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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Household possession and use of insecticide-treated mosquito nets in sierra leone 6 months after a national mass-distribution campaign
PLoS ONE, Volume 7, No. 5, Article e37927, Year 2012
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Description
Background: In November 2010, Sierra Leone distributed over three million long-lasting insecticide-treated nets (LLINs) with the objective of providing protection from malaria to individuals in all households in the country. Methods: We conducted a nationally representative survey six months after the mass distribution campaign to evaluate its impact on household insecticide-treated net (ITN) ownership and use. We examined factors associated with household ITN possession and use with logistic regression models. Results: The survey included 4,620 households with equal representation in each of the 14 districts. Six months after the campaign, 87.6% of households own at least one ITN, which represents an increase of 137% over the most recent estimate of 37% in 2008. Thirty-six percent of households possess at least one ITN per two household members; rural households were more likely than urban households to have ≥1:2 ITN to household members, but there was no difference by socio-economic status or household head education. Among individuals in households possessing ≥1 ITN, 76.5% slept under an ITN the night preceding the survey. Individuals in households where the household head had heard malaria messaging, had correct knowledge of malaria transmission, and where at least one ITN was hanging, were more likely to have slept under an ITN. Conclusions: The mass distribution campaign was effective at achieving high coverage levels across the population, notably so among rural households where the malaria burden is higher. These important gains in equitable access to malaria prevention will need to be maintained to produce long-term reductions in the malaria burden. © 2012 Bennett et al.
Authors & Co-Authors
Bennett, Adam F.
United States, New Orleans
Tulane University School of Public Health and Tropical Medicine
Smith, Samuel Juana
Sierra Leone, Freetown
Ministry of Health and Sanitation
Yambasu, Sahr E.
Unknown Affiliation
Jambai, Amara A.
United States, Atlanta
Centers for Disease Control and Prevention
Alemu, Wondimagegnehu
Switzerland, Geneva
Organisation Mondiale de la Santé
Kabano, Augustin
United States, New York
Unicef
Eisele, Thomas P.
United States, New Orleans
Tulane University School of Public Health and Tropical Medicine
Statistics
Citations: 7
Authors: 7
Affiliations: 5
Identifiers
Doi:
10.1371/journal.pone.0037927
e-ISSN:
19326203
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Sierra Leone