The effect of household heads training about the use of treated bed nets on the burden of malaria and anaemia in under-five children: a cluster randomized trial in Ethiopia
Abstract Background Long-lasting insecticide-treated bed nets (LLITN) have demonstrated a significant effect in reducing malaria-related morbidity and mortality. However, barriers on the utilization of LLITN have hampered the desired outcomes. The aim of this study was to assess the effect of commun...
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ftdoajarticles:oai:doaj.org/article:03d173a81ce94892b5c4c42d8032cae1 2023-05-15T15:17:41+02:00 The effect of household heads training about the use of treated bed nets on the burden of malaria and anaemia in under-five children: a cluster randomized trial in Ethiopia Deribew Amare Birhanu Zewdie Sena Lelisa Dejene Tariku Reda Ayalu A Sudhakar Morankar Alemseged Fessehaye Tessema Fasil Zeynudin Ahmed Biadgilign Sibhatu Deribe Kebede 2012-01-01T00:00:00Z https://doi.org/10.1186/1475-2875-11-8 https://doaj.org/article/03d173a81ce94892b5c4c42d8032cae1 EN eng BMC http://www.malariajournal.com/content/11/1/8 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-11-8 1475-2875 https://doaj.org/article/03d173a81ce94892b5c4c42d8032cae1 Malaria Journal, Vol 11, Iss 1, p 8 (2012) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2012 ftdoajarticles https://doi.org/10.1186/1475-2875-11-8 2023-01-08T01:35:06Z Abstract Background Long-lasting insecticide-treated bed nets (LLITN) have demonstrated a significant effect in reducing malaria-related morbidity and mortality. However, barriers on the utilization of LLITN have hampered the desired outcomes. The aim of this study was to assess the effect of community empowerment on the burden of malaria and anaemia in under-five children in Ethiopia. Methods A cluster randomized trial was done in 22 (11 intervention and 11 control) villages in south-west Ethiopia. The intervention consisted of tailored training of household heads about the proper use of LLITN and community network system. The burden of malaria and anaemia in under-five children was determined through mass blood investigation at baseline, six and 12 months of the project period. Cases of malaria and anaemia were treated based on the national protocol. The burden of malaria and anaemia between the intervention and control villages was compared using the complex logistic regression model by taking into account the clustering effect. Eight Focus group discussions were conducted to complement the quantitative findings. Results A total of 2,105 household heads received the intervention and the prevalence of malaria and anaemia was assessed among 2410, 2037 and 2612 under-five children at baseline, six and 12 months of the project period respectively. During the high transmission/epidemic season, children in the intervention arm were less likely to have malaria as compared to children in the control arm (OR = 0.42; 95%CI: 0.32, 0.57). Symptomatic malaria also steadily declined in the intervention villages compared to the control villages in the follow up periods. Children in the intervention arm were less likely to be anaemic compared to those in the control arm both at the high (OR = 0.84; 95%CI: 0.71, 0.99)) and low (OR = 0.73; 95%CI: 0.60, 0.89) transmission seasons. Conclusion Training of household heads on the utilization of LLITN significantly reduces the burden of malaria in under-five children. The Ministry ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 11 1 |
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ftdoajarticles |
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English |
topic |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Deribew Amare Birhanu Zewdie Sena Lelisa Dejene Tariku Reda Ayalu A Sudhakar Morankar Alemseged Fessehaye Tessema Fasil Zeynudin Ahmed Biadgilign Sibhatu Deribe Kebede The effect of household heads training about the use of treated bed nets on the burden of malaria and anaemia in under-five children: a cluster randomized trial in Ethiopia |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Long-lasting insecticide-treated bed nets (LLITN) have demonstrated a significant effect in reducing malaria-related morbidity and mortality. However, barriers on the utilization of LLITN have hampered the desired outcomes. The aim of this study was to assess the effect of community empowerment on the burden of malaria and anaemia in under-five children in Ethiopia. Methods A cluster randomized trial was done in 22 (11 intervention and 11 control) villages in south-west Ethiopia. The intervention consisted of tailored training of household heads about the proper use of LLITN and community network system. The burden of malaria and anaemia in under-five children was determined through mass blood investigation at baseline, six and 12 months of the project period. Cases of malaria and anaemia were treated based on the national protocol. The burden of malaria and anaemia between the intervention and control villages was compared using the complex logistic regression model by taking into account the clustering effect. Eight Focus group discussions were conducted to complement the quantitative findings. Results A total of 2,105 household heads received the intervention and the prevalence of malaria and anaemia was assessed among 2410, 2037 and 2612 under-five children at baseline, six and 12 months of the project period respectively. During the high transmission/epidemic season, children in the intervention arm were less likely to have malaria as compared to children in the control arm (OR = 0.42; 95%CI: 0.32, 0.57). Symptomatic malaria also steadily declined in the intervention villages compared to the control villages in the follow up periods. Children in the intervention arm were less likely to be anaemic compared to those in the control arm both at the high (OR = 0.84; 95%CI: 0.71, 0.99)) and low (OR = 0.73; 95%CI: 0.60, 0.89) transmission seasons. Conclusion Training of household heads on the utilization of LLITN significantly reduces the burden of malaria in under-five children. The Ministry ... |
format |
Article in Journal/Newspaper |
author |
Deribew Amare Birhanu Zewdie Sena Lelisa Dejene Tariku Reda Ayalu A Sudhakar Morankar Alemseged Fessehaye Tessema Fasil Zeynudin Ahmed Biadgilign Sibhatu Deribe Kebede |
author_facet |
Deribew Amare Birhanu Zewdie Sena Lelisa Dejene Tariku Reda Ayalu A Sudhakar Morankar Alemseged Fessehaye Tessema Fasil Zeynudin Ahmed Biadgilign Sibhatu Deribe Kebede |
author_sort |
Deribew Amare |
title |
The effect of household heads training about the use of treated bed nets on the burden of malaria and anaemia in under-five children: a cluster randomized trial in Ethiopia |
title_short |
The effect of household heads training about the use of treated bed nets on the burden of malaria and anaemia in under-five children: a cluster randomized trial in Ethiopia |
title_full |
The effect of household heads training about the use of treated bed nets on the burden of malaria and anaemia in under-five children: a cluster randomized trial in Ethiopia |
title_fullStr |
The effect of household heads training about the use of treated bed nets on the burden of malaria and anaemia in under-five children: a cluster randomized trial in Ethiopia |
title_full_unstemmed |
The effect of household heads training about the use of treated bed nets on the burden of malaria and anaemia in under-five children: a cluster randomized trial in Ethiopia |
title_sort |
effect of household heads training about the use of treated bed nets on the burden of malaria and anaemia in under-five children: a cluster randomized trial in ethiopia |
publisher |
BMC |
publishDate |
2012 |
url |
https://doi.org/10.1186/1475-2875-11-8 https://doaj.org/article/03d173a81ce94892b5c4c42d8032cae1 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 11, Iss 1, p 8 (2012) |
op_relation |
http://www.malariajournal.com/content/11/1/8 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-11-8 1475-2875 https://doaj.org/article/03d173a81ce94892b5c4c42d8032cae1 |
op_doi |
https://doi.org/10.1186/1475-2875-11-8 |
container_title |
Malaria Journal |
container_volume |
11 |
container_issue |
1 |
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1766347925382758400 |