Insecticide-treated nets ownership and utilization among under-five children following the 2010 mass distribution in Burkina Faso

Malaria Journal

Research

Seni Kouanda¹  Emmanuel Bonnet²  Thomas Druetz³  Valéry Ridde³  Souleymane Diabaté³  Slim Haddad³ 

[1] Institut de Recherche en Sciences de la Santé (IRSS) du CNRST, Ouagadougou, Burkina Faso;Institut de Recherche pour le Développement (IRD), Ouagadougou, Burkina Faso;University of Montreal Hospital Research Centre (CRCHUM), Montreal, Canada;Department of Social and Preventive Medicine, University of Montreal, Montreal, Canada;

关键词: Malaria;    Under-five children;    Saturation with bed nets;    Vector control;    Burkina Faso;   

DOI  :  10.1186/1475-2875-13-353

 received in 2014-06-17, accepted in 2014-09-01,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundPeriodic mass distributions contribute significantly to universal access to insecticide-treated nets (ITNs). However, due to the limited number of nets distributed, needs remain unsatisfied, particularly in large households.MethodsThis study was conducted in Kaya health district following the 2010 mass distribution of ITNs in Burkina Faso. Data were collected on the socio-economic and geo-spatial characteristics and ITN possession and utilization levels of 2,004 households. The study explored: 1) ITN access, in terms of intra-household saturation with ITNs (households with at least one ITN for every two members) correctly installed and in very good physical condition; and 2) factors influencing the decision to place under-five children under a net. Particular attention was given to vector control activities undertaken by mothers.ResultsOf the 2,004 households, 90% possessed at least one ITN. However, intra-household saturation with ITNs was below 60% in small households and below 20% in large ones (>6 members). Crude proportion ratios comparing possession and levels of intra-household saturation with ITNs varied between 1.5 (small households) and 7.8 (large households). The proportions of households with ITNs for every two members that were correctly hung or in very good physical condition ranged from 0% to 6.5% in large households and 27.8% to 40.7% in small ones. ITN use to protect under-five children was lower in large households; it was significantly higher when there was at least one ITN for every two members. In large households, it was significantly higher when a child had experienced an episode of any illness in the previous two weeks and when the mother had taken actions to control vector proliferation. In small households, ITN use was significantly higher in families with agricultural land and children aged 12–23 months.ConclusionOwnership rates were high, but real access to bed nets remained limited. The allocation process disadvantages large families. Real access to bed nets implies they are available, properly installed, and in good condition. More post-campaign awareness-raising activities targeting preventive practices in households could foster more effective ITN use.

【 授权许可】

Unknown   
© Diabaté et al.; licensee BioMed Central Ltd. 2014. 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/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.