Mosquito nets in a rural area of Western Kenya: ownership, use and quality.

Mosquito nets in a rural area of Western Kenya: ownership, use and quality.
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DOI:
10.1186/1475-2875-9-250
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发表时间:
2010-09-02
期刊:
影响因子:
3
通讯作者:
Noor AM
Noor AM
中科院分区:
医学3区
文献类型:
--
作者:
Githinji S;Herbst S;Kistemann T;Noor AM

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驱虫蚊帐被认为是非洲预防疟疾最有效的战略之一。本研究分析了高蚊帐覆盖率地区家庭拥有的蚊帐的使用情况和质量。从肯尼亚基西南部地区的一个地方保健中心抽取样本,向个人家庭发放了一份关于蚊帐所有权和使用情况的结构化问卷。对家庭中的所有蚊帐进行了实物检查,并将其状况记录在为此目的设计的抽查表格上。在接受调查的670户家庭中,95%的家庭至少拥有一顶蚊帐。只有59%的家庭居民在调查前一晚睡在蚊帐里。睡在蚊帐下的人中,77%使用了驱虫蚊帐或长效驱虫蚊帐。在接受调查的1627个家庭中,有40%的蚊帐因为有洞而被认为质量差。与其他年龄组相比,5-14岁的儿童最有可能睡在质量差的蚊帐下(优势比1.41;p = 0.007)。虽然在增加提供蚊帐后,蚊帐拥有率很高,但仍需要继续促进有效维护和日常使用,并必须努力更换损坏的蚊帐。
Insecticide-treated nets (ITNs) are regarded as one of the most effective strategies to prevent malaria in Africa. This study analyses the use and quality of nets owned by households in an area of high net coverage. A structured questionnaire on ownership and use of nets was administered to the households of individuals sampled from a local health centre in south Kisii district, Kenya. A physical inspection of all the nets in the households was done and their conditions recorded on spot check forms designed for that purpose. Of the 670 households surveyed, 95% owned at least one net. Only 59% of household residents slept under a net during the night prior to the survey. 77% of those who slept under a net used an insecticide-treated net (ITN) or long-lasting insecticide-treated nets (LLIN). Out of 1,627 nets in the survey households, 40% were deemed to be of poor quality because of holes. Compared to other age groups, children aged 5-14 years were most likely to have slept under nets of poor quality (odds ratio 1.41; p = 0.007). Although net ownership was high following increased delivery of ITNs, continuous promotion of effective maintenance and routine use is needed and efforts to replace damaged nets must be implemented.
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