ASSESSMENT OF THE UTILIZATION OF LONG-LASTING INSECTICIDE NETS AMONG PREGNANT WOMEN AND CAREGIVERS OF CHILDREN LESS THAN FIVE YEARS IN TWO URBAN LOCAL GOVERNMENT AREAS (JOS NORTH AND JOS SOUTH) IN PLATEAU STATE, NIGERIA

Abstract

Malaria remains a major public health challenge in Sub-Saharan Africa, with pregnant women and children under five years among the most vulnerable groups. This study assessed the utilization of long-lasting insecticide-treated nets (LLINs) among pregnant women and caregivers of children under five in urban local government areas of plateau State, Nigeria. A cross-sectional survey design was employed, and data were collected from 200 respondents selected through a multistage sampling technique. A structured questionnaire was used to obtain information on socio-demographic characteristics, awareness, access and utilization of LLINs. Data were analyzed using descriptive statistics and binary logistics regression at a 5% level of significance. Findings reveals that while awareness of LLINs was high, regular utilization remained low among respondents. Logistic regression analyzing showed that educational level, income, marital status and number of children under five were significant were associated with increased likelihood of LLIN use, whereas larger household size was associated with reduced utilization. The study concludes that despite high awareness, consistent use of LLINs is hindered by socio-economic and household factors. It is recommended that targeted health education, improved access to LLINs, and household-sensitive distribution strategies be strengthened to enhance utilization and reduce malaria burden in the study area.