“After those nets are torn, most people use them for other purposes”: an examination of alternative bed net use in western Kenya
Abstract Background Alternative long-lasting insecticidal net (LLIN) use for purposes other than sleeping protection from mosquitoes is widely debated as a limitation to successful malaria control efforts, yet rarely rigorously studied. Methods A cross-sectional survey of 1217 households in an epide...
Published in: | Malaria Journal |
---|---|
Main Authors: | , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BMC
2020
|
Subjects: | |
Online Access: | https://doi.org/10.1186/s12936-020-03342-1 https://doaj.org/article/1e96a69d0aed47a3b58db90daf74508f |
id |
ftdoajarticles:oai:doaj.org/article:1e96a69d0aed47a3b58db90daf74508f |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:1e96a69d0aed47a3b58db90daf74508f 2023-05-15T15:12:45+02:00 “After those nets are torn, most people use them for other purposes”: an examination of alternative bed net use in western Kenya Ellen M. Santos Jenna E. Coalson Stephen Munga Maurice Agawo Elizabeth T. Jacobs Yann C. Klimentidis Mary H. Hayden Kacey C. Ernst 2020-07-01T00:00:00Z https://doi.org/10.1186/s12936-020-03342-1 https://doaj.org/article/1e96a69d0aed47a3b58db90daf74508f EN eng BMC http://link.springer.com/article/10.1186/s12936-020-03342-1 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03342-1 1475-2875 https://doaj.org/article/1e96a69d0aed47a3b58db90daf74508f Malaria Journal, Vol 19, Iss 1, Pp 1-11 (2020) Malaria Bed nets LLIN Kenya Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2020 ftdoajarticles https://doi.org/10.1186/s12936-020-03342-1 2022-12-31T11:42:50Z Abstract Background Alternative long-lasting insecticidal net (LLIN) use for purposes other than sleeping protection from mosquitoes is widely debated as a limitation to successful malaria control efforts, yet rarely rigorously studied. Methods A cross-sectional survey of 1217 households in an epidemic highland site and an endemic lowland site in western Kenya collected information on alternative use in three ways: direct observations, participant self-report, and participant reporting of community-level practices. LLIN misuse was defined as use of an intact net for alternative purposes and repurposing as alternatively using an old or damaged net. Associations between households with observed repurposed nets and universal access and household net use were examined. Results Households describe repurposing nets when they are torn and/or old. Repurposed nets were observed in 8.1% (52/643) highlands households and 33.0% (184/574) lowlands households. Repurposed nets served as chicken coops (33% highlands, 20% lowlands), fences (37% highlands, 25% lowlands), tree covers (22% lowlands), curtains (3% highlands), covering bathrooms (1.5% highlands, 9% lowlands), and washing sponges (13% lowlands). No association was found between repurposing and universal access or household net use. Misuse was rare. Of 379 repurposed nets, 4 (1.06%) were in good condition with no holes. Of 1,758 active nets, 13 (0.74%) were misused. Conclusions Alternative net use in this study involved repurposing rather than misuse. Repurposing was not detrimental to malaria prevention efforts in these communities. Standardized measurement of alternative net use should be used to better understand the practice and its potential impact on the success of malaria interventions. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 19 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Malaria Bed nets LLIN Kenya Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Malaria Bed nets LLIN Kenya Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Ellen M. Santos Jenna E. Coalson Stephen Munga Maurice Agawo Elizabeth T. Jacobs Yann C. Klimentidis Mary H. Hayden Kacey C. Ernst “After those nets are torn, most people use them for other purposes”: an examination of alternative bed net use in western Kenya |
topic_facet |
Malaria Bed nets LLIN Kenya Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Alternative long-lasting insecticidal net (LLIN) use for purposes other than sleeping protection from mosquitoes is widely debated as a limitation to successful malaria control efforts, yet rarely rigorously studied. Methods A cross-sectional survey of 1217 households in an epidemic highland site and an endemic lowland site in western Kenya collected information on alternative use in three ways: direct observations, participant self-report, and participant reporting of community-level practices. LLIN misuse was defined as use of an intact net for alternative purposes and repurposing as alternatively using an old or damaged net. Associations between households with observed repurposed nets and universal access and household net use were examined. Results Households describe repurposing nets when they are torn and/or old. Repurposed nets were observed in 8.1% (52/643) highlands households and 33.0% (184/574) lowlands households. Repurposed nets served as chicken coops (33% highlands, 20% lowlands), fences (37% highlands, 25% lowlands), tree covers (22% lowlands), curtains (3% highlands), covering bathrooms (1.5% highlands, 9% lowlands), and washing sponges (13% lowlands). No association was found between repurposing and universal access or household net use. Misuse was rare. Of 379 repurposed nets, 4 (1.06%) were in good condition with no holes. Of 1,758 active nets, 13 (0.74%) were misused. Conclusions Alternative net use in this study involved repurposing rather than misuse. Repurposing was not detrimental to malaria prevention efforts in these communities. Standardized measurement of alternative net use should be used to better understand the practice and its potential impact on the success of malaria interventions. |
format |
Article in Journal/Newspaper |
author |
Ellen M. Santos Jenna E. Coalson Stephen Munga Maurice Agawo Elizabeth T. Jacobs Yann C. Klimentidis Mary H. Hayden Kacey C. Ernst |
author_facet |
Ellen M. Santos Jenna E. Coalson Stephen Munga Maurice Agawo Elizabeth T. Jacobs Yann C. Klimentidis Mary H. Hayden Kacey C. Ernst |
author_sort |
Ellen M. Santos |
title |
“After those nets are torn, most people use them for other purposes”: an examination of alternative bed net use in western Kenya |
title_short |
“After those nets are torn, most people use them for other purposes”: an examination of alternative bed net use in western Kenya |
title_full |
“After those nets are torn, most people use them for other purposes”: an examination of alternative bed net use in western Kenya |
title_fullStr |
“After those nets are torn, most people use them for other purposes”: an examination of alternative bed net use in western Kenya |
title_full_unstemmed |
“After those nets are torn, most people use them for other purposes”: an examination of alternative bed net use in western Kenya |
title_sort |
“after those nets are torn, most people use them for other purposes”: an examination of alternative bed net use in western kenya |
publisher |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s12936-020-03342-1 https://doaj.org/article/1e96a69d0aed47a3b58db90daf74508f |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 19, Iss 1, Pp 1-11 (2020) |
op_relation |
http://link.springer.com/article/10.1186/s12936-020-03342-1 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03342-1 1475-2875 https://doaj.org/article/1e96a69d0aed47a3b58db90daf74508f |
op_doi |
https://doi.org/10.1186/s12936-020-03342-1 |
container_title |
Malaria Journal |
container_volume |
19 |
container_issue |
1 |
_version_ |
1766343391211159552 |