Abstract
BACKGROUND: The World Health Organization recommends insecticide-treated mosquito nets (ITNs) as one of the main interventions to control malaria spread. The leading driver of this intervention is use of ITN; however, socio-demographic characteristics factors, access and possession of ITN could also influence its usage. Therefore, the present study aimed to document the factors associated with using ITNs to eliminate malaria in Burkina Faso. This study's findings would be useful to the National Malaria Control Programme and other stakeholders engaged in the promotion of ITNs to fight malaria cases. METHODS: Data were collected from a quasi-experimental cross-sectional study in Burkina Faso. An analytical approach including a descriptive and an explanatory component was used. For the descriptive aspect of the analysis, possession, access, and use of ITNs were described. The factors associated with ITN use were assessed using univariate and multivariate binary logistic regression analyses, with the level of significance at 5%. The data were analysed using Stata 16.1 software. RESULTS: The results of the saturated model showed that the type of textile of the IBD (polyester: odds ratio OR 1.23; 95% confidence interval (CI) [1.13, 1.33]) and age of the IBD (6-11 months, OR 0.91, 95% CI [0.83, 0.997]; ≥ 12 months OR 0.52, 95% CI [0.401, 0.675]) are influential factors for the use of ITNs. On the other hand, the level of ITN possession (excessive ITNs; OR 0.66; 95% CI [0.597, 0.74]) and the household poverty quintile showed a positive correlation with the use of ITNs (mean OR 0.791, 95% CI [0.694, 0.902]; rich OR 0.656, 95% CI [0.573, 0.751], and very rich OR 0.557, 95% CI [0.484,0.641]). CONCLUSION: There is a strong association between ITN use, type of textile, age of ITNs and number of ITNs in possession. Strengthening health education on the benefits and importance of ITN use will improve the appropriate use of ITNs among the population of Burkina Faso.