Implementation strategies to increase access and demand of long-lasting insecticidal nets: a before-and-after study and scale-up process in Mozambique
Abstract Background The universal coverage bed nets campaign is a proven health intervention promoting increased access, ownership, and use of bed nets to reduce malaria burden. This article describes the intervention and implementation strategies that Mozambique carried out recently in order to imp...
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ftdoajarticles:oai:doaj.org/article:43a45bb15c3d46319ca44a290ed1ddbe 2023-05-15T15:15:21+02:00 Implementation strategies to increase access and demand of long-lasting insecticidal nets: a before-and-after study and scale-up process in Mozambique Jorge A. H. Arroz Chandana Mendis Liliana Pinto Baltazar Candrinho João Pinto Maria do Rosário O. Martins 2017-10-01T00:00:00Z https://doi.org/10.1186/s12936-017-2086-3 https://doaj.org/article/43a45bb15c3d46319ca44a290ed1ddbe EN eng BMC http://link.springer.com/article/10.1186/s12936-017-2086-3 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-017-2086-3 1475-2875 https://doaj.org/article/43a45bb15c3d46319ca44a290ed1ddbe Malaria Journal, Vol 16, Iss 1, Pp 1-9 (2017) Before-and-after design Implementation strategies Implementation study Long-lasting insecticidal nets Universal coverage bed nets campaign Mozambique Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2017 ftdoajarticles https://doi.org/10.1186/s12936-017-2086-3 2022-12-31T01:51:51Z Abstract Background The universal coverage bed nets campaign is a proven health intervention promoting increased access, ownership, and use of bed nets to reduce malaria burden. This article describes the intervention and implementation strategies that Mozambique carried out recently in order to improve access and increase demand for long-lasting insecticidal nets (LLINs). Methods A before-and-after study with a control group was used during Stage I of the implementation process. The following strategies were tested in Stage I: (1) use of coupons during household registration; (2) use of stickers to identify the registered households; (3) new LLIN ascription formula (one LLIN for every two people). In Stage II, the following additional strategies were implemented: (4) mapping and micro-planning; (5) training; and (6) supervision. Odds ratio (OR) and 95% confidence interval (CI) were used to compare and establish differences between intervened and control districts in Stage I. Main outcomes were: percentage of LLINs distributed, percentage of target households benefited. Results In Stage I, 87.8% (302,648) of planned LLINs were distributed in the intervention districts compared to 77.1% (219,613) in the control districts [OR: 2.14 (95% CI 2.11–2.16)]. Stage I results also showed that 80.6% (110,453) of households received at least one LLIN in the intervention districts compared to 72.8% (87,636) in the control districts [OR: 1.56 (95% CI 1.53–1.59)]. In Stage II, 98.4% (3,536,839) of the allocated LLINs were delivered, covering 98.6% (1,353,827) of the registered households. Conclusions Stage I results achieved better LLINs and household coverage in districts with the newly implemented strategies. The results of stage II were also encouraging. Additional strategies adaptation is required for a wide-country LLIN campaign. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 16 1 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Before-and-after design Implementation strategies Implementation study Long-lasting insecticidal nets Universal coverage bed nets campaign Mozambique Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Before-and-after design Implementation strategies Implementation study Long-lasting insecticidal nets Universal coverage bed nets campaign Mozambique Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Jorge A. H. Arroz Chandana Mendis Liliana Pinto Baltazar Candrinho João Pinto Maria do Rosário O. Martins Implementation strategies to increase access and demand of long-lasting insecticidal nets: a before-and-after study and scale-up process in Mozambique |
topic_facet |
Before-and-after design Implementation strategies Implementation study Long-lasting insecticidal nets Universal coverage bed nets campaign Mozambique Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background The universal coverage bed nets campaign is a proven health intervention promoting increased access, ownership, and use of bed nets to reduce malaria burden. This article describes the intervention and implementation strategies that Mozambique carried out recently in order to improve access and increase demand for long-lasting insecticidal nets (LLINs). Methods A before-and-after study with a control group was used during Stage I of the implementation process. The following strategies were tested in Stage I: (1) use of coupons during household registration; (2) use of stickers to identify the registered households; (3) new LLIN ascription formula (one LLIN for every two people). In Stage II, the following additional strategies were implemented: (4) mapping and micro-planning; (5) training; and (6) supervision. Odds ratio (OR) and 95% confidence interval (CI) were used to compare and establish differences between intervened and control districts in Stage I. Main outcomes were: percentage of LLINs distributed, percentage of target households benefited. Results In Stage I, 87.8% (302,648) of planned LLINs were distributed in the intervention districts compared to 77.1% (219,613) in the control districts [OR: 2.14 (95% CI 2.11–2.16)]. Stage I results also showed that 80.6% (110,453) of households received at least one LLIN in the intervention districts compared to 72.8% (87,636) in the control districts [OR: 1.56 (95% CI 1.53–1.59)]. In Stage II, 98.4% (3,536,839) of the allocated LLINs were delivered, covering 98.6% (1,353,827) of the registered households. Conclusions Stage I results achieved better LLINs and household coverage in districts with the newly implemented strategies. The results of stage II were also encouraging. Additional strategies adaptation is required for a wide-country LLIN campaign. |
format |
Article in Journal/Newspaper |
author |
Jorge A. H. Arroz Chandana Mendis Liliana Pinto Baltazar Candrinho João Pinto Maria do Rosário O. Martins |
author_facet |
Jorge A. H. Arroz Chandana Mendis Liliana Pinto Baltazar Candrinho João Pinto Maria do Rosário O. Martins |
author_sort |
Jorge A. H. Arroz |
title |
Implementation strategies to increase access and demand of long-lasting insecticidal nets: a before-and-after study and scale-up process in Mozambique |
title_short |
Implementation strategies to increase access and demand of long-lasting insecticidal nets: a before-and-after study and scale-up process in Mozambique |
title_full |
Implementation strategies to increase access and demand of long-lasting insecticidal nets: a before-and-after study and scale-up process in Mozambique |
title_fullStr |
Implementation strategies to increase access and demand of long-lasting insecticidal nets: a before-and-after study and scale-up process in Mozambique |
title_full_unstemmed |
Implementation strategies to increase access and demand of long-lasting insecticidal nets: a before-and-after study and scale-up process in Mozambique |
title_sort |
implementation strategies to increase access and demand of long-lasting insecticidal nets: a before-and-after study and scale-up process in mozambique |
publisher |
BMC |
publishDate |
2017 |
url |
https://doi.org/10.1186/s12936-017-2086-3 https://doaj.org/article/43a45bb15c3d46319ca44a290ed1ddbe |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 16, Iss 1, Pp 1-9 (2017) |
op_relation |
http://link.springer.com/article/10.1186/s12936-017-2086-3 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-017-2086-3 1475-2875 https://doaj.org/article/43a45bb15c3d46319ca44a290ed1ddbe |
op_doi |
https://doi.org/10.1186/s12936-017-2086-3 |
container_title |
Malaria Journal |
container_volume |
16 |
container_issue |
1 |
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1766345728208142336 |