Insecticide-treated net use before and after mass distribution in a fishing community along Lake Victoria, Kenya: successes and unavoidable pitfalls.
Insecticide-treated net use before and after mass distribution in a fishing community along Lake Victoria, Kenya: successes and unavoidable pitfalls.
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DOI：
10.1186/1475-2875-13-466
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发表时间：
2014-11-28
期刊：
影响因子：
3
通讯作者：
Wilson ML
中科院分区：
文献类型：
--
作者：
Larson PS;Minakawa N;Dida GO;Njenga SM;Ionides EL;Wilson ML
在过去十年中，驱虫蚊帐已被证明有助于成功地降低全流行地区的疟疾发病率。由于整个撒哈拉以南非洲(SSA)的ITN分布正在扩大，为了维持目前的成果，有必要保持最大的覆盖水平。如果要长期维持影响，就必须认真分析成败，才能确保大规模分发创新科技网络的有效性。2011年初，向维多利亚湖沿岸的一个肯尼亚农村社区大规模分发了ITN。调查员收集了分发前和分发后一年的ITN使用数据。在这两次中，住户代表都被要求提供一份完整的资料，说明住所内的蚊帐、每个蚊帐的位置以及前一天晚上睡在蚊帐下的每个人的年龄和性别。关于家庭物质财产、教育水平和职业的其他数据也被记录下来。注意到关于天花板蚊帐和室内滞留喷洒等疟疾预防因素的信息。还收集了有关疟疾知识和求医行为的基本信息。使用空间和多变量统计方法比较净分布前和净分布后一年的ITN使用模式。使用ITN与各种个人、家庭、人口和疟疾相关因素的相关性用Logistic回归进行检验。在婴儿期(每年1岁)之后，ITN的使用量急剧下降，直到青少年后期开始再次上升，在30岁时趋于平稳。男性比女性更不可能使用ITNS。在分配之前，父母教育和职业等社会经济因素与ITN的使用有关。在分布之后，ITN的使用在社会群体中是相似的。然而，家庭因素，如蚊帐的可获得性和睡眠安排，仍然减少了持续的蚊帐使用。全面的、直接面向家庭的大规模分发有效地迅速扩大了覆盖面，干预后至少一年的使用率保持在较高水平。通过直接向家庭分发的方法免费分发驱虫蚊帐，可以消除在确定一致使用驱虫蚊帐方面的重要制约因素，从而增强有效干预运动的可持续性。本文的在线版本(DOI：10.1186/1475287513466)包含补充材料，可供授权用户使用。
Insecticide-treated nets (ITNs) have proven instrumental in the successful reduction of malaria incidence in holoendemic regions during the past decade. As distribution of ITNs throughout sub-Saharan Africa (SSA) is being scaled up, maintaining maximal levels of coverage will be necessary to sustain current gains. The effectiveness of mass distribution of ITNs, requires careful analysis of successes and failures if impacts are to be sustained over the long term. Mass distribution of ITNs to a rural Kenyan community along Lake Victoria was performed in early 2011. Surveyors collected data on ITN use both before and one year following this distribution. At both times, household representatives were asked to provide a complete accounting of ITNs within the dwelling, the location of each net, and the ages and genders of each person who slept under that net the previous night. Other data on household material possessions, education levels and occupations were recorded. Information on malaria preventative factors such as ceiling nets and indoor residual spraying was noted. Basic information on malaria knowledge and health-seeking behaviours was also collected. Patterns of ITN use before and one year following net distribution were compared using spatial and multi-variable statistical methods. Associations of ITN use with various individual, household, demographic and malaria related factors were tested using logistic regression. After infancy (<1 year), ITN use sharply declined until the late teenage years then began to rise again, plateauing at 30 years of age. Males were less likely to use ITNs than females. Prior to distribution, socio-economic factors such as parental education and occupation were associated with ITN use. Following distribution, ITN use was similar across social groups. Household factors such as availability of nets and sleeping arrangements still reduced consistent net use, however. Comprehensive, direct-to-household, mass distribution of ITNs was effective in rapidly scaling up coverage, with use being maintained at a high level at least one year following the intervention. Free distribution of ITNs through direct-to-household distribution method can eliminate important constraints in determining consistent ITN use, thus enhancing the sustainability of effective intervention campaigns. The online version of this article (doi:10.1186/1475-2875-13-466) contains supplementary material, which is available to authorized users.
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影响因子：
3.2
作者：
Tami, A;Mbati, J;Schellenberg, JRMA
通讯作者：
Schellenberg, JRMA
影响因子：
3.7
作者：
Pennetier C;Bouraima A;Chandre F;Piameu M;Etang J;Rossignol M;Sidick I;Zogo B;Lacroix MN;Yadav R;Pigeon O;Corbel V
通讯作者：
Corbel V
影响因子：
3
作者：
Ng'ang'a PN;Jayasinghe G;Kimani V;Shililu J;Kabutha C;Kabuage L;Githure J;Mutero C
通讯作者：
Mutero C
DOI：
10.4269/ajtmh.2011.10-0287
发表时间：
2011-01-01
影响因子：
3.3
作者：
Eisele, Thomas P.;Miller, John M.;Keating, Joseph
通讯作者：
Keating, Joseph
影响因子：
3
作者：
Deribew, Amare;Alemseged, Fessehaye;Tessema, Fasil
通讯作者：
Tessema, Fasil