Effectiveness of post-campaign, door-to-door, hang-up, and communication interventions to increase long-lasting, insecticidal bed net utilization in Togo (2011–2012): a cluster randomized, control trial

Malaria Journal

Research

Rachelle E Desrochers¹  Peter R Berti¹  Sarah AW Buchan¹  Kendra Siekmans¹  Alice Sabino²  Karen Bramhill³  Guy K Battah⁴  Kokou Vignikin⁵  Dodji Gbetoglo⁵ 

[1] HealthBridge, 1004-1 Nicholas Street, K1N 7B7, Ottawa, ON, Canada;Independent Consultant for the International Federation of Red Cross and Red Crescent Societies, London, UK;International Federation of Red Cross and Red Crescent Societies, PO Box 303, CH-1211, Geneva 19, Switzerland;Togolese Red Cross, PO Box 655, 51 Sahoudè Street, Amoutivé, Lomé, Togo;Unité de recherche démographique, Université de Lomé, PO Box 12971, Lomé, Togo;

关键词: Hang-up;    Behaviour-change communication;    Insecticide-treated net use;    Mass long-lasting insecticide net distribution campaign;    Community health worker;    Universal coverage;    Togo;   

DOI  :  10.1186/1475-2875-13-260

 received in 2014-05-05, accepted in 2014-06-27,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundIt is well established that insecticide-treated bed nets (ITNs), in particular long-lasting, insecticidal nets (LLINs), can be used as one of the primary interventions for effective malaria control. A consistent gap between net ownership and use has been observed, indicating that factors exist that prevent an owned mosquito net from being used. One approach used in the context of LLIN campaigns is a post-distribution, door-to-door visit of households with educational messages and to physically assist with hang-up of nets.MethodsA cluster randomized trial was conducted in the Plateaux Region of Togo to evaluate the effectiveness of different approaches to post-LLIN campaign home visits (number of visits and timing) by volunteers to enhance LLIN hang-up and utilization.ResultsIt was found that, in general, households that received intervention visits, particularly the most recent intervention visit, had levels of use that were typically 5 to 10% higher than the control households, while access did not differ among control and intervention households. Eight months post-campaign, ITN use by all individuals, children under five years and women of reproductive age was 11.3 to 14.4 percentage points greater in the study arm that received all three intervention visits than in the control communities. In households that received one or two additional door-to-door visits, the majority of respondents indicated that the volunteer provided new information during the visit regarding the use and importance of ITNs despite having received previous multiple visits.ConclusionsThe impact of the interventions appears to have been primarily through the delivery and reinforcement of key behaviour-c hange c ommunication (BCC) messages regarding the importance of using an ITN and its care. Regardless of whether the respondents in fact received new information or had forgotten earlier information, this suggests that regular visits from community agents are useful in reinforcing key BCC messages.

【 授权许可】

CC BY   
© Desrochers et al.; licensee BioMed Central Ltd. 2014