Ownership and usage of insecticide-treated bed nets after free distribution via a voucher system in two provinces of Mozambique
<p>Abstract</p> <p>Background</p> <p>Insecticide-treated bed nets (ITNs) are an efficacious intervention for malaria prevention. During a national immunization campaign in Mozambique, vouchers, which were to be redeemed at a later date for free ITNs, were distributed in...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2010-08-01
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| Series: | Malaria Journal |
| Online Access: | http://www.malariajournal.com/content/9/1/222 |
| _version_ | 1818807749575704576 |
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| author | Macedo de Oliveira Alexandre Wolkon Adam Krishnamurthy Ramesh Erskine Marcy Crenshaw Dana P Roberts Jacquelin Saúte Francisco |
| author_facet | Macedo de Oliveira Alexandre Wolkon Adam Krishnamurthy Ramesh Erskine Marcy Crenshaw Dana P Roberts Jacquelin Saúte Francisco |
| author_sort | Macedo de Oliveira Alexandre |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Insecticide-treated bed nets (ITNs) are an efficacious intervention for malaria prevention. During a national immunization campaign in Mozambique, vouchers, which were to be redeemed at a later date for free ITNs, were distributed in Manica and Sofala provinces. A survey to evaluate ITN ownership and usage post-campaign was conducted.</p> <p>Methods</p> <p>Four districts in each province and four enumeration areas (EAs) in each district were selected using probability proportional to size. Within each EA, 32 households (HHs) were selected using a simple random sample. Interviews to assess ownership and usage were conducted in each of the selected HHs using personal digital assistants.</p> <p>Results</p> <p>Valid interviews were completed for 947 (92.5%) (440 in Manica and 507 in Sofala) of the 1,024 selected HHs. Among participating HHs, 65.0% in Manica and 63.1% in Sofala reported that at least one child under five years of age slept in the house the previous night. HH ownership of at least one bed net of any kind was 20.6% (95% confidence interval [CI]: 7.9%-43.6%) and 35.6% (95% CI: 27.8%-44.3%) pre-campaign; and 55.1% (95% CI: 43.6%-66.1%) and 59.6 (95% CI: 42.4%-74.7%) post-campaign in Manica and Sofala, respectively. Post-campaign HH ownership of at least one ITN was 50.2% (95% CI: 41.8%-58.5%) for both provinces combined. In addition, 60.3% (95% CI: 50.6%-69.2%) of children under five years of age slept under an ITN the previous night.</p> <p>Conclusions</p> <p>This ITN distribution increased bed net ownership and usage rates. Integration of ITN distribution with immunization campaigns presents an opportunity for reaching malaria control targets and should continue to be considered.</p> |
| first_indexed | 2024-12-18T19:30:37Z |
| format | Article |
| id | doaj.art-f41fd0f4ddb844fe805495700de163fb |
| institution | Directory Open Access Journal |
| issn | 1475-2875 |
| language | English |
| last_indexed | 2024-12-18T19:30:37Z |
| publishDate | 2010-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Malaria Journal |
| spelling | doaj.art-f41fd0f4ddb844fe805495700de163fb2022-12-21T20:55:45ZengBMCMalaria Journal1475-28752010-08-019122210.1186/1475-2875-9-222Ownership and usage of insecticide-treated bed nets after free distribution via a voucher system in two provinces of MozambiqueMacedo de Oliveira AlexandreWolkon AdamKrishnamurthy RameshErskine MarcyCrenshaw Dana PRoberts JacquelinSaúte Francisco<p>Abstract</p> <p>Background</p> <p>Insecticide-treated bed nets (ITNs) are an efficacious intervention for malaria prevention. During a national immunization campaign in Mozambique, vouchers, which were to be redeemed at a later date for free ITNs, were distributed in Manica and Sofala provinces. A survey to evaluate ITN ownership and usage post-campaign was conducted.</p> <p>Methods</p> <p>Four districts in each province and four enumeration areas (EAs) in each district were selected using probability proportional to size. Within each EA, 32 households (HHs) were selected using a simple random sample. Interviews to assess ownership and usage were conducted in each of the selected HHs using personal digital assistants.</p> <p>Results</p> <p>Valid interviews were completed for 947 (92.5%) (440 in Manica and 507 in Sofala) of the 1,024 selected HHs. Among participating HHs, 65.0% in Manica and 63.1% in Sofala reported that at least one child under five years of age slept in the house the previous night. HH ownership of at least one bed net of any kind was 20.6% (95% confidence interval [CI]: 7.9%-43.6%) and 35.6% (95% CI: 27.8%-44.3%) pre-campaign; and 55.1% (95% CI: 43.6%-66.1%) and 59.6 (95% CI: 42.4%-74.7%) post-campaign in Manica and Sofala, respectively. Post-campaign HH ownership of at least one ITN was 50.2% (95% CI: 41.8%-58.5%) for both provinces combined. In addition, 60.3% (95% CI: 50.6%-69.2%) of children under five years of age slept under an ITN the previous night.</p> <p>Conclusions</p> <p>This ITN distribution increased bed net ownership and usage rates. Integration of ITN distribution with immunization campaigns presents an opportunity for reaching malaria control targets and should continue to be considered.</p>http://www.malariajournal.com/content/9/1/222 |
| spellingShingle | Macedo de Oliveira Alexandre Wolkon Adam Krishnamurthy Ramesh Erskine Marcy Crenshaw Dana P Roberts Jacquelin Saúte Francisco Ownership and usage of insecticide-treated bed nets after free distribution via a voucher system in two provinces of Mozambique Malaria Journal |
| title | Ownership and usage of insecticide-treated bed nets after free distribution via a voucher system in two provinces of Mozambique |
| title_full | Ownership and usage of insecticide-treated bed nets after free distribution via a voucher system in two provinces of Mozambique |
| title_fullStr | Ownership and usage of insecticide-treated bed nets after free distribution via a voucher system in two provinces of Mozambique |
| title_full_unstemmed | Ownership and usage of insecticide-treated bed nets after free distribution via a voucher system in two provinces of Mozambique |
| title_short | Ownership and usage of insecticide-treated bed nets after free distribution via a voucher system in two provinces of Mozambique |
| title_sort | ownership and usage of insecticide treated bed nets after free distribution via a voucher system in two provinces of mozambique |
| url | http://www.malariajournal.com/content/9/1/222 |
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