1921
Volume 79, Issue 6
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

The Peruvian Ministry of Health has distributed insecticide-treated nets (ITNs) in the country’s Amazon region since 1999. Net use is nearly universal among mestizo communities in this area, but residents traditionally use non-impregnated muslin nets. We evaluated the cultural acceptability of Ministry ITNs using qualitative methods. Our results show that nets serve various functions for users: protection against insect bites, warmth, privacy, and a sense of security for young children. Because the Ministry-distributed ITNs could not fulfill these functions as well as traditional nets, many recipients disliked or rejected the ITNs they received. Also, because the ITN fabric stains rapidly, recipients washed their nets frequently rather than waiting 6 months as recommended. We propose a two-pronged approach that balances user and health system expectations of bed nets and that should lead to more widespread and effective ITN use in the study communities.

Loading

Article metrics loading...

/content/journals/10.4269/ajtmh.2008.79.834
2008-12-01
2017-09-19
Loading full text...

Full text loading...

/deliver/fulltext/14761645/79/6/0790834.html?itemId=/content/journals/10.4269/ajtmh.2008.79.834&mimeType=html&fmt=ahah

References

  1. Binka F, Akweongo P, 2006. Prevention of malaria using ITNs: potential for achieving the millennium development goals. Curr Mol Med 6 : 261–267.
  2. Curtis CF, Maxwell CA, Magesa SM, Rwegoshora RT, Wilkes TJ, 2006. Insecticide-treated bed-nets for malaria mosquito control. J Am Mosq Control Assoc 22 : 501–506.
  3. Lengeler C, 2004. Insecticide-treated bed nets and curtains for preventing malaria. Cochrane Database Syst Rev 2: CD000363.
  4. Kroeger A, Gonzalez M, Ordonez-Gonzalez J, 1999. Insecticide-treated materials for malaria control in Latin America: to use or not to use? Trans R Soc Trop Med Hyg 93 : 565–570.
  5. Kroeger A, Mancheno M, Alarcon J, Pesse K, 1995. Insecticide-impregnated bed nets for malaria control: varying experiences from Ecuador, Colombia, and Peru concerning acceptability and effectiveness. Am J Trop Med Hyg 53 : 313–323.
  6. Zimmerman RH, Voorham J, 1997. Use of insecticide-impregnated mosquito nets and other impregnated materials for malaria control in the Americas. Rev Panam Salud Publica 2 : 18–25.
  7. Alexander N, Rodriguez M, Perez L, Caicedo JC, Cruz J, Prieto G, Arroyo JA, Cotacio MC, Suarez M, Fatso DLH, Hall AJ, 2005. Case-control study of mosquito nets against malaria in the Amazon region of Colombia. Am J Trop Med Hyg 73 : 140–148.
  8. Harvey SA, Paredes Olórtegui M, Winch PJ, Leontsini E, Gilman RH, 2000. Insecticide-impregnated mosquito nest for malaria control in the Iquitos region of the Peruvian Amazon—Formative Research for an Efficacy Trial. November 1999–July 2000: report on social, cultural, and economic factors.
  9. Roper MH, Carrion Torres RS, Cava Goicochea CG, Anderson EM, Aramburú Guarda JS, Calampa C, Hightower AW, Magill AJ, 2000. The epidemiology of malaria in an endemic area of the Peruvian Amazon. Am J Trop Med Hyg 62 : 247–256.
  10. Adongo PB, Kirkwood B, Kendall C, 2005. How local community knowledge about malaria affects insecticide-treated net use in northern Ghana. Trop Med Int Health 10 : 366–378.
  11. Alaii JA, van den Borne HW, Kachur SP, Shelley K, Mwenesi H, Vulule JM, Hawley WA, Nahlen BL, Phillips-Howard PA, 2003. Community reactions to the introduction of permethrin-treated bed nets for malaria control during a randomized controlled trial in western Kenya. Am J Trop Med Hyg 68 : 128–136.
  12. Baume CA, Marin MC, 2007. Intra-household mosquito net use in Ethiopia, Ghana, Mali, Nigeria, Senegal, and Zambia: are nets being used? Who in the household uses them? Am J Trop Med Hyg 77 : 963–971.
  13. Fernando SD, Abeyasinghe RR, Galappaththy GN, Gunawardena N, Rajapakse LC, 2008. Community factors affecting long-lasting impregnated mosquito net use for malaria control in Sri Lanka. Trans R Soc Trop Med Hyg 22 : 222–223.
  14. Wiseman V, Scott A, McElroy B, Conteh L, Stevens W, 2007. Determinants of bed net use in the Gambia: implications for malaria control. Am J Trop Med Hyg 76 : 830–836.
  15. Rozendaal J, 1997. Vector Control Methods for Use by Individuals and Communities. Geneva: World Health Organization.
  16. Uzzell D, 1974. “Susto” revisited: illness as a strategic role. Am Ethnologist 1 : 369–378.
  17. Ordonez Gonzalez J, Kroeger A, Avina AI, Pabon E, 2002. Wash resistance of insecticide-treated materials. Trans R Soc Trop Med Hyg 96 : 370–375.
http://instance.metastore.ingenta.com/content/journals/10.4269/ajtmh.2008.79.834
Loading
/content/journals/10.4269/ajtmh.2008.79.834
Loading

Data & Media loading...

  • Received : 14 Aug 2008
  • Accepted : 16 Aug 2008

Most Cited This Month

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