Ownership and usage of insecticide-treated bed nets after free distribution via a voucher system in two provinces of Mozambique
Abstract Background Insecticide-treated bed nets (ITNs) are an efficacious intervention for malaria prevention. During a national immunization campaign in Mozambique, vouchers, which were to be redeemed at a later date for free ITNs, were distributed in Manica and Sofala provinces. A survey to evalu...
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ftdoajarticles:oai:doaj.org/article:f41fd0f4ddb844fe805495700de163fb 2023-05-15T15:13:18+02:00 Ownership and usage of insecticide-treated bed nets after free distribution via a voucher system in two provinces of Mozambique Macedo de Oliveira Alexandre Wolkon Adam Krishnamurthy Ramesh Erskine Marcy Crenshaw Dana P Roberts Jacquelin Saúte Francisco 2010-08-01T00:00:00Z https://doi.org/10.1186/1475-2875-9-222 https://doaj.org/article/f41fd0f4ddb844fe805495700de163fb EN eng BMC http://www.malariajournal.com/content/9/1/222 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-9-222 1475-2875 https://doaj.org/article/f41fd0f4ddb844fe805495700de163fb Malaria Journal, Vol 9, Iss 1, p 222 (2010) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2010 ftdoajarticles https://doi.org/10.1186/1475-2875-9-222 2022-12-31T08:52:02Z Abstract Background Insecticide-treated bed nets (ITNs) are an efficacious intervention for malaria prevention. During a national immunization campaign in Mozambique, vouchers, which were to be redeemed at a later date for free ITNs, were distributed in Manica and Sofala provinces. A survey to evaluate ITN ownership and usage post-campaign was conducted. Methods Four districts in each province and four enumeration areas (EAs) in each district were selected using probability proportional to size. Within each EA, 32 households (HHs) were selected using a simple random sample. Interviews to assess ownership and usage were conducted in each of the selected HHs using personal digital assistants. Results Valid interviews were completed for 947 (92.5%) (440 in Manica and 507 in Sofala) of the 1,024 selected HHs. Among participating HHs, 65.0% in Manica and 63.1% in Sofala reported that at least one child under five years of age slept in the house the previous night. HH ownership of at least one bed net of any kind was 20.6% (95% confidence interval [CI]: 7.9%-43.6%) and 35.6% (95% CI: 27.8%-44.3%) pre-campaign; and 55.1% (95% CI: 43.6%-66.1%) and 59.6 (95% CI: 42.4%-74.7%) post-campaign in Manica and Sofala, respectively. Post-campaign HH ownership of at least one ITN was 50.2% (95% CI: 41.8%-58.5%) for both provinces combined. In addition, 60.3% (95% CI: 50.6%-69.2%) of children under five years of age slept under an ITN the previous night. Conclusions This ITN distribution increased bed net ownership and usage rates. Integration of ITN distribution with immunization campaigns presents an opportunity for reaching malaria control targets and should continue to be considered. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 9 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 Macedo de Oliveira Alexandre Wolkon Adam Krishnamurthy Ramesh Erskine Marcy Crenshaw Dana P Roberts Jacquelin Saúte Francisco Ownership and usage of insecticide-treated bed nets after free distribution via a voucher system in two provinces of Mozambique |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Insecticide-treated bed nets (ITNs) are an efficacious intervention for malaria prevention. During a national immunization campaign in Mozambique, vouchers, which were to be redeemed at a later date for free ITNs, were distributed in Manica and Sofala provinces. A survey to evaluate ITN ownership and usage post-campaign was conducted. Methods Four districts in each province and four enumeration areas (EAs) in each district were selected using probability proportional to size. Within each EA, 32 households (HHs) were selected using a simple random sample. Interviews to assess ownership and usage were conducted in each of the selected HHs using personal digital assistants. Results Valid interviews were completed for 947 (92.5%) (440 in Manica and 507 in Sofala) of the 1,024 selected HHs. Among participating HHs, 65.0% in Manica and 63.1% in Sofala reported that at least one child under five years of age slept in the house the previous night. HH ownership of at least one bed net of any kind was 20.6% (95% confidence interval [CI]: 7.9%-43.6%) and 35.6% (95% CI: 27.8%-44.3%) pre-campaign; and 55.1% (95% CI: 43.6%-66.1%) and 59.6 (95% CI: 42.4%-74.7%) post-campaign in Manica and Sofala, respectively. Post-campaign HH ownership of at least one ITN was 50.2% (95% CI: 41.8%-58.5%) for both provinces combined. In addition, 60.3% (95% CI: 50.6%-69.2%) of children under five years of age slept under an ITN the previous night. Conclusions This ITN distribution increased bed net ownership and usage rates. Integration of ITN distribution with immunization campaigns presents an opportunity for reaching malaria control targets and should continue to be considered. |
format |
Article in Journal/Newspaper |
author |
Macedo de Oliveira Alexandre Wolkon Adam Krishnamurthy Ramesh Erskine Marcy Crenshaw Dana P Roberts Jacquelin Saúte Francisco |
author_facet |
Macedo de Oliveira Alexandre Wolkon Adam Krishnamurthy Ramesh Erskine Marcy Crenshaw Dana P Roberts Jacquelin Saúte Francisco |
author_sort |
Macedo de Oliveira Alexandre |
title |
Ownership and usage of insecticide-treated bed nets after free distribution via a voucher system in two provinces of Mozambique |
title_short |
Ownership and usage of insecticide-treated bed nets after free distribution via a voucher system in two provinces of Mozambique |
title_full |
Ownership and usage of insecticide-treated bed nets after free distribution via a voucher system in two provinces of Mozambique |
title_fullStr |
Ownership and usage of insecticide-treated bed nets after free distribution via a voucher system in two provinces of Mozambique |
title_full_unstemmed |
Ownership and usage of insecticide-treated bed nets after free distribution via a voucher system in two provinces of Mozambique |
title_sort |
ownership and usage of insecticide-treated bed nets after free distribution via a voucher system in two provinces of mozambique |
publisher |
BMC |
publishDate |
2010 |
url |
https://doi.org/10.1186/1475-2875-9-222 https://doaj.org/article/f41fd0f4ddb844fe805495700de163fb |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 9, Iss 1, p 222 (2010) |
op_relation |
http://www.malariajournal.com/content/9/1/222 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-9-222 1475-2875 https://doaj.org/article/f41fd0f4ddb844fe805495700de163fb |
op_doi |
https://doi.org/10.1186/1475-2875-9-222 |
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Malaria Journal |
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9 |
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1 |
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1766343869458284544 |