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Net use has increased since 2010 among the household population, children under age 5,<br />

and pregnant women. Improvements are especially notable in the lake and coast endemic zones and<br />

the highland epidemic zone. Access to household LLINs at the household level largely determines<br />

use.<br />

Forty percent of the household members that slept under a net the night before the survey<br />

slept under a net with holes, which may not have provided adequate protection from mosquito bites.<br />

A majority of respondents feel positively towards net use and malaria prevention, both<br />

nationally and by transmission zone. A minority, one-quarter, incorrectly believe that people are at risk<br />

of getting malaria only during the rainy season.<br />

3.5 RECOMMENDATIONS<br />

The government and partners should utilize all practical strategies to achieve universal net<br />

coverage in the targeted malaria risk areas of the country. Because access to LLINs at the household<br />

level largely determines use, efforts should focus on increasing the number of LLINs in households,<br />

especially those with vulnerable populations such as young children and women of child-bearing age.<br />

Advocacy, communication, and social mobilization efforts should be made to increase<br />

community demand for malaria prevention measures, including use of LLINs and appropriate net<br />

care.<br />

Vector Control • 45

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