Bed net ownership in Kenya: the impact of 3.4 million free bed nets

Malaria Journal

Research

Ayub Manya¹  Willis Akhwale¹  Rebecca Kiptui¹  Jodi Leigh Vanden Eng²  Allen Hightower²  Laurence Slutsker²  Adam Wolkon²  Mary Hamel³  John Vulule⁴  Kayla Laserson⁵  Robert Buluma⁶  Abdisalan Noor⁷  Shahnaz K Sharif⁸ 

[1] Division of Malaria Control, Ministry of Public Health and Hygiene, KNH Grounds, P.O. Box 20750, Nairobi, Kenya;Division of Parasitic Diseases and Malaria, Centers for Disease Control, Center for Global Health, Mailstop F22, 4770 Buford Highway, 30341, Atlanta, GA, USA;Division of Parasitic Diseases and Malaria, Centers for Disease Control, Center for Global Health, Mailstop F22, 4770 Buford Highway, 30341, Atlanta, GA, USA;Kenya Medical Research Institute, Center for Global Health Research, Off Busia Road, Kisian, Kenya;Kenya Medical Research Institute, Center for Global Health Research, Off Busia Road, Kisian, Kenya;Kenya Medical Research Institute, Center for Global Health Research, Off Busia Road, Kisian, Kenya;Center for Global Health, Centers for Disease Control, 1600 Clifton Road, 30333, Atlanta, GA, USA;Kenya National Bureau of Statistics, P.O. Box 30266-00100 GPO, Herufi House, Lt. Tumbo Lane, Nairobi, Kenya;Malaria Public Health and Epidemiology Group, Centre for Geographic Medicine Research-Coast, Kenya Medical Research Institute/Wellcome Trust Research Programme, P.O. Box 43640, 00100 GPO, Nairobi, Kenya;Ministry of Health, Office of the Director of Public Health and Sanitation, P.O. Box 30016, Nairobi, P.O. Box 30016, Afya House, Cathedral Road, Nairobi, Kenya;

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

DOI  :  10.1186/1475-2875-9-183

 received in 2010-03-23, accepted in 2010-06-24,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundIn July and September 2006, 3.4 million long-lasting insecticide-treated bed nets (LLINs) were distributed free in a campaign targeting children 0-59 months old (CU5s) in the 46 districts with malaria in Kenya. A survey was conducted one month after the distribution to evaluate who received campaign LLINs, who owned insecticide-treated bed nets and other bed nets received through other channels, and how these nets were being used. The feasibility of a distribution strategy aimed at a high-risk target group to meet bed net ownership and usage targets is evaluated.MethodsA stratified, two-stage cluster survey sampled districts and enumeration areas with probability proportional to size. Handheld computers (PDAs) with attached global positioning systems (GPS) were used to develop the sampling frame, guide interviewers back to chosen households, and collect survey data.ResultsIn targeted areas, 67.5% (95% CI: 64.6, 70.3%) of all households with CU5s received campaign LLINs. Including previously owned nets, 74.4% (95% CI: 71.8, 77.0%) of all households with CU5s had an ITN. Over half of CU5s (51.7%, 95% CI: 48.8, 54.7%) slept under an ITN during the previous evening. Nearly forty percent (39.1%) of all households received a campaign net, elevating overall household ownership of ITNs to 50.7% (95% CI: 48.4, 52.9%).ConclusionsThe campaign was successful in reaching the target population, families with CU5s, the risk group most vulnerable to malaria. Targeted distribution strategies will help Kenya approach indicator targets, but will need to be combined with other strategies to achieve desired population coverage levels.

【 授权许可】

CC BY   
© Hightower et al; licensee BioMed Central Ltd. 2010