Success of Senegal's first nationwide distribution of long-lasting insecticide-treated nets to children under five - contribution toward universal coverage

Malaria Journal

Research

Salif Ndiaye¹  Julie I Thwing²  David A Townes²  Robert T Perry²  Moussa Thior³  Mame Birame Diouf³ 

[1] Centre de Recherche pour le Développement Humain, Dakar, Senegal;Malaria Branch, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, USA;National Malaria Control Programme, Dakar, Senegal;

关键词: Universal Coverage;    Distribution Point;    Wealth Quintile;    Mebendazole;    Behaviour Change Communication;   

DOI  :  10.1186/1475-2875-10-86

 received in 2011-02-05, accepted in 2011-04-13,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundIn 2009, the first national long-lasting insecticide-treated net (LLIN) distribution campaign in Senegal resulted in the distribution of 2.2 million LLINs in two phases to children aged 6-59 months. Door-to-door teams visited all households to administer vitamin A and mebendazole, and to give a coupon to redeem later for an LLIN.MethodsA nationwide community-based two-stage cluster survey was conducted, with clusters selected within regions by probability proportional to size sampling, followed by GPS-assisted mapping, simple random selection of households in each cluster, and administration of a questionnaire using personal digital assistants (PDAs). The questionnaire followed the Malaria Indicator Survey format, with rosters of household members and bed nets, and questions on campaign participation.ResultsThere were 3,280 households in 112 clusters representing 33,993 people. Most (92.1%) guardians of eligible children had heard about the campaign, the primary sources being health workers (33.7%), neighbours (26.2%), and radio (22.0%). Of eligible children, 82.4% received mebendazole, 83.8% received vitamin A, and 75.4% received LLINs. Almost all (91.4%) LLINs received during the campaign remained in the household; of those not remaining, 74.4% had been given away and none were reported sold. At least one insecticide-treated net (ITN) was present in 82.3% of all households, 89.2% of households with a child < 5 years and 57.5% of households without a child < 5 years. Just over half (52.4%) of ITNs had been received during the campaign. Considering possible indicators of universal coverage, 39.8% of households owned at least one ITN per two people, 21.6% owned at least one ITN per sleeping space and 34.7% of the general population slept under an ITN the night before the survey. In addition, 45.6% of children < 5 years, and 49.2% of pregnant women had slept under an ITN.ConclusionsThe nationwide integrated LLIN distribution campaign allowed household ITN ownership of one or more ITNs to surpass the RBM target of 80% set for 2010, though additional distribution strategies are needed to reach populations missed by the targeted campaign and to reach the universal coverage targets of one ITN per sleeping space and 80% of the population using an ITN.

【 授权许可】

CC BY   
© Thwing et al; licensee BioMed Central Ltd. 2011