Evaluation of community-based continuous distribution of long-lasting insecticide-treated nets in Toamasina II District, Madagascar
Abstract Background Continuous distribution of insecticide-treated nets (ITNs) is thought to be an effective mechanism to maintain ITN ownership and access between or in the absence of mass campaigns, but evidence is limited. A community-based ITN distribution pilot was implemented and evaluated in...
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ftdoajarticles:oai:doaj.org/article:ee4da3ffec434488bf6476c059e8166e 2023-05-15T15:17:42+02:00 Evaluation of community-based continuous distribution of long-lasting insecticide-treated nets in Toamasina II District, Madagascar Celine Zegers de Beyl Albert Kilian Andrea Brown Mohamad Sy-Ar Richmond Ato Selby Felicien Randriamanantenasoa Jocelyn Ranaivosoa Sixte Zigirumugabe Lilia Gerberg Megan Fotheringham Matthew Lynch Hannah Koenker 2017-08-01T00:00:00Z https://doi.org/10.1186/s12936-017-1985-7 https://doaj.org/article/ee4da3ffec434488bf6476c059e8166e EN eng BMC http://link.springer.com/article/10.1186/s12936-017-1985-7 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-017-1985-7 1475-2875 https://doaj.org/article/ee4da3ffec434488bf6476c059e8166e Malaria Journal, Vol 16, Iss 1, Pp 1-14 (2017) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2017 ftdoajarticles https://doi.org/10.1186/s12936-017-1985-7 2022-12-30T23:39:18Z Abstract Background Continuous distribution of insecticide-treated nets (ITNs) is thought to be an effective mechanism to maintain ITN ownership and access between or in the absence of mass campaigns, but evidence is limited. A community-based ITN distribution pilot was implemented and evaluated in Toamasina II District, Madagascar, to assess this new channel for continuous ITN distribution. Methods Beginning 9 months after the December 2012 mass campaign, a community-based distribution pilot ran for an additional 9 months, from September 2013 to June 2014. Households requested ITN coupons from community agents in their village. After verification by the agents, households exchanged the coupon for an ITN at a distribution point. The evaluation was a two-stage cluster survey with a sample size of 1125 households. Counterfactual ITN ownership and access were calculated by excluding ITNs received through the community pilot. Results At the end of the pilot, household ownership of any ITN was 96.5%, population access to ITN was 81.5 and 61.5% of households owned at least 1 ITN for every 2 people. Without the ITNs provided through the community channel, household ownership of any ITN was estimated at 74.6%, population access to an ITN at 55.5%, and households that owned at least 1 ITN for 2 people at only 34.7%, 18 months after the 2012 campaign. Ownership of community-distributed ITNs was higher among the poorest wealth quintiles. Over 80% of respondents felt the community scheme was fair and simple to use. Conclusions Household ITN ownership and population ITN access exceeded RBM targets after the 9-month community distribution pilot. The pilot successfully provided coupons and ITNs to households requesting them, particularly for the least poor wealth quintiles, and the scheme was well-perceived by communities. Further research is needed to determine whether community-based distribution can sustain ITN ownership and access over the long term, how continuous availability of ITNs affects household net replacement ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 16 1 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
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 Celine Zegers de Beyl Albert Kilian Andrea Brown Mohamad Sy-Ar Richmond Ato Selby Felicien Randriamanantenasoa Jocelyn Ranaivosoa Sixte Zigirumugabe Lilia Gerberg Megan Fotheringham Matthew Lynch Hannah Koenker Evaluation of community-based continuous distribution of long-lasting insecticide-treated nets in Toamasina II District, Madagascar |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Continuous distribution of insecticide-treated nets (ITNs) is thought to be an effective mechanism to maintain ITN ownership and access between or in the absence of mass campaigns, but evidence is limited. A community-based ITN distribution pilot was implemented and evaluated in Toamasina II District, Madagascar, to assess this new channel for continuous ITN distribution. Methods Beginning 9 months after the December 2012 mass campaign, a community-based distribution pilot ran for an additional 9 months, from September 2013 to June 2014. Households requested ITN coupons from community agents in their village. After verification by the agents, households exchanged the coupon for an ITN at a distribution point. The evaluation was a two-stage cluster survey with a sample size of 1125 households. Counterfactual ITN ownership and access were calculated by excluding ITNs received through the community pilot. Results At the end of the pilot, household ownership of any ITN was 96.5%, population access to ITN was 81.5 and 61.5% of households owned at least 1 ITN for every 2 people. Without the ITNs provided through the community channel, household ownership of any ITN was estimated at 74.6%, population access to an ITN at 55.5%, and households that owned at least 1 ITN for 2 people at only 34.7%, 18 months after the 2012 campaign. Ownership of community-distributed ITNs was higher among the poorest wealth quintiles. Over 80% of respondents felt the community scheme was fair and simple to use. Conclusions Household ITN ownership and population ITN access exceeded RBM targets after the 9-month community distribution pilot. The pilot successfully provided coupons and ITNs to households requesting them, particularly for the least poor wealth quintiles, and the scheme was well-perceived by communities. Further research is needed to determine whether community-based distribution can sustain ITN ownership and access over the long term, how continuous availability of ITNs affects household net replacement ... |
format |
Article in Journal/Newspaper |
author |
Celine Zegers de Beyl Albert Kilian Andrea Brown Mohamad Sy-Ar Richmond Ato Selby Felicien Randriamanantenasoa Jocelyn Ranaivosoa Sixte Zigirumugabe Lilia Gerberg Megan Fotheringham Matthew Lynch Hannah Koenker |
author_facet |
Celine Zegers de Beyl Albert Kilian Andrea Brown Mohamad Sy-Ar Richmond Ato Selby Felicien Randriamanantenasoa Jocelyn Ranaivosoa Sixte Zigirumugabe Lilia Gerberg Megan Fotheringham Matthew Lynch Hannah Koenker |
author_sort |
Celine Zegers de Beyl |
title |
Evaluation of community-based continuous distribution of long-lasting insecticide-treated nets in Toamasina II District, Madagascar |
title_short |
Evaluation of community-based continuous distribution of long-lasting insecticide-treated nets in Toamasina II District, Madagascar |
title_full |
Evaluation of community-based continuous distribution of long-lasting insecticide-treated nets in Toamasina II District, Madagascar |
title_fullStr |
Evaluation of community-based continuous distribution of long-lasting insecticide-treated nets in Toamasina II District, Madagascar |
title_full_unstemmed |
Evaluation of community-based continuous distribution of long-lasting insecticide-treated nets in Toamasina II District, Madagascar |
title_sort |
evaluation of community-based continuous distribution of long-lasting insecticide-treated nets in toamasina ii district, madagascar |
publisher |
BMC |
publishDate |
2017 |
url |
https://doi.org/10.1186/s12936-017-1985-7 https://doaj.org/article/ee4da3ffec434488bf6476c059e8166e |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 16, Iss 1, Pp 1-14 (2017) |
op_relation |
http://link.springer.com/article/10.1186/s12936-017-1985-7 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-017-1985-7 1475-2875 https://doaj.org/article/ee4da3ffec434488bf6476c059e8166e |
op_doi |
https://doi.org/10.1186/s12936-017-1985-7 |
container_title |
Malaria Journal |
container_volume |
16 |
container_issue |
1 |
_version_ |
1766347947027464192 |