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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Bed net ownership in Kenya: The impact of 3.4 million free bed nets
Malaria Journal, Volume 9, No. 1, Article 183, Year 2010
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Description
Background. In July and September 2006, 3.4 million long-lasting insecticide-treated bed nets (LLINs) were distributed free in a campaign targeting children 0-59 months old (CU5s) in the 46 districts with malaria in Kenya. A survey was conducted one month after the distribution to evaluate who received campaign LLINs, who owned insecticide-treated bed nets and other bed nets received through other channels, and how these nets were being used. The feasibility of a distribution strategy aimed at a high-risk target group to meet bed net ownership and usage targets is evaluated. Methods. A stratified, two-stage cluster survey sampled districts and enumeration areas with probability proportional to size. Handheld computers (PDAs) with attached global positioning systems (GPS) were used to develop the sampling frame, guide interviewers back to chosen households, and collect survey data. Results. In targeted areas, 67.5% (95% CI: 64.6, 70.3%) of all households with CU5s received campaign LLINs. Including previously owned nets, 74.4% (95% CI: 71.8, 77.0%) of all households with CU5s had an ITN. Over half of CU5s (51.7%, 95% CI: 48.8, 54.7%) slept under an ITN during the previous evening. Nearly forty percent (39.1%) of all households received a campaign net, elevating overall household ownership of ITNs to 50.7% (95% CI: 48.4, 52.9%). Conclusions. The campaign was successful in reaching the target population, families with CU5s, the risk group most vulnerable to malaria. Targeted distribution strategies will help Kenya approach indicator targets, but will need to be combined with other strategies to achieve desired population coverage levels. © 2010 Hightower et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Hightower, Allen W.
United States, Atlanta
Centers for Disease Control and Prevention
Kiptui, Rebecca
Kenya, Nairobi
Ministry of Public Health and Sanitation
Manya, A.
Kenya, Nairobi
Ministry of Public Health and Sanitation
Wolkon, Adam
United States, Atlanta
Centers for Disease Control and Prevention
Vanden Eng, Jodi Leigh
United States, Atlanta
Centers for Disease Control and Prevention
Hamel, Mary J.
United States, Atlanta
Centers for Disease Control and Prevention
Kenya, Nairobi
Kenya Medical Research Institute
Noor, Abdisalan Mohamed
Kenya, Kilifi
Centre for Geographic Medicine Research
Sharif, Shahnaaz K.
Kenya, Nairobi
Ministry of Health Nairobi
Buluma, Robert
Kenya, Nairobi
Kenya National Bureau of Statistics
Vulule, John M.
Kenya, Nairobi
Kenya Medical Research Institute
Laserson, Kayla F.
Kenya, Nairobi
Kenya Medical Research Institute
United States, Atlanta
Centers for Disease Control and Prevention
Slutsker, Laurence
United States, Atlanta
Centers for Disease Control and Prevention
Akhwale, Willis S.
Kenya, Nairobi
Ministry of Public Health and Sanitation
Statistics
Citations: 13
Authors: 13
Affiliations: 6
Identifiers
Doi:
10.1186/1475-2875-9-183
e-ISSN:
14752875
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Kenya