1921
Volume 92, Issue 4
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

A malaria cohort study was conducted among young children in Machinga District, Malawi, following distribution of insecticide-treated bednets (ITNs) in May 2012. To assess ITN use, two independently sampled subsets of children (211 during survey 1 [December 2012–January 2013] and 325 during survey 2 [September–October 2013]) were randomly selected to compare the proportions of positive and negative agreement between caregiver verbal reports at monthly interviews with visual observation of the ITN at home visits. Caregiver-reported ITN use was consistently high during both surveys (98.1% and 96.0%, respectively; = 0.17). Home visit-based ITN use fell significantly ( < 0.001) from survey 1 (98.6%) to survey 2 (88.6%). The proportions of positive agreement between caregiver report and home visit in the first and second surveys were 98.8% (95% confidence interval [CI] 97.6–99.8%) and 93.3% (95% CI 91.2–95.3%), respectively. The proportions of negative agreement in the first and second surveys were 28.6% (95% CI 0–75.0%) and 20.0% (95% CI 0.1–35.0%), respectively. ITN use by children was high in Machinga District, and caregiver reports and home visits with visual confirmation of the net demonstrated a high level of agreement for use of ITNs, but a low level of agreement when ITNs were not used.

Loading

Article metrics loading...

The graphs shown below represent data from March 2017
/content/journals/10.4269/ajtmh.14-0768
2015-04-01
2020-07-09
Loading full text...

Full text loading...

/deliver/fulltext/14761645/92/4/825.html?itemId=/content/journals/10.4269/ajtmh.14-0768&mimeType=html&fmt=ahah

References

  1. Lengeler C, 2004. Insecticide-treated bed nets and curtains for preventing malaria. Cochrane Database Syst Rev 2: CD000363.
    [Google Scholar]
  2. WHO, 2013. World Malaria Report: 2013. Geneva, Switzerland: World Health Organization.
    [Google Scholar]
  3. Frey C, Traore C, De Allegri M, Kouyate B, Muller O, 2006. Compliance of young children with ITN protection in rural Burkina Faso. Malar J 5: 70.[Crossref]
    [Google Scholar]
  4. Sexton JD, Ruebush TK, Brandlingbennett AD, Breman JG, Roberts JM, Odera JS, Were JBO, 1990. Permethrin-impregnated curtains and bed-nets prevent malaria in western Kenya. Am J Trop Med Hyg 43: 1118.
    [Google Scholar]
  5. Linhua T, Manderson L, Da D, Kaichen W, Xianzheng C, Changxiong L, Zhengcheng G, Ke-an W, 1995. Social aspects of malaria in Heping, Hainan. Acta Trop 59: 4153.[Crossref]
    [Google Scholar]
  6. Cohee L, Mills LA, Kagaayi J, Jacobs I, Galiwango R, Ludigo J, Ssekasanvu J, Reynolds SJ, 2009. High retention and appropriate use of insecticide-treated nets distributed to HIV-affected households in Rakai, Uganda: results from interviews and home visits. Malar J 8: 76.[Crossref]
    [Google Scholar]
  7. Bennett A, Smith SJ, Yambasu S, Jambai A, Alemu W, Kabano A, Eisele TP, 2012. Household possession and use of insecticide-treated mosquito nets in Sierra Leone 6 months after a aational mass-distribution campaign. PLoS One 7: e37927.[Crossref]
    [Google Scholar]
  8. Choi HW, Breman JG, Teutsch SM, Liu SM, Hightower AW, Sexton JD, 1995. The effectiveness of insecticide-impregnated bed nets in reducing cases of malaria infection: a meta-analysis of published results. Am J Trop Med Hyg 52: 377382.
    [Google Scholar]
  9. Leake DW Jr, Hii JL, 1989. Giving bednets “fair” tests in field trials against malaria: a case from Sabah, East Malaysia. Southeast Asian J Trop Med Public Health 20: 379384.
    [Google Scholar]
  10. Feinstein AR, Cicchetti DV, 1990. High agreement but low kappa: I. The problems of two paradoxes. J Clin Epidemiol 43: 543549.[Crossref]
    [Google Scholar]
  11. Cicchetti DV, Feinstein AR, 1990. High agreement but low kappa: II. Resolving the paradoxes. J Clin Epidemiol 43: 551558.[Crossref]
    [Google Scholar]
  12. Graves PM, Ngondi JM, Hwang J, Getachew A, Gebre T, Mosher AW, Patterson AE, Shargie EB, Tadesse Z, Wolkon A, Reithinger R, Emerson PM, Richards FO, 2011. Factors associated with mosquito net use by individuals in households owning nets in Ethiopia. Malar J 10: 354.[Crossref]
    [Google Scholar]
  13. Alaii JA, Hawley WA, Kolczak MS, ter Kuile FO, Gimnig JE, Vulule JM, Odhacha A, Oloo AJ, Nahlen BL, Phillips-Howard PA, 2003. Factors affecting use of permethrin-treated bed nets during a randomized controlled trial in western Kenya. Am J Trop Med Hyg 68: 137141.
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.4269/ajtmh.14-0768
Loading
/content/journals/10.4269/ajtmh.14-0768
Loading

Data & Media loading...

  • Received : 01 Dec 2014
  • Accepted : 07 Jan 2015
  • Published online : 01 Apr 2015
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error