Attitude and Practice of the Use of Insecticide-Treated Nets among the Internally Displaced Persons in Fulatari Camp of Monguno Local Government Area of Borno State, Northeast Nigeria

Internally Displaced Persons (IDPs) in Fulatari Camp, Borno State, face elevated risks of malaria due to overcrowded conditions and limited healthcare. Insecticide-Treated Nets (ITNs) are a critical preventive tool; this study assessed the attitudes and practices of ITN utilization among the camp’s residents. Using a cross-sectional design, data was gathered through structured interviews and observations. Findings reveal mixed perceptions of ITN efficacy: 57.5% of respondents believed ITNs prevent malaria, while 14.75% disagreed, and 2.75% remained neutral. Although 53% expressed confidence in ITNs as protection against malaria, 47% lacked confidence. Comfort levels varied, with 64.75% feeling comfortable using ITNs, but 35.25% reported discomfort, citing issues such as rolling out during sleep, skin rashes from new nets, feelings of suffocation, and inadequate space in their tents. Most respondents (69.5%) had no concerns, while 30.5% expressed fears primarily related to first-time use or net design. Community attitudes strongly influenced individual views, with 74.75% stating positive community perceptions enhanced their willingness to use ITNs. Among users, 75.75% reported positive experiences, though some cited challenges like chemical irritation or mosquito bites when in contact with nets. ITN usage rates were moderate, with 61% currently using them. Of non-users, 24% cited unavailability, while 12.25% reported lack of awareness. Regarding usage frequency, only 25% used ITNs nightly, 36.75% most nights, and 29.25% occasionally. The study recommended awareness campaigns through Increase education on the importance of consistent ITN use. Improved distribution of ITN by Ensuring adequate and equitable ITN availability in camps. Provision of user-friendly ITNs suitable for camp conditions. Enhance community engagement leveraging in positive attitudes within the community to promote ITN adoptions.