Household possession and use of insecticide-treated mosquito nets in Sierra Leone 6 months after a national mass-distribution campaign.

BACKGROUND: In November 2010, Sierra Leone distributed over three million long-lasting insecticide-treated nets (LLINs) with the objective of providing protection from malaria to individuals in all households in the country. METHODS: We conducted a nationally representative survey six months after t...

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Main Authors: Adam Bennett, Samuel Juana Smith, Sahr Yambasu, Amara Jambai, Wondimagegnehu Alemu, Augustin Kabano, Thomas P Eisele
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2012-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3362537?pdf=render
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author Adam Bennett
Samuel Juana Smith
Sahr Yambasu
Amara Jambai
Wondimagegnehu Alemu
Augustin Kabano
Thomas P Eisele
author_facet Adam Bennett
Samuel Juana Smith
Sahr Yambasu
Amara Jambai
Wondimagegnehu Alemu
Augustin Kabano
Thomas P Eisele
author_sort Adam Bennett
collection DOAJ
description BACKGROUND: In November 2010, Sierra Leone distributed over three million long-lasting insecticide-treated nets (LLINs) with the objective of providing protection from malaria to individuals in all households in the country. METHODS: We conducted a nationally representative survey six months after the mass distribution campaign to evaluate its impact on household insecticide-treated net (ITN) ownership and use. We examined factors associated with household ITN possession and use with logistic regression models. RESULTS: The survey included 4,620 households with equal representation in each of the 14 districts. Six months after the campaign, 87.6% of households own at least one ITN, which represents an increase of 137% over the most recent estimate of 37% in 2008. Thirty-six percent of households possess at least one ITN per two household members; rural households were more likely than urban households to have ≥ 1:2 ITN to household members, but there was no difference by socio-economic status or household head education. Among individuals in households possessing ≥ 1 ITN, 76.5% slept under an ITN the night preceding the survey. Individuals in households where the household head had heard malaria messaging, had correct knowledge of malaria transmission, and where at least one ITN was hanging, were more likely to have slept under an ITN. CONCLUSIONS: The mass distribution campaign was effective at achieving high coverage levels across the population, notably so among rural households where the malaria burden is higher. These important gains in equitable access to malaria prevention will need to be maintained to produce long-term reductions in the malaria burden.
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spelling doaj.art-e530764cffe641cb90870e6c9bb1de182022-12-22T01:33:56ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-0175e3792710.1371/journal.pone.0037927Household possession and use of insecticide-treated mosquito nets in Sierra Leone 6 months after a national mass-distribution campaign.Adam BennettSamuel Juana SmithSahr YambasuAmara JambaiWondimagegnehu AlemuAugustin KabanoThomas P EiseleBACKGROUND: In November 2010, Sierra Leone distributed over three million long-lasting insecticide-treated nets (LLINs) with the objective of providing protection from malaria to individuals in all households in the country. METHODS: We conducted a nationally representative survey six months after the mass distribution campaign to evaluate its impact on household insecticide-treated net (ITN) ownership and use. We examined factors associated with household ITN possession and use with logistic regression models. RESULTS: The survey included 4,620 households with equal representation in each of the 14 districts. Six months after the campaign, 87.6% of households own at least one ITN, which represents an increase of 137% over the most recent estimate of 37% in 2008. Thirty-six percent of households possess at least one ITN per two household members; rural households were more likely than urban households to have ≥ 1:2 ITN to household members, but there was no difference by socio-economic status or household head education. Among individuals in households possessing ≥ 1 ITN, 76.5% slept under an ITN the night preceding the survey. Individuals in households where the household head had heard malaria messaging, had correct knowledge of malaria transmission, and where at least one ITN was hanging, were more likely to have slept under an ITN. CONCLUSIONS: The mass distribution campaign was effective at achieving high coverage levels across the population, notably so among rural households where the malaria burden is higher. These important gains in equitable access to malaria prevention will need to be maintained to produce long-term reductions in the malaria burden.http://europepmc.org/articles/PMC3362537?pdf=render
spellingShingle Adam Bennett
Samuel Juana Smith
Sahr Yambasu
Amara Jambai
Wondimagegnehu Alemu
Augustin Kabano
Thomas P Eisele
Household possession and use of insecticide-treated mosquito nets in Sierra Leone 6 months after a national mass-distribution campaign.
PLoS ONE
title Household possession and use of insecticide-treated mosquito nets in Sierra Leone 6 months after a national mass-distribution campaign.
title_full Household possession and use of insecticide-treated mosquito nets in Sierra Leone 6 months after a national mass-distribution campaign.
title_fullStr Household possession and use of insecticide-treated mosquito nets in Sierra Leone 6 months after a national mass-distribution campaign.
title_full_unstemmed Household possession and use of insecticide-treated mosquito nets in Sierra Leone 6 months after a national mass-distribution campaign.
title_short Household possession and use of insecticide-treated mosquito nets in Sierra Leone 6 months after a national mass-distribution campaign.
title_sort household possession and use of insecticide treated mosquito nets in sierra leone 6 months after a national mass distribution campaign
url http://europepmc.org/articles/PMC3362537?pdf=render
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