1921
Volume 80, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Impact of insecticide-treated bednets (ITNs) on preventing malaria may be minimized if they are not used by vulnerable populations. Among ITN-owning households from 15 standardized national surveys from 2003 to 2006, we identify factors associated with ITN use among children younger than 5 years of age and make comparisons of ITN use among children and pregnant women across countries. Within ITN-owning households, many children and pregnant women are still not using them. Between-country analysis with linear regression showed child ITN use increases as intra-household access to ITNs increases ( = 0.020, = 0.404), after controlling for season and survey year. Results from within-country logistic regression analyses were consistent with between-country analysis showing intra-household access to ITNs is the strongest and most consistent determinant of use among children. The gaps in ITN use and possession will likely persist in the absence of achieving a ratio of no more than two people per ITN.

Loading

Article metrics loading...

/content/journals/10.4269/ajtmh.2009.80.209
2009-02-01
2017-09-20
Loading full text...

Full text loading...

/deliver/fulltext/14761645/80/2/0800209.html?itemId=/content/journals/10.4269/ajtmh.2009.80.209&mimeType=html&fmt=ahah

References

  1. Lengeler C, 2004. Insecticide-treated bed nets and curtains for preventing malaria. Cochrane Database Syst Rev CD000363.
  2. Roll Back Malaria, 2005. Global Stategic Plan 2005–2015. Geneva: Roll Back Malaria.
  3. Binka FN, Adongo P, 1997. Acceptability and use of insecticide impregnated bednets in northern Ghana. Trop Med Int Health 2 : 499–507.
  4. Cham MK, D’Alessandro U, Todd J, Bennett S, Fegan G, Cham BA, Greenwood BM, 1996. Implementing a nationwide insecticide-impregnated bednet programme in The Gambia. Health Policy Plan 11 : 292–298.
  5. Kachur SP, Phillips-Howard PA, Odhacha AM, Ruebush TK, Oloo AJ, Nahlen BL, 1999. Maintenance and sustained use of insecticide-treated bednets and curtains three years after a controlled trial in western Kenya. Trop Med Int Health 4 : 728–735.
  6. Korenromp EL, Miller J, Cibulskis RE, Kabir Cham M, Alnwick D, Dye C, 2003. Monitoring mosquito net coverage for malaria control in Africa: possession vs. use by children under 5 years. Trop Med Int Health 8 : 693–703.
  7. Macintyre K, Keating J, Okbaldt YB, Zerom M, Sosler S, Ghebremeskel T, Eisele TP, 2006. Rolling out insecticide treated nets in Eritrea: examining the determinants of possession and use in malarious zones during the rainy season. Trop Med Int Health 11 : 824–833.
  8. Kroeger A, Meyer R, Mancheno M, Gonzalez M, Pesse K, 1997. Operational aspects of bednet impregnation for community-based malaria control in Nicaragua, Ecuador, Peru and Colombia. Trop Med Int Health 2 : 589–602.
  9. 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.
  10. Miller JM, Korenromp EL, Nahlen BL, Steketee RW, 2007. Estimating the number of insecticide-treated nets required by African households to reach continent-wide malaria coverage targets. JAMA 297 : 2241–2250.
  11. Roll Back Malaria, 2006. Guidelines for Core Population Coverage Indicators for Roll Back Malaria: To Be Obtained from Household Surveys. Calverton, MD: Roll Back Malaria.
  12. 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 : 137–141.
  13. Agyepong IA, Manderson L, 1999. Mosquito avoidance and bed net use in the Greater Accra Region, Ghana. J Biosoc Sci 31 : 79–92.
  14. Winch PJ, Makemba AM, Makame VR, Mfaume MS, Lynch MC, Premji Z, Minjas JN, Shiff CJ, 1997. Social and cultural factors affecting rates of regular retreatment of mosquito nets with insecticide in Bagamoyo District, Tanzania. Trop Med Int Health 2 : 760–770.
  15. Mugisha F, Arinaitwe J, 2003. Sleeping arrangements and mosquito net use among under-fives: results from the Uganda Demographic and Health Survey. Malar J 2 : 40.
  16. Filmer D, Pritchett LH, 2001. Estimating wealth effects without expenditure data—or tears: an application to educational enrollments in states of India. Demography 38 : 115–132.
  17. MARA. Maps of malaria, 2001. Available at: http://www.mura.org.2a. Accessed April 18, 2008.
  18. Eisele TP, Lindblade KA, Wannemuehler KA, Gimnig JE, Odhiambo F, Hawley WA, Ter Kuile FO, Phillips-Howard P, Rosen DH, Nahlen BL, Vulule JM, Slutsker L, 2005. Effect of sustained insecticide-treated bed net use on all-cause child mortality in an area of intense perennial malaria transmission in western Kenya. Am J Trop Med Hyg 73 : 149–156.
  19. Lindblade KA, Eisele TP, Gimnig JE, Alaii JA, Odhiambo F, ter Kuile FO, Hawley WA, Wannemuehler KA, Phillips-Howard PA, Rosen DH, Nahlen BL, Terlouw DJ, Adazu K, Vulule JM, Slutsker L, 2004. Sustainability of reductions in malaria transmission and infant mortality in western Kenya with use of insecticide-treated bednets: 4 to 6 years of follow-up. JAMA 291 : 2571–2580.
  20. Noor AM, Amin AA, Akhwale WS, Snow RW, 2007. Increasing coverage and decreasing inequity in insecticide-treated bed net use among rural Kenyan children. PLoS Med 4 : e255.
  21. Monasch R, Reinisch A, Steketee RW, Korenromp EL, Alnwick D, Bergevin Y, 2004. Child coverage with mosquito nets and malaria treatment from population-based surveys in african countries: a baseline for monitoring progress in roll back malaria. Am J Trop Med Hyg 71 : 232–238.
  22. Eisele TP, Macintyre K, Yukich J, Ghebremeskel T, 2006. Interpreting household survey data intended to measure insecticide-treated bednet coverage: results from two surveys in Eritrea. Malar J 5 : 36.
  23. Skarbinski J, Winston CA, Massaga JJ, Kachur SP, Rowe AK, 2008. Assessing the validity of health facility-based data on insecticide-treated bednet possession and use: comparison of data collected via health facility and household surveys—Lindi region and Rufiji district, Tanzania, 2005. Trop Med Int Health 13 : 396–405.
  24. Killeen GF, Smith TA, Ferguson HM, Mshinda H, Abdulla S, Lengeler C, Kachur SP, 2007. Preventing childhood malaria in Africa by protecting adults from mosquitoes with insecticide-treated nets. PLoS Med 4 : e229.
  25. Centers for Disease Control, 2005. Distribution of Insecticide-Treated Bednets During an Integrated Nationwide Immunization Campaign—Togo, West Africa. Morbidity and Mortality Weekly Reports. Atlanta, GA: Centers for Disease Control.
  26. Thwing J, Hochberg N, Eng JV, Issifi S, Eliades MJ, Minkoulou E, Wolkon A, Gado H, Ibrahim O, Newman RD, Lama M, 2008. Insecticide-treated net ownership and usage in Niger after a nationwide integrated campaign. Trop Med Int Health 13 : 827–834.
http://instance.metastore.ingenta.com/content/journals/10.4269/ajtmh.2009.80.209
Loading
/content/journals/10.4269/ajtmh.2009.80.209
Loading

Data & Media loading...

  • Received : 30 Jul 2008
  • Accepted : 11 Nov 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