Effectiveness of a new long-lasting insecticidal nets delivery model in two rural districts of Mozambique: a before-after study.

Effectiveness of a new long-lasting insecticidal nets delivery model in two rural districts of Mozambique: a before-after study.
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DOI:
10.1186/s12936-018-2217-5
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发表时间:
2018-02-05
期刊:
影响因子:
3
通讯作者:
Martins MDRO
Martins MDRO
中科院分区:
医学3区
文献类型:
--
作者:
Arroz JAH;Candrinho B;Mendis C;Varela P;Pinto J;Martins MDRO

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2015年,莫桑比克在一项运动中试行了一种新的长效驱虫蚊帐(LLINs)交付模式。新的交付模式被用于两个农村地区,和其他两个被认为是控制,保持旧的交付模式。本研究的目的是比较莫桑比克干预区和对照区长效驱虫蚊帐的拥有和使用情况。在分配LLINs后6个月进行了对照组的前后设计。采用系统概率抽样方法,对1547户居民进行了问卷调查。为了找到地区类别(干预和控制)和研究的主要结果(LLIN所有权,使用和普遍覆盖的实现)之间的关联,计算了比值比(OR)和各自的置信区间。在干预区调查的760户家庭中,98.8%至少有一个长效驱虫蚊帐;在对照区调查的787户家庭中,89.6%至少有一个长效驱虫蚊帐[OR:9.7,95%(CI 4.84-19.46)]。在干预区和对照区,约95%和87%拥有至少一个长效蚊帐的家庭报告前一天晚上分别睡在长效蚊帐下[OR:3.2; 95%(CI 2.12-4.69)]。71%的被调查家庭在干预区实现了全民覆盖,而在对照区为59.6%[OR:1.6; 95%(CI 1.33-2.03)]。以新的交付模式试行的全民覆盖运动增加了长效驱虫蚊帐的所有权、使用和在社区实现全民覆盖目标的进展。
In 2015, Mozambique piloted a new model of long-lasting insecticidal nets (LLINs) delivery in a campaign. The new delivery model was used in two rural districts were, and two others were considered as control, maintaining the old delivery model. The aim of this study is to compare the coverage of ownership and use of LLINs in intervention and control districts in Mozambique. A before-after design with control group was carried out 6 months after LLINs distribution. Using systematic probabilistic sampling, 1547 households were surveyed by means of a questionnaire. To find associations between the district categories (intervention and control) and the main outcomes of the study (LLIN ownership, use, and universal coverage achievement), odds ratio (OR) and respective confidence intervals were calculated. Of the 760 households surveyed in the intervention districts, 98.8% had at least one LLIN; of the 787 households surveyed in the control districts, 89.6% had at least one LLIN [OR: 9.7, 95% (CI 4.84–19.46)]. Around 95 and 87% of households owning at least one LLIN reported having slept under the LLIN the previous night in the intervention and control districts, respectively [OR: 3.2; 95% (CI 2.12–4.69)]. Seventy-one percent of the households surveyed achieved universal coverage in the intervention districts against 59.6% in the control districts [OR: 1.6; 95% (CI 1.33–2.03)]. The universal coverage campaign piloted with the new delivery model has increased LLINs ownership, use, and progression for reaching universal coverage targets in the community.
DOI: 10.1186/s12936-017-2086-3
发表时间: 2017-10-25
期刊: Malaria journal
影响因子: 3
作者:
Arroz JAH;Mendis C;Pinto L;Candrinho B;Pinto J;Martins MDRO
通讯作者: Martins MDRO
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