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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Ownership and usage of insecticide-treated bed nets after free distribution via a voucher system in two provinces of Mozambique
Malaria Journal, Volume 9, No. 1, Article 222, Year 2010
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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. © 2010 Macedo de Oliveira et al; licensee BioMed Central Ltd.
Authors & Co-Authors
de Oliveira, Alexandre Macedo
United States, Atlanta
Centers for Disease Control and Prevention
Wolkon, Adam
United States, Atlanta
Centers for Disease Control and Prevention
Krishnamurthy, Ramesh
United States, Atlanta
Centers for Disease Control and Prevention
Erskine, Marcy
United States, Atlanta
Centers for Disease Control and Prevention
Switzerland, Geneve
International Federation of the Red Cross
Roberts, Jacquelin M.
United States, Atlanta
Centers for Disease Control and Prevention
Saúte, Francisco
Mozambique, Maputo
Mozambique Ministry of Health
Statistics
Citations: 6
Authors: 6
Affiliations: 3
Identifiers
Doi:
10.1186/1475-2875-9-222
e-ISSN:
14752875
Research Areas
Infectious Diseases
Maternal And Child Health
Study Design
Randomised Control Trial
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Mozambique