Ownership and usage of insecticide-treated bed nets after free distribution via a voucher system in two provinces of Mozambique

Malaria Journal

Research

Ramesh Krishnamurthy¹  Jacquelin Roberts²  Marcy Erskine³  Dana P Crenshaw⁴  Alexandre Macedo de Oliveira⁴  Adam Wolkon⁴  Francisco Saúte⁵ 

[1] Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, USA;Division of Parasitic Diseases and Malaria, Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, USA;International Federation of Red Cross and Red Crescent Societies, Geneva, Switzerland;Malaria Branch, Division of Parasitic Diseases and Malaria, Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, USA;National Malaria Control Program and Communicable Disease Division, Ministry of Health of Mozambique, Maputo, Mozambique;

关键词: Malaria;    Global Position System;    Equity Ratio;    Previous Night;    Poor Quintile;   

DOI  :  10.1186/1475-2875-9-222

 received in 2010-04-30, accepted in 2010-08-04,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundInsecticide-treated bed nets (ITNs) are an efficacious intervention for malaria prevention. During a national immunization campaign in Mozambique, vouchers, which were to be redeemed at a later date for free ITNs, were distributed in Manica and Sofala provinces. A survey to evaluate ITN ownership and usage post-campaign was conducted.MethodsFour districts in each province and four enumeration areas (EAs) in each district were selected using probability proportional to size. Within each EA, 32 households (HHs) were selected using a simple random sample. Interviews to assess ownership and usage were conducted in each of the selected HHs using personal digital assistants.ResultsValid interviews were completed for 947 (92.5%) (440 in Manica and 507 in Sofala) of the 1,024 selected HHs. Among participating HHs, 65.0% in Manica and 63.1% in Sofala reported that at least one child under five years of age slept in the house the previous night. HH ownership of at least one bed net of any kind was 20.6% (95% confidence interval [CI]: 7.9%-43.6%) and 35.6% (95% CI: 27.8%-44.3%) pre-campaign; and 55.1% (95% CI: 43.6%-66.1%) and 59.6 (95% CI: 42.4%-74.7%) post-campaign in Manica and Sofala, respectively. Post-campaign HH ownership of at least one ITN was 50.2% (95% CI: 41.8%-58.5%) for both provinces combined. In addition, 60.3% (95% CI: 50.6%-69.2%) of children under five years of age slept under an ITN the previous night.ConclusionsThis ITN distribution increased bed net ownership and usage rates. Integration of ITN distribution with immunization campaigns presents an opportunity for reaching malaria control targets and should continue to be considered.

【 授权许可】

CC BY   
© Macedo de Oliveira et al; licensee BioMed Central Ltd. 2010