Background: Insecticide Treated Nets (ITNs) have become an important tool in the prevention ofrnmalaria. At present, large scale ITN programmes are being implemented in sub-Saharan Africa. Freerndistribution of ITNs is also underway in malaria endemic areas of Ethiopia. However, consistentrnfollow up and documentation of their proper utilization and status is lacking.rnObjectives: The aims of this study were to assess utilization of ITNs by households and children 2cm), and 97.0% of those with six months and above duration were not retreated.rnLack of insecticide was the main reason for not re-treating the nets. Households with separaternbed room were found to be two times more likely to use their ITN than those who had no separate bedrnroom [Adjusted OR=1.98, 95% CI: (1.24-3.16)]. Children found in households freely supplied withrntwo or more ITNs were 1.59 times more likely to slept under ITN in the previous night than thosernsupplied only one ITN [Adjusted OR=1.59, 95% CI: (1.03-2.46)]. Respondents who perceived ITN asrna main preventive measure for malaria were found five times more likely their