Can universal insecticide-treated net campaigns achieve equity in coverage and use? the case of northern Nigeria
Abstract Background Insecticide-treated nets (ITNs) are effective tools for malaria prevention and can significantly reduce severe disease and mortality due to malaria, especially among children under five in endemic areas. However, ITN coverage and use remain low and inequitable among different soc...
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ftdoajarticles:oai:doaj.org/article:3853bcfe7a6d44ceb8be950300803bf1 2023-05-15T15:14:36+02:00 Can universal insecticide-treated net campaigns achieve equity in coverage and use? the case of northern Nigeria Ye Yazoume Patton Elizabeth Kilian Albert Dovey Samantha Eckert Erin 2012-02-01T00:00:00Z https://doi.org/10.1186/1475-2875-11-32 https://doaj.org/article/3853bcfe7a6d44ceb8be950300803bf1 EN eng BMC http://www.malariajournal.com/content/11/1/32 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-11-32 1475-2875 https://doaj.org/article/3853bcfe7a6d44ceb8be950300803bf1 Malaria Journal, Vol 11, Iss 1, p 32 (2012) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2012 ftdoajarticles https://doi.org/10.1186/1475-2875-11-32 2022-12-31T06:55:12Z Abstract Background Insecticide-treated nets (ITNs) are effective tools for malaria prevention and can significantly reduce severe disease and mortality due to malaria, especially among children under five in endemic areas. However, ITN coverage and use remain low and inequitable among different socio-economic groups in sub-Saharan Africa, particularly in Nigeria. Several strategies have been proposed to increase coverage and use and reduce inequity in Nigeria, including free distribution campaigns recently conducted by the Nigerian federal government. Using data from the first post-campaign survey, the authors investigated the effect of the mass free distribution campaigns in achieving equity in household ownership and use of ITNs. Methods A post-campaign survey was undertaken in November 2009 in northern Nigeria to assess the effect of the campaigns in addressing equity across different socio-economic groups. The survey included 987 households randomly selected from 60 clusters in Kano state. Using logistic regression and the Lorenz concentration curve and index, the authors assessed equity in ITN coverage and use. Results ITN ownership coverage increased from 10% before the campaigns to 70%-a more than fivefold increase. The campaigns reduced the ownership coverage gap by 75%, effectively reaching parity among wealth quintiles (Concentration index 0.02, 95% CI (-0.02 0.05) versus 0.21 95%CI (0.08 0.34) before the campaigns). ITN use (individuals reporting having slept under an ITN the night before the survey visit) among individuals from households owning at least one ITN, was 53.1% with no statistically significant difference between the lowest, second, third and fourth wealth quintiles and the highest wealth quintile (lowest: odds ratio (OR) 0.87, 95% confidence interval (CI) (0.67 1.13); second: OR 0.85, 95% CI (0.66 1.24); third: OR 1.10 95% CI (0.86 1.4) and fourth OR 0.91 95% CI (0.72 1.15). Conclusion The campaign had a significant impact by increasing ITN coverage and reducing inequity in ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 11 1 |
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Directory of Open Access Journals: DOAJ Articles |
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English |
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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 Ye Yazoume Patton Elizabeth Kilian Albert Dovey Samantha Eckert Erin Can universal insecticide-treated net campaigns achieve equity in coverage and use? the case of northern Nigeria |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Insecticide-treated nets (ITNs) are effective tools for malaria prevention and can significantly reduce severe disease and mortality due to malaria, especially among children under five in endemic areas. However, ITN coverage and use remain low and inequitable among different socio-economic groups in sub-Saharan Africa, particularly in Nigeria. Several strategies have been proposed to increase coverage and use and reduce inequity in Nigeria, including free distribution campaigns recently conducted by the Nigerian federal government. Using data from the first post-campaign survey, the authors investigated the effect of the mass free distribution campaigns in achieving equity in household ownership and use of ITNs. Methods A post-campaign survey was undertaken in November 2009 in northern Nigeria to assess the effect of the campaigns in addressing equity across different socio-economic groups. The survey included 987 households randomly selected from 60 clusters in Kano state. Using logistic regression and the Lorenz concentration curve and index, the authors assessed equity in ITN coverage and use. Results ITN ownership coverage increased from 10% before the campaigns to 70%-a more than fivefold increase. The campaigns reduced the ownership coverage gap by 75%, effectively reaching parity among wealth quintiles (Concentration index 0.02, 95% CI (-0.02 0.05) versus 0.21 95%CI (0.08 0.34) before the campaigns). ITN use (individuals reporting having slept under an ITN the night before the survey visit) among individuals from households owning at least one ITN, was 53.1% with no statistically significant difference between the lowest, second, third and fourth wealth quintiles and the highest wealth quintile (lowest: odds ratio (OR) 0.87, 95% confidence interval (CI) (0.67 1.13); second: OR 0.85, 95% CI (0.66 1.24); third: OR 1.10 95% CI (0.86 1.4) and fourth OR 0.91 95% CI (0.72 1.15). Conclusion The campaign had a significant impact by increasing ITN coverage and reducing inequity in ... |
format |
Article in Journal/Newspaper |
author |
Ye Yazoume Patton Elizabeth Kilian Albert Dovey Samantha Eckert Erin |
author_facet |
Ye Yazoume Patton Elizabeth Kilian Albert Dovey Samantha Eckert Erin |
author_sort |
Ye Yazoume |
title |
Can universal insecticide-treated net campaigns achieve equity in coverage and use? the case of northern Nigeria |
title_short |
Can universal insecticide-treated net campaigns achieve equity in coverage and use? the case of northern Nigeria |
title_full |
Can universal insecticide-treated net campaigns achieve equity in coverage and use? the case of northern Nigeria |
title_fullStr |
Can universal insecticide-treated net campaigns achieve equity in coverage and use? the case of northern Nigeria |
title_full_unstemmed |
Can universal insecticide-treated net campaigns achieve equity in coverage and use? the case of northern Nigeria |
title_sort |
can universal insecticide-treated net campaigns achieve equity in coverage and use? the case of northern nigeria |
publisher |
BMC |
publishDate |
2012 |
url |
https://doi.org/10.1186/1475-2875-11-32 https://doaj.org/article/3853bcfe7a6d44ceb8be950300803bf1 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 11, Iss 1, p 32 (2012) |
op_relation |
http://www.malariajournal.com/content/11/1/32 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-11-32 1475-2875 https://doaj.org/article/3853bcfe7a6d44ceb8be950300803bf1 |
op_doi |
https://doi.org/10.1186/1475-2875-11-32 |
container_title |
Malaria Journal |
container_volume |
11 |
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1 |
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1766345030777176064 |