Assessing bed net use and non-use after long-lasting insecticidal net distribution: a simple framework to guide programmatic strategies

Malaria Journal

Research

Ayub Manya¹  Jodi L Vanden Eng²  Laurence Slutsker²  Julie Thwing²  Adam Wolkon²  Allen Hightower²  Manisha A Kulkarni³  Marcy Erskine⁴ 

[1] Division of Malaria Control, Ministry of Health, PO Box 19982-00202, Kenya, Nairobi;Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Center for Global Health, 4770 Buford Hwy MS F-22, 30341, Atlanta, GA, USA;HealthBridge, 1105-1 Nicholas Street, K1N 7B7, Ottawa, ON, Canada;International Federation of Red Cross and Red Crescent Societies, PO Box 372, 17, ch. des Crêts/Petit - Saconnex, 1211, Geneva 19, Switzerland;

关键词: Malaria;    Malaria Control Programme;    Previous Night;    Roll Back Malaria;    Malaria Indicator Survey;   

DOI  :  10.1186/1475-2875-9-133

 received in 2010-03-09, accepted in 2010-05-18,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundInsecticide-treated nets (ITNs) are becoming increasingly available to vulnerable populations at risk for malaria. Their appropriate and consistent use is essential to preventing malaria, but ITN use often lags behind ITN ownership. In order to increase ITN use, it is necessary to devise strategies that accurately identify, differentiate, and target the reasons and types of non-use.MethodsA simple method based on the end-user as the denominator was employed to classify each individual into one of four ITN use categories: 1) living in households not owning an ITN; 2) living in households owning, but not hanging an ITN; 3) living in households owning and hanging an ITN, but who are not sleeping under one; and 4) sleeping under an ITN. This framework was applied to survey data designed to evaluate long-lasting insecticidal nets (LLINs) distributions following integrated campaigns in five countries: Togo, Sierra Leone, Madagascar, Kenya and Niger.ResultsThe percentage of children <5 years of age sleeping under an ITN ranged from 51.5% in Kenya to 81.1% in Madagascar. Among the three categories of non-use, children living in households without an ITN make up largest group (range: 9.4%-30.0%), despite the efforts of the integrated child health campaigns. The percentage of children who live in households that own but do not hang an ITN ranged from 5.1% to 16.1%. The percentage of children living in households where an ITN was suspended, but who were not sleeping under it ranged from 4.3% to 16.4%. Use by all household members in Sierra Leone (39.9%) and Madagascar (60.4%) indicate that integrated campaigns reach beyond their desired target populations.ConclusionsThe framework outlined in this paper provides a helpful tool to examine the deficiencies in ITN use. Monitoring and evaluation strategies designed to assess ITN ownership and use can easily incorporate this approach using existing data collection instruments that measure the standard indicators.

【 授权许可】

Unknown   
© Eng et al; licensee BioMed Central Ltd. 2010. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.