Spatial distribution of bednet coverage under routine distribution through the public health sector in a rural district in Kenya.
Spatial distribution of bednet coverage under routine distribution through the public health sector in a rural district in Kenya.
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DOI：
10.1371/journal.pone.0025949
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发表时间：
2011
期刊：
影响因子：
3.7
通讯作者：
Ndege S
中科院分区：
文献类型：
--
作者：
O'Meara WP;Smith N;Ekal E;Cole D;Ndege S
驱虫蚊帐是控制疟疾的最重要和最具成本效益的工具之一。要使个人和社区从驱虫蚊帐中获得最大的利益，就需要在人口中实现高覆盖率。在分发驱虫蚊帐方面采用了几种机制，包括以保健设施为基础，有针对性地向高危群体分发;以社区为基础的大规模分发;有或没有私营部门补贴的社会营销;以及将驱虫蚊帐的提供与其他公共卫生干预措施结合起来。这项分析的目的是描述肯尼亚西部一个地区的蚊帐覆盖率，该地区的主要分发机制是向前往产前和免疫诊所的孕妇和婴儿分发蚊帐。我们使用基于人口的普查数据来研究蚊帐所有权的程度和相关因素。我们使用多变量逻辑回归和空间技术来探讨家庭蚊帐拥有率与社会人口和地理变量之间的关系。我们发现，只有21%的家庭拥有蚊帐，远远低于全国平均水平，在产前检查诊所就诊的孕妇中，蚊帐拥有率并没有明显提高。我们还表明，覆盖面是空间异质性的，不到2%的人口居住在有足够的覆盖面，体验ITN保护的间接影响的区域。
Insecticide-treated nets (ITNs) are one of the most important and cost-effective tools for malaria control. Maximizing individual and community benefit from ITNs requires high population-based coverage. Several mechanisms are used to distribute ITNs, including health facility-based targeted distribution to high-risk groups; community-based mass distribution; social marketing with or without private sector subsidies; and integrating ITN delivery with other public health interventions. The objective of this analysis is to describe bednet coverage in a district in western Kenya where the primary mechanism for distribution is to pregnant women and infants who attend antenatal and immunization clinics. We use data from a population-based census to examine the extent of, and factors correlated with, ownership of bednets. We use both multivariable logistic regression and spatial techniques to explore the relationship between household bednet ownership and sociodemographic and geographic variables. We show that only 21% of households own any bednets, far lower than the national average, and that ownership is not significantly higher amongst pregnant women attending antenatal clinic. We also show that coverage is spatially heterogeneous with less than 2% of the population residing in zones with adequate coverage to experience indirect effects of ITN protection.
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在赤道几内亚的Bioko Island的五岁以下儿童和家用床网的儿童中使用床网的决定因素。
影响因子：
3
作者：
García-Basteiro AL;Schwabe C;Aragon C;Baltazar G;Rehman AM;Matias A;Nseng G;Kleinschmidt I
通讯作者：
Kleinschmidt I
影响因子：
168.9
作者：
Noor, Abdisalan M.;Mutheu, Juliette J.;Tatem, Andrew J.;Hay, Simon I.;Snow, Robert W.
通讯作者：
Snow, Robert W.
影响因子：
3.2
作者：
Tami, A;Mbati, J;Schellenberg, JRMA
通讯作者：
Schellenberg, JRMA
DOI：
10.1016/s0035-9203(00)90103-2
发表时间：
2000-07-01
影响因子：
2.2
作者：
Howard, SC;Omumbo, J;Snow, RW
通讯作者：
Snow, RW
影响因子：
3
作者：
Matovu, Fred;Goodman, Catherine;Mwengee, William
通讯作者：
Mwengee, William