.51244/IJRSI.2026.1304000205

Subject Category: Health

Volume/Issue: 13/4 | Page No: 1502-1518

Publication Timeline

Submitted: 2026-04-18

Accepted: 2026-04-24

Published: 2026-05-15

Abstract

Introduction: Malaria fever has been found to be one of the major cause of morbidity and mortality especially in sub-Saharan African. However, malaria attacks can be prevented through consistent use of ITNs, but study had shown that its utilisation had been very low.
Objective: This study aim to examine the perceived effectiveness of the insecticide-treated nets in the prevention of malaria among students at the Oyo State College of Nursing Sciences, Eleyele, Ibadan, Nigeria.
Methods: The study utilised a descriptive cross-sectional design. The population size was 270 of the 200 and 300 levels of OYCNSE. Taro Yamane’s formula was used to determine 177 sample size. Participants were selected using a random sampling (balloting) technique. A self-constructed questionnaire with Cronbach’s Alpha Reliability Coefficient of 0.774 was used to collect data.
Results: The response rate was 100%, but 175 out of 177 questionnaires were analysed. Descriptive statistics was used to analyze the data using SPSS Version 26, and the results were presented with tables, frequencies, and simple percentages. The findings show that 169(96.6%) have heard about Insecticide treated nets before, and 139(79.4%) knew the primary purpose of ITNs use. 130(74.3%) owns ITNs, 106(81.5%) of those that owns ITNs use it, while only 75(42.9%) of them always sleep under ITNs. Most militating factors against ITNs use in the prevention of malaria are excessive heat production 147(84%), air flow reduction 134(76.6%), and chemical irritation and allergies 133(76%). However, 130 (74.3%) had a poor perception of the effectiveness of ITNs in preventing malaria. The Pearson chi-square test showed that no difference exist between level of education and utilisation of ITN (X2(2) = 0.581, P=.748).
Conclusion/Recommendation: The findings highlight a clear gap between knowledge and practice, emphasizing the need for nursing education and public health interventions to move beyond awareness creation to practical, behaviour-centered approaches. Therefore, Nursing students in Oyo State College of Nursing Sciences, Eleyele must be equipped with skills to demonstrate correct ITN use, address misconceptions, and act as role models and advocates in malaria prevention.

Keywords

Awareness, Insecticide-treated Nets, Malaria

Downloads

References

1. Ajegena, B.K., & Oti, V.B. (2020) The Challenges of Using Insecticides Treated Nets (ITNs) in Curbing Malaria in Nigeria: A 2000-2018 Systematic Review. J Infect Dis Epidemiol 6:140. doi.org/10.23937/2474-3658/1510140 [Google Scholar] [Crossref]

2. Aliyu, I.A., & Yayo, A.M. (2018). Effectiveness of Insecticide Treated Nets in the Control of Malaria in Tudun Wada, Kano State. SJMLS, 3(2). https://sokjmls.com.ng/index.php/SJMLS/article/view/255 [Google Scholar] [Crossref]

3. Aung, P.L., Win,K.M., & Show K.L., 2022). Utilization of insecticide-treated nets among pregnant women in Myanmar – analysis of the 2015-2016 Demographic and Health Survey PLoS ONE 17(3): e0265262. doi:10.1371/journal.pone.0265262 [Google Scholar] [Crossref]

4. Center for Disease Control and Prevention (2021). Malaria impact worldwide. Global Health, Division of Parasitic Diseases and Malaria. https://www.cdc.gov/malaria/malaria_worldwide/impact.html [Google Scholar] [Crossref]

5. Center for Disease Control and Prevention (CDC) (2022). MALARIA. https://www.cdc.gov/malaria/malaria-_worldwide/impact.html [Google Scholar] [Crossref]

6. Center for Disease Control and Prevention, (CDC) (2019). How Can Malaria Cases and Deaths Be Reduced Insecticide–Treated Bed Nets. https://www.cdc.gov/malaria/malaria_worldwide/reduction/itn.html. [Google Scholar] [Crossref]

7. Centre for Disease Prevention and Control, (2024). Insecticide-Treated Nets/Malaria. https://www.cdc.gov › php › public-health-strategy › in... [Google Scholar] [Crossref]

8. Eimieho, S., (2022). A Closer Look at Malaria in Nigeria. https://borgenproject.org/closer-look-at-malaria-in nigeria/#:⸟:text=Malaria%20in%20Nigeria%20is20endemic,fatality%20rates%20in20the%20country. [Google Scholar] [Crossref]

9. Ekeleme, N. C., Ijioma, C. E., Unachukwu, N. A., Ejikem, P. I., Areh, J. E., Ogwu, C. I., Jeffery, E. O. , Esangbedo, I. J., Amuta, A. C., Ojiri, P. C., Amoji, N. O., Aminu-Ayinde, O. E., Amadi, E. S., Onyeukwu, N., Abali, I. O., & Airaodion, A. I. (2023). “Attitudes and Practices of Insecticide Treated Bed Nets Usage Among Rural Dwellers in Oyo State, Nigeria”. International Journal of TROPICAL DISEASE & Health 44 (15):43-58. https://doi.org/10.9734/ijtdh/2023/v44i151462. [Google Scholar] [Crossref]

10. Eleazar, C., Emenuga, V., & Udoh, I. (2022). Factors affecting usage of insecticide treated nets for malaria control by pregnant women in Enugu, South East Nigeria. African Journal of Reproductive Health. 26(1). ISSN: 2141 – 3606. [Google Scholar] [Crossref]

11. Gyaase, P., Acheampong , E. B., Sampson , D. B., & Owusu , R. (2023). Factors Influencing the Utilization of Insecticide Treated Bed Nets in the Prevention of Malaria in the Berekum East Municipality, Ghana. Asian Journal of Research in Infectious Diseases. 13(2), 1–14. https://doi.org/10.9734/ajrid/2023/v13i2259 [Google Scholar] [Crossref]

12. Konlan, K.D., Kossi-Vivor, N., Gegefe, I., &, Hayford L. (2022). Factors associated with ownership and utilization of insecticide treated nets among children under five years in sub-Saharan Africa. BMC Public Health. 22(1):940. doi: 10.1186/s12889-022-13347-x. PMID: 35538524; PMCID: PMC9092763. [Google Scholar] [Crossref]

13. Lindsay, S.W., Thomas, M.B., & Kleindschmidt, I., (2021). Threats to the effectiveness of insecticide-treated bed nets from malaria control:thinking beyond insecticide resistance. Lancet Glob Health 9(9):e1325-e1331. doi:10.1016/s2214-109x(21)00216-3. [Google Scholar] [Crossref]

14. Merga, T., Adane, M.M., Shibabaw, T., Salah, F.A., Ejigu, L.J., & Mulatu, S. (2024). Utilization of insecticide-treated bed nets and associated factors among households in Pawie District, Benshangul Gumuz, Northwest Ethiopia. Sci Rep 14(31712). https://doi.org/10.1038/s41598-024-81090-x [Google Scholar] [Crossref]

15. Muanya C., (2022). World Malaria Day: Nigeria records 200,000 deaths, loses N646bn yearly to malaria. The Guardian. https://guardian,ng /news/world-malaria-day-nigeria-records-200000-deaths-loses-n646bn-yearly-to-malaria/ [Google Scholar] [Crossref]

16. Musa, Y.T., Iyoha, O., Toy, B.D., Aziegbemhin, A.S., & Musa, T. (2022). Ownership, usage, and perception of insecticide-treated nets (ITNs) for the prevention of malaria among students of a tertiary institution in northeastern Nigeria. Public Health Toxicol. 3(1):8 https://doi.org/10.18332/pht/162333 [Google Scholar] [Crossref]

17. Niguse, W., Alemayehu, B., Gebremedhin,T., Alemu, M., Mamo, G., Negeri, E., Temam, I., Zewdie, H., Bogale, T., Pawulos E., & Sahlie E. (2025) Low ITN utilization among households in SWEPR Ethiopia: challenge for malaria elimination, a mixed design approach. BMC Public Health (2025) 25:472. https://doi.org/10.1186/s12889-025-21547-4 for use. [Google Scholar] [Crossref]

18. Oguntola, S., (2022). Oyo Slated for Seasonal Malaria prophylaxis. The Tribune. https://tribuneonlineng.com › oyo s … [Google Scholar] [Crossref]

19. Olugbade O.T., Ladipo, T.O., Ajumobi, O., Adedokun, B., Olayinka, O. & Ajayi, I. (2014). Malaria Control Interventions: Outcomes in Attendees of Health Facilities in Oyo State, Nigeria. International Journal of Infectious Disease. 1(21). https://doi.org/10.1016/j.ijid.2014.03.1244. [Google Scholar] [Crossref]

20. Orji, M. L., Onyire, N. B., Chapp-Jumbo, A., Anyanwu, O. U., & Eke, C. B. (2018). Perception and utilization of insecticide-treated mosquito net among caregivers of children in Abakaliki, Nigeria. Annals of African medicine, 17(4), 172–177. https://doi.org/10.4103/aam.aam_64_16 [Google Scholar] [Crossref]

21. Otuomasiri, E.J., Sichalwe, M.M., & Ibeabuchi, E.E. (2025). Insecticide-treated nets utilization and influencing factors on middle school students in Southeast Nigeria. A cross-sectional study. Clinical Epidemiology and Global Health. 32(101952). https://doi.org/10.1016/j.cegh.2025.101952 [Google Scholar] [Crossref]

22. Rosenstock, I, Hochbaum, G., Kegels, S., & Leventhal, H. (1950). The Health Belief Model (HBM). University of Pennsylvania Perelman School of Medicine https://www.med.upenn.edu › part2-ch3-main-constructs. [Google Scholar] [Crossref]

23. Scott, J., Kanyangarara, M., Nhama, A., Macete, E., Moss, W. J., & Saute, F. (2021). Factors associated with use of insecticide-treated net for malaria prevention in Manica District, Mozambique: a community-based cross-sectional survey. Malaria journal, 20(1), 200. https://doi.org/10.1186/s12936-021-03738-7 [Google Scholar] [Crossref]

24. Sichalwe, M.M., Kimaro, R.R., & Mhinte, S.R. (2025). Utilization of insecticide-treated nets and factors influencing it among caregivers of children under five in Butiama district, Tanzania. Clinical Epidemiology and Global Health 33(101978). https://doi.org/10.1016/j.cegh.2025.101978 [Google Scholar] [Crossref]

25. Teym, A., Zeleke, T.K., Shiferaw, M.Y., Berihun, G., Messelu, M.A., Aynew, T., Gebeyew, A.S., Assaye, B.T., Yeshiwas, A.G., & Yenew, C. (2025). Utilization of insecticide-treated bed nets and key factors among households in resource-limited settings, Northwest Ethiopia. Malar J. 25(1):16. doi: 10.1186/s12936-025-05698-8. PMID: 41316327; PMCID: PMC12784607. [Google Scholar] [Crossref]

26. Tula, M. Y., Iyoha, O., Toy, B. D., Aziegbemhin, A. S. & Musa, T. (2023). Ownership, usage, and perception of insecticide-treated nets (ITNs) for the prevention of malaria among students of a tertiary institution in northeastern Nigeria. Public Health and Toxicology, 3(1), 8. https://doi.org/10.18332/pht/162333 [Google Scholar] [Crossref]

27. USAID (2021). Eliminating Malaria in Nigeria: Five Ways the USAID’S ‘President’s MalariaInitiative For States’ is Making a Difference. https://www.usaid.gov/news-information/news/eliminating-malaria-nigeria-five-ways-usaid%E2%80%99s-%E2%80%98president%E2%80%99s-malaria-initiative [Google Scholar] [Crossref]

28. WHO (2019). World Malaria Report, 2019, Comprehensive Update on Global and Regional Malaria Data and Trends. Pp.232. ISBN: 978-92-4-156572-1. https://www.who.int › Publications › i › item [Google Scholar] [Crossref]

29. World Health Organization (2021). World Malaria Report 2021. https://www.who.int/teams/global-malaria-programme/reports/world-malaria-report-2021. [Google Scholar] [Crossref]

30. World Health Organization (2022). Responding to malaria in urban areas: a new framework from WHO and UN-Habitat. https://www.who.int › … › Reports. [Google Scholar] [Crossref]

31. World Health Organization, (2019). Guidelines for Malaria Vector. Geneva: World Health Organization. https://www.who.int/publications/guidelines/handbook_2nd_ed.pdf. [Google Scholar] [Crossref]

32. World Health Organization, (2022). Malaria. https://www.who.int › … › Reports. [Google Scholar] [Crossref]

33. World Malaria Report (2022). Tracking progress and gaps in the global response to malaria. https://www.who.int/teams/global-malaria-programme/reports/world-malaria-report-2022. [Google Scholar] [Crossref]

34. World malaria Report, (2020). The impact of global malaria efforts. https://endmalaria.org/about-us/impact [Google Scholar] [Crossref]

Metrics

Views & Downloads

Similar Articles