Volume 83, Issue 5
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



In December 2004, Togo was the first country to conduct a nationwide free insecticide-treated net (ITN) distribution as part of its National Integrated Child Health Campaign. Community-based cross-sectional surveys were conducted one and nine months post-campaign as part of a multidisciplinary evaluation of the nationwide distribution of ITNs to children 9–59 months of age to evaluate ITN ownership, equity, and use. Our results demonstrated that at one month post-campaign, 93.1% of all eligible children received an ITN. Household ITN ownership and equity increased significantly post-campaign. Nine months post-campaign, 78.6% of households with a child eligible to participate in the campaign retained at least one campaign net. Use by eligible children was 43.5% at one month post-campaign (during the dry season) and 52.9% at nine months post-campaign (during the rainy season). Household ownership of at least one ITN increased from 8.0% pre-campaign to 62.5% one month post-campaign. Together, these findings demonstrate that in this setting, increased household ITN ownership, equity, and retention can be achieved on a national scale through free ITN distribution during an integrated campaign.


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  1. Roll Back Malaria Partnership, 2000. The African Summit on Roll Back Malaria, Abuja, 25 April 2000. Available at: http://www.rbm.who.int/docs/abuja_declaration.pdf. Accessed August 3, 2008.
  2. Roll Back Malaria Partnership, 2008. The Global Malaria Action Plan. Available at: http://www.rbm.who.int/gmap/gmap.pdf. Accessed March 12, 2009.
  3. Lengeler C, , 2000. Insecticide-treated bednets and curtains for preventing malaria. Cochrane Database Syst Rev CD000363.
  4. 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.[Crossref]
  5. World Health Organization, 2004. The World Health Report, Statistical Annex. Available at: http://www.who.int/whr/2004/annex/en/index.html. Accessed August 3, 2008.
  6. Eliades MJ, Wolkon A, Morgah K, Crawford SB, Dorkenoo A, Sodahlon Y, Hawley WA, Hightower AW, Kuile FO, Terlouw DJ, , 2006. Burden of malaria at community level in children less than 5 years of age in Togo. Am J Trop Med Hyg 75: 622629.
  7. Grabowsky M, Nobiya T, Ahun M, Donna R, Lengor M, Zimmerman D, Ladd H, Hoekstra E, Bello A, Baffoe-Wilmot A, Amofah G, , 2005. Distributing insecticide-treated bednets during measles vaccination: a low-cost means of achieving high and equitable coverage. Bull World Health Organ 83: 195201.
  8. Grabowsky M, Farrell N, Hawley W, Chimumbwa J, Hoyer S, Wolkon A, Selanikio J, , 2005. Integrating insecticide-treated bednets into a measles vaccination campaign achieves high, rapid and equitable coverage with direct and voucher-based methods. Trop Med Int Health 10: 11511160.[Crossref]
  9. Centers for Disease Control and Prevention, 2005. Distribution of insecticide-treated bednets during an integrated nationwide immunization campaign–Togo, West Africa, December 2004. MMWR Morb Mortal Wkly Rep 54: 994996.
  10. Vanden Eng JL, Wolkon A, Frolov AS, Terlouw DJ, Eliades MJ, Morgah K, Takpa V, Dare A, Sodahlon YK, Doumanou Y, Hawley WA, Hightower AW, , 2007. Use of handheld computers with global positioning systems for probability sampling and data entry in household surveys. Am J Trop Med Hyg 77: 393399.
  11. World Bank, 2000. African Development Indicators 2000. Available at: http://go.worldbank.org/QKQMQQBO70. Accessed August 3, 2008.
  12. Thwing J, Hochberg N, Vanden Eng J, 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: 827834.[Crossref]
  13. 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: 693703.[Crossref]
  14. Phillips-Howard PA, Nahlen BL, Kolczak MS, Hightower AW, ter Kuile FO, Alaii JA, Gimnig JE, Arudo J, Vulule JM, Odhacha A, Kachur SP, Schoute E, Rosen DH, Sexton JD, Oloo AJ, Hawley WA, , 2003. Efficacy of permethrin-treated bed nets in the prevention of mortality in young children in an area of high perennial malaria transmission in western Kenya. Am J Trop Med Hyg 68: 2329.
  15. Phillips-Howard PA, ter Kuile FO, Nahlen BL, Alaii JA, Gimnig JE, Kolczak MS, Terlouw DJ, Kariuki SK, Shi YP, Kachur SP, Hightower AW, Vulule JM, Hawley WA, , 2003. The efficacy of permethrin-treated bed nets on child mortality and morbidity in western Kenya II. Study design and methods. Am J Trop Med Hyg 68: 1015.
  16. Programme National de Lutte contre le Paludisme (PNLP), Togolese Ministry of Health, 2003. Rapport: Collecte Dynamique des Donnees de Moridite et de Mortalite sure le Paludisme pour le Suivi et l'Evaluation de RRP au Togo.
  17. Mueller DH, Wiseman V, Bakusa D, Morgah K, Dare A, Tchamdja P, , 2008. Cost-effectiveness analysis of insecticide-treated net distribution as part of the Togo Integrated Child Health Campaign. Malar J 7: 73.[Crossref]

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  • Received : 06 Oct 2010
  • Accepted : 26 Jul 2010

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