Implementation strategies to increase access and demand of long-lasting insecticidal nets: a before-and-after study and scale-up process in Mozambique.
Implementation strategies to increase access and demand of long-lasting insecticidal nets: a before-and-after study and scale-up process in Mozambique.
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DOI：
10.1186/s12936-017-2086-3
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发表时间：
2017-10-25
期刊：
影响因子：
3
通讯作者：
Martins MDRO
中科院分区：
文献类型：
--
作者：
Arroz JAH;Mendis C;Pinto L;Candrinho B;Pinto J;Martins MDRO
全民覆盖蚊帐运动是一项行之有效的健康干预措施，可促进增加蚊帐的获取、拥有和使用，以减少疟疾负担。本文介绍了莫桑比克最近为改善长效杀虫蚊帐 (LLIN) 的获取并增加需求而采取的干预和实施战略。在实施过程的第一阶段使用了对照组的前后研究。第一阶段测试了以下策略：（1）户籍时优惠券的使用； （二）使用标贴识别登记户口； （3）新的LLIN归属公式（每两人一份LLIN）。在第二阶段，实施了以下附加策略：（4）绘图和微观规划； （五）培训； （六）监督。使用比值比 (OR) 和 95% 置信区间 (CI) 来比较和确定第一阶段干预区和对照区之间的差异。主要结果是：分配的 LLIN 百分比、受益的目标家庭百分比。在第一阶段，87.8% (302,648) 的计划 LLIN 分布在干预区，而对照组为 77.1% (219,613) [OR: 2.14 (95% CI 2.11–2.16)]。第一阶段结果还显示，干预区有 80.6% (110,453) 的家庭接受了至少一次 LLIN，而对照区的这一比例为 72.8% (87,636) [OR: 1.56 (95% CI 1.53–1.59)]。在第二阶段，分配的LLIN已交付98.4%（3,536,839），覆盖98.6%（1,353,827）的户籍户。通过新实施的战略，第一阶段的结果在各地区实现了更好的 LLIN 和家庭覆盖率。第二阶段的结果也令人鼓舞。全国范围内的 LLIN 活动需要进行额外的策略调整。本文的在线版本 (10.1186/s12936-017-2086-3) 包含补充材料，可供授权用户使用。
The universal coverage bed nets campaign is a proven health intervention promoting increased access, ownership, and use of bed nets to reduce malaria burden. This article describes the intervention and implementation strategies that Mozambique carried out recently in order to improve access and increase demand for long-lasting insecticidal nets (LLINs). A before-and-after study with a control group was used during Stage I of the implementation process. The following strategies were tested in Stage I: (1) use of coupons during household registration; (2) use of stickers to identify the registered households; (3) new LLIN ascription formula (one LLIN for every two people). In Stage II, the following additional strategies were implemented: (4) mapping and micro-planning; (5) training; and (6) supervision. Odds ratio (OR) and 95% confidence interval (CI) were used to compare and establish differences between intervened and control districts in Stage I. Main outcomes were: percentage of LLINs distributed, percentage of target households benefited. In Stage I, 87.8% (302,648) of planned LLINs were distributed in the intervention districts compared to 77.1% (219,613) in the control districts [OR: 2.14 (95% CI 2.11–2.16)]. Stage I results also showed that 80.6% (110,453) of households received at least one LLIN in the intervention districts compared to 72.8% (87,636) in the control districts [OR: 1.56 (95% CI 1.53–1.59)]. In Stage II, 98.4% (3,536,839) of the allocated LLINs were delivered, covering 98.6% (1,353,827) of the registered households. Stage I results achieved better LLINs and household coverage in districts with the newly implemented strategies. The results of stage II were also encouraging. Additional strategies adaptation is required for a wide-country LLIN campaign. The online version of this article (10.1186/s12936-017-2086-3) contains supplementary material, which is available to authorized users.
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影响因子：
3
作者：
West, Philippa A.;Protopopoff, Natacha;Kleinschmidt, Immo
通讯作者：
Kleinschmidt, Immo
DOI：
10.4269/ajtmh.2003.68.121
发表时间：
2003-04-01
影响因子：
3.3
作者：
Hawley, WA;Phillips-Howard, PA;Hightower, AW
通讯作者：
Hightower, AW
影响因子：
3.2
作者：
Tokponnon FT;Aholoukpe B;Denon EY;Gnanguenon V;Bokossa A;N'guessan R;Oke M;Gazard DK;Akogbeto MC
通讯作者：
Akogbeto MC
影响因子：
3
作者：
Thwing, Julie I.;Perry, Robert T.;Thior, Moussa
通讯作者：
Thior, Moussa
影响因子：
3
作者：
Renggli, Sabine;Mandike, Renata;Lengeler, Christian
通讯作者：
Lengeler, Christian