Household factors associated with access to insecticide-treated nets and house modification in Bagamoyo and Ulanga districts, Tanzania
Abstract Background Insecticide-treated nets (ITNs) and house modifications are proven vector control tools, yet in most regions, full coverage has not been achieved. This study investigates household factors associated with access to ITNs and house modification in Tanzania. Methods Baseline cross-s...
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ftdoajarticles:oai:doaj.org/article:2294251ae42a489086d6589dc7aa8791 2023-05-15T15:18:31+02:00 Household factors associated with access to insecticide-treated nets and house modification in Bagamoyo and Ulanga districts, Tanzania Olukayode G. Odufuwa Amanda Ross Yeromin P. Mlacha Omary Juma Selemani Mmbaga Daniel Msellemu Sarah Moore 2020-06-01T00:00:00Z https://doi.org/10.1186/s12936-020-03303-8 https://doaj.org/article/2294251ae42a489086d6589dc7aa8791 EN eng BMC http://link.springer.com/article/10.1186/s12936-020-03303-8 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03303-8 1475-2875 https://doaj.org/article/2294251ae42a489086d6589dc7aa8791 Malaria Journal, Vol 19, Iss 1, Pp 1-13 (2020) Access Insecticide Treated nets ITNs House modification Malaria Demographic Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2020 ftdoajarticles https://doi.org/10.1186/s12936-020-03303-8 2023-01-08T01:39:32Z Abstract Background Insecticide-treated nets (ITNs) and house modifications are proven vector control tools, yet in most regions, full coverage has not been achieved. This study investigates household factors associated with access to ITNs and house modification in Tanzania. Methods Baseline cross-sectional survey data from previous studies on spatial repellants and indoor residual spray evaluation was analysed from 6757 households in Bagamoyo (60 km north of Dar es Salaam) and 1241 households in Ulanga (a remote rural area in southeast Tanzania), respectively. Regression models were used to estimate the associations between the outcomes: population access to ITNs, access to ITN per sleeping spaces, window screens and closed eaves, and the covariates household size, age, gender, pregnancy, education, house size, house modification (window screens and closed eaves) and wealth. Results Population access to ITNs (households with one ITN per two people that stayed in the house the previous night of the survey) was 69% (n = 4663) and access to ITNs per sleeping spaces (households with enough ITNs to cover all sleeping spaces used the previous night of the survey) was 45% (n = 3010) in Bagamoyo, 3 years after the last mass campaign. These findings are both lower than the least 80% coverage target of the Tanzania National Malaria Strategic Plan (Tanzania NMSP). In Ulanga, population access to ITNs was 92% (n = 1143) and ITNs per sleeping spaces was 88% (n = 1093), 1 year after the last Universal Coverage Campaign (UCC). Increased household size was significantly associated with lower access to ITNs even shortly after UCC. House modification was common in both areas but influenced by wealth. In Bagamoyo, screened windows were more common than closed eaves (65% vs 13%), whereas in Ulanga more houses had closed eaves than window screens (55% vs 12%). Conclusion Population access to ITNs was substantially lower than the targets of the Tanzania NMSP after 3 years and lower among larger households after 1 year following ITN ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 19 1 |
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English |
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Access Insecticide Treated nets ITNs House modification Malaria Demographic Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Access Insecticide Treated nets ITNs House modification Malaria Demographic Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Olukayode G. Odufuwa Amanda Ross Yeromin P. Mlacha Omary Juma Selemani Mmbaga Daniel Msellemu Sarah Moore Household factors associated with access to insecticide-treated nets and house modification in Bagamoyo and Ulanga districts, Tanzania |
topic_facet |
Access Insecticide Treated nets ITNs House modification Malaria Demographic Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Insecticide-treated nets (ITNs) and house modifications are proven vector control tools, yet in most regions, full coverage has not been achieved. This study investigates household factors associated with access to ITNs and house modification in Tanzania. Methods Baseline cross-sectional survey data from previous studies on spatial repellants and indoor residual spray evaluation was analysed from 6757 households in Bagamoyo (60 km north of Dar es Salaam) and 1241 households in Ulanga (a remote rural area in southeast Tanzania), respectively. Regression models were used to estimate the associations between the outcomes: population access to ITNs, access to ITN per sleeping spaces, window screens and closed eaves, and the covariates household size, age, gender, pregnancy, education, house size, house modification (window screens and closed eaves) and wealth. Results Population access to ITNs (households with one ITN per two people that stayed in the house the previous night of the survey) was 69% (n = 4663) and access to ITNs per sleeping spaces (households with enough ITNs to cover all sleeping spaces used the previous night of the survey) was 45% (n = 3010) in Bagamoyo, 3 years after the last mass campaign. These findings are both lower than the least 80% coverage target of the Tanzania National Malaria Strategic Plan (Tanzania NMSP). In Ulanga, population access to ITNs was 92% (n = 1143) and ITNs per sleeping spaces was 88% (n = 1093), 1 year after the last Universal Coverage Campaign (UCC). Increased household size was significantly associated with lower access to ITNs even shortly after UCC. House modification was common in both areas but influenced by wealth. In Bagamoyo, screened windows were more common than closed eaves (65% vs 13%), whereas in Ulanga more houses had closed eaves than window screens (55% vs 12%). Conclusion Population access to ITNs was substantially lower than the targets of the Tanzania NMSP after 3 years and lower among larger households after 1 year following ITN ... |
format |
Article in Journal/Newspaper |
author |
Olukayode G. Odufuwa Amanda Ross Yeromin P. Mlacha Omary Juma Selemani Mmbaga Daniel Msellemu Sarah Moore |
author_facet |
Olukayode G. Odufuwa Amanda Ross Yeromin P. Mlacha Omary Juma Selemani Mmbaga Daniel Msellemu Sarah Moore |
author_sort |
Olukayode G. Odufuwa |
title |
Household factors associated with access to insecticide-treated nets and house modification in Bagamoyo and Ulanga districts, Tanzania |
title_short |
Household factors associated with access to insecticide-treated nets and house modification in Bagamoyo and Ulanga districts, Tanzania |
title_full |
Household factors associated with access to insecticide-treated nets and house modification in Bagamoyo and Ulanga districts, Tanzania |
title_fullStr |
Household factors associated with access to insecticide-treated nets and house modification in Bagamoyo and Ulanga districts, Tanzania |
title_full_unstemmed |
Household factors associated with access to insecticide-treated nets and house modification in Bagamoyo and Ulanga districts, Tanzania |
title_sort |
household factors associated with access to insecticide-treated nets and house modification in bagamoyo and ulanga districts, tanzania |
publisher |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s12936-020-03303-8 https://doaj.org/article/2294251ae42a489086d6589dc7aa8791 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 19, Iss 1, Pp 1-13 (2020) |
op_relation |
http://link.springer.com/article/10.1186/s12936-020-03303-8 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03303-8 1475-2875 https://doaj.org/article/2294251ae42a489086d6589dc7aa8791 |
op_doi |
https://doi.org/10.1186/s12936-020-03303-8 |
container_title |
Malaria Journal |
container_volume |
19 |
container_issue |
1 |
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1766348711848312832 |