Which family members use the best nets? An analysis of the condition of mosquito nets and their distribution within households in Tanzania
Abstract Background Household ownership of insecticide-treated mosquito nets (ITNs) is increasing, and coverage targets have been revised to address universal coverage with ITNs. However, many households do not have enough nets to cover everyone, and the nets available vary in physical condition and...
Published in: | Malaria Journal |
---|---|
Main Authors: | , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BMC
2010
|
Subjects: | |
Online Access: | https://doi.org/10.1186/1475-2875-9-211 https://doaj.org/article/3d6d73ab9f4c4bf4b13bb49cd612173d |
id |
ftdoajarticles:oai:doaj.org/article:3d6d73ab9f4c4bf4b13bb49cd612173d |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:3d6d73ab9f4c4bf4b13bb49cd612173d 2023-05-15T15:18:19+02:00 Which family members use the best nets? An analysis of the condition of mosquito nets and their distribution within households in Tanzania Lines Jo Tsuang Angela Hanson Kara 2010-07-01T00:00:00Z https://doi.org/10.1186/1475-2875-9-211 https://doaj.org/article/3d6d73ab9f4c4bf4b13bb49cd612173d EN eng BMC http://www.malariajournal.com/content/9/1/211 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-9-211 1475-2875 https://doaj.org/article/3d6d73ab9f4c4bf4b13bb49cd612173d Malaria Journal, Vol 9, Iss 1, p 211 (2010) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2010 ftdoajarticles https://doi.org/10.1186/1475-2875-9-211 2022-12-30T22:46:07Z Abstract Background Household ownership of insecticide-treated mosquito nets (ITNs) is increasing, and coverage targets have been revised to address universal coverage with ITNs. However, many households do not have enough nets to cover everyone, and the nets available vary in physical condition and insecticide treatment status. Since 2004, the Government of Tanzania has been implementing the Tanzania National Voucher Scheme (TNVS), which distributes vouchers for ITNs through antenatal clinics to target pregnant women and their infants. This analysis aimed to determine the following: (1) coverage patterns of bed nets within households according to physical condition and treatment status; (2) who might be at risk if mosquitoes were diverted from occupants of untreated nets to those not using nets? (3) the degree to which those at highest risk of malaria use the most protective nets. Methods Data from the 2006 TNVS household survey were analysed to assess within-household distribution of net use. The associations between net characteristics and net user were also evaluated. Multivariate analysis was applied to the relationship between the number of holes per net and user characteristics while adjusting for confounders. Results In households with a net:person ratio better than 1:4 (one net for every four household members), more than 80% of the people in such households reported using a net the previous night. ITNs were most likely to be used by infants, young children (1-4 y), and women of childbearing age; they were least likely to be used by older women (≥50 y), older children (5-14 y), and adult men. The nets used by infants and women of childbearing age were in better-than-average physical condition; the nets used by older women and older children were in worse-than-average condition; while young children and adult men used nets in intermediate (average) condition. When adjusted for confounders, the nets used by young and older children had more holes than nets used by infants. Conclusions Infants and other ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 9 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Lines Jo Tsuang Angela Hanson Kara Which family members use the best nets? An analysis of the condition of mosquito nets and their distribution within households in Tanzania |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Household ownership of insecticide-treated mosquito nets (ITNs) is increasing, and coverage targets have been revised to address universal coverage with ITNs. However, many households do not have enough nets to cover everyone, and the nets available vary in physical condition and insecticide treatment status. Since 2004, the Government of Tanzania has been implementing the Tanzania National Voucher Scheme (TNVS), which distributes vouchers for ITNs through antenatal clinics to target pregnant women and their infants. This analysis aimed to determine the following: (1) coverage patterns of bed nets within households according to physical condition and treatment status; (2) who might be at risk if mosquitoes were diverted from occupants of untreated nets to those not using nets? (3) the degree to which those at highest risk of malaria use the most protective nets. Methods Data from the 2006 TNVS household survey were analysed to assess within-household distribution of net use. The associations between net characteristics and net user were also evaluated. Multivariate analysis was applied to the relationship between the number of holes per net and user characteristics while adjusting for confounders. Results In households with a net:person ratio better than 1:4 (one net for every four household members), more than 80% of the people in such households reported using a net the previous night. ITNs were most likely to be used by infants, young children (1-4 y), and women of childbearing age; they were least likely to be used by older women (≥50 y), older children (5-14 y), and adult men. The nets used by infants and women of childbearing age were in better-than-average physical condition; the nets used by older women and older children were in worse-than-average condition; while young children and adult men used nets in intermediate (average) condition. When adjusted for confounders, the nets used by young and older children had more holes than nets used by infants. Conclusions Infants and other ... |
format |
Article in Journal/Newspaper |
author |
Lines Jo Tsuang Angela Hanson Kara |
author_facet |
Lines Jo Tsuang Angela Hanson Kara |
author_sort |
Lines Jo |
title |
Which family members use the best nets? An analysis of the condition of mosquito nets and their distribution within households in Tanzania |
title_short |
Which family members use the best nets? An analysis of the condition of mosquito nets and their distribution within households in Tanzania |
title_full |
Which family members use the best nets? An analysis of the condition of mosquito nets and their distribution within households in Tanzania |
title_fullStr |
Which family members use the best nets? An analysis of the condition of mosquito nets and their distribution within households in Tanzania |
title_full_unstemmed |
Which family members use the best nets? An analysis of the condition of mosquito nets and their distribution within households in Tanzania |
title_sort |
which family members use the best nets? an analysis of the condition of mosquito nets and their distribution within households in tanzania |
publisher |
BMC |
publishDate |
2010 |
url |
https://doi.org/10.1186/1475-2875-9-211 https://doaj.org/article/3d6d73ab9f4c4bf4b13bb49cd612173d |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 9, Iss 1, p 211 (2010) |
op_relation |
http://www.malariajournal.com/content/9/1/211 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-9-211 1475-2875 https://doaj.org/article/3d6d73ab9f4c4bf4b13bb49cd612173d |
op_doi |
https://doi.org/10.1186/1475-2875-9-211 |
container_title |
Malaria Journal |
container_volume |
9 |
container_issue |
1 |
_version_ |
1766348518549618688 |