Rapid Scale-Up of Long-Lasting Insecticide-Treated Bed Nets through Integration into the National Immunization Program during Child Health Week in Togo, 2004

Adam Wolkon National Center for Infectious Diseases, Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Liverpool School of Tropical Medicine, Liverpool, United Kingdom; Togolese Ministry of Health, Lomé, Togo; World Health Organization, Africa Regional Office, Harare, Zimbabwe; Canadian Red Cross, Ottawa, Canada

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Jodi L. Vanden Eng National Center for Infectious Diseases, Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Liverpool School of Tropical Medicine, Liverpool, United Kingdom; Togolese Ministry of Health, Lomé, Togo; World Health Organization, Africa Regional Office, Harare, Zimbabwe; Canadian Red Cross, Ottawa, Canada

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Kodjo Morgah National Center for Infectious Diseases, Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Liverpool School of Tropical Medicine, Liverpool, United Kingdom; Togolese Ministry of Health, Lomé, Togo; World Health Organization, Africa Regional Office, Harare, Zimbabwe; Canadian Red Cross, Ottawa, Canada

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M. James Eliades National Center for Infectious Diseases, Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Liverpool School of Tropical Medicine, Liverpool, United Kingdom; Togolese Ministry of Health, Lomé, Togo; World Health Organization, Africa Regional Office, Harare, Zimbabwe; Canadian Red Cross, Ottawa, Canada

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Julie Thwing National Center for Infectious Diseases, Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Liverpool School of Tropical Medicine, Liverpool, United Kingdom; Togolese Ministry of Health, Lomé, Togo; World Health Organization, Africa Regional Office, Harare, Zimbabwe; Canadian Red Cross, Ottawa, Canada

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Dianne J. Terlouw National Center for Infectious Diseases, Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Liverpool School of Tropical Medicine, Liverpool, United Kingdom; Togolese Ministry of Health, Lomé, Togo; World Health Organization, Africa Regional Office, Harare, Zimbabwe; Canadian Red Cross, Ottawa, Canada

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Vincent Takpa National Center for Infectious Diseases, Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Liverpool School of Tropical Medicine, Liverpool, United Kingdom; Togolese Ministry of Health, Lomé, Togo; World Health Organization, Africa Regional Office, Harare, Zimbabwe; Canadian Red Cross, Ottawa, Canada

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Aboudou Dare National Center for Infectious Diseases, Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Liverpool School of Tropical Medicine, Liverpool, United Kingdom; Togolese Ministry of Health, Lomé, Togo; World Health Organization, Africa Regional Office, Harare, Zimbabwe; Canadian Red Cross, Ottawa, Canada

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Yao K. Sodahlon National Center for Infectious Diseases, Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Liverpool School of Tropical Medicine, Liverpool, United Kingdom; Togolese Ministry of Health, Lomé, Togo; World Health Organization, Africa Regional Office, Harare, Zimbabwe; Canadian Red Cross, Ottawa, Canada

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Yao Doumanou National Center for Infectious Diseases, Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Liverpool School of Tropical Medicine, Liverpool, United Kingdom; Togolese Ministry of Health, Lomé, Togo; World Health Organization, Africa Regional Office, Harare, Zimbabwe; Canadian Red Cross, Ottawa, Canada

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Allen W. Hightower National Center for Infectious Diseases, Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Liverpool School of Tropical Medicine, Liverpool, United Kingdom; Togolese Ministry of Health, Lomé, Togo; World Health Organization, Africa Regional Office, Harare, Zimbabwe; Canadian Red Cross, Ottawa, Canada

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Marcel Lama National Center for Infectious Diseases, Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Liverpool School of Tropical Medicine, Liverpool, United Kingdom; Togolese Ministry of Health, Lomé, Togo; World Health Organization, Africa Regional Office, Harare, Zimbabwe; Canadian Red Cross, Ottawa, Canada

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Neeta Thawani National Center for Infectious Diseases, Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Liverpool School of Tropical Medicine, Liverpool, United Kingdom; Togolese Ministry of Health, Lomé, Togo; World Health Organization, Africa Regional Office, Harare, Zimbabwe; Canadian Red Cross, Ottawa, Canada

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Laurence Slutsker National Center for Infectious Diseases, Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Liverpool School of Tropical Medicine, Liverpool, United Kingdom; Togolese Ministry of Health, Lomé, Togo; World Health Organization, Africa Regional Office, Harare, Zimbabwe; Canadian Red Cross, Ottawa, Canada

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William A. Hawley National Center for Infectious Diseases, Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Liverpool School of Tropical Medicine, Liverpool, United Kingdom; Togolese Ministry of Health, Lomé, Togo; World Health Organization, Africa Regional Office, Harare, Zimbabwe; Canadian Red Cross, Ottawa, Canada

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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.

Author Notes

*Address correspondence to Adam Wolkon, Division of Parasitic Diseases, National Centre for Infectious Diseases, Centers for Disease Control and Prevention, Mailstop F-22, 4770 Buford Highway, Atlanta, GA 30341. E-mail: aow5@cdc.gov

Financial support: This work was supported by the Canadian International Development Agency, through the Canadian Red Cross.

Authors' addresses: Adam Wolkon, Jodi L. Vanden Eng, M. James Eliades, Julie Thwing, Allen W. Hightower, Laurence Slutsker, and William A. Hawley, Division of Parasitic Diseases, National Centre for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA. Dianne J. Terlouw, Child and Reproductive Health Group, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, United Kingdom. Kodjo Morgah, Vincent Takpa, Aboudou Dare, Yao K. Sodahlon, and Yao Doumanou, Togolese Ministry of Health, Lomé, Togo. Marcel Lama, World Health Organization, Africa Regional Office, Harare, Zimbabwe. Neeta Thawani, Canadian Red Cross, Ottawa, ON, Canada.

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