Success of Senegal's first nationwide distribution of long-lasting insecticide-treated nets to children under five - contribution toward universal coverage
Success of Senegal's first nationwide distribution of long-lasting insecticide-treated nets to children under five - contribution toward universal coverage
复制标题
DOI：
10.1186/1475-2875-10-86
复制
发表时间：
2011-04-13
期刊：
影响因子：
3
通讯作者：
Thior, Moussa
中科院分区：
文献类型：
--
作者：
Thwing, Julie I.;Perry, Robert T.;Thior, Moussa
背景：2009 年，塞内加尔首次全国长效杀虫蚊帐 (LLIN) 分发活动分两个阶段向 6-59 个月大的儿童分发了 220 万粒 LLIN。挨家挨户的小组走访了所有家庭，给予维生素 A 和甲苯咪唑，并发放优惠券，以便稍后兑换 LLIN。 方法：进行了全国范围内以社区为基础的两阶段整群调查，按照与规模抽样成比例的概率在区域内选择聚类，然后进行 GPS 辅助绘图，对每个聚类中的家庭进行简单随机选择，并使用个人数字助理 (PDA) 进行问卷调查。调查问卷遵循疟疾指标调查格式，包括家庭成员名册和蚊帐，以及有关运动参与的问题。结果：112 个集群中有 3,280 个家庭，代表 33,993 人。大多数（92.1%）合格儿童的监护人都听说过这项活动，主要来源是卫生工作者（33.7%）、邻居（26.2%）和广播（22.0%）。在符合条件的儿童中，82.4% 接受了甲苯咪唑，83.8% 接受了维生素 A，75.4% 接受了 LLIN。活动期间收到的几乎所有 (91.4%) LLIN 都留在家庭中；在剩下的那些中，74.4% 已被送出，而且据报告没有出售。 82.3% 的家庭、89.2% 有 5 岁以下儿童的家庭和 57.5% 没有 5 岁以下儿童的家庭至少配备有经过杀虫剂处理的蚊帐 (ITN)。活动期间收到了超过一半 (52.4%) 的驱虫蚊帐。考虑到可能的全民覆盖指标，39.8%的家庭每两人至少拥有一件驱虫蚊帐，21.6%的家庭每个睡眠空间至少拥有一件驱蚊蚊帐，34.7%的总人口在调查前一晚使用驱蚊蚊帐睡觉。此外，45.6% 5 岁以下的儿童和 49.2% 的孕妇睡过驱虫蚊帐。结论：全国范围内的综合 LLIN 分发活动使家庭拥有一个或多个驱虫蚊帐的所有权超过了 2010 年设定的 80% 的 RBM 目标，但需要采取额外的分发策略来覆盖目标活动错过的人群，并实现每个睡眠空间 1 个驱虫蚊帐和 80% 的人口使用驱虫蚊帐的普遍覆盖目标。 ITN。
Background: In 2009, the first national long-lasting insecticide-treated net (LLIN) distribution campaign in Senegal resulted in the distribution of 2.2 million LLINs in two phases to children aged 6-59 months. Door-to-door teams visited all households to administer vitamin A and mebendazole, and to give a coupon to redeem later for an LLIN.Methods: A nationwide community-based two-stage cluster survey was conducted, with clusters selected within regions by probability proportional to size sampling, followed by GPS-assisted mapping, simple random selection of households in each cluster, and administration of a questionnaire using personal digital assistants (PDAs). The questionnaire followed the Malaria Indicator Survey format, with rosters of household members and bed nets, and questions on campaign participation.Results: There were 3,280 households in 112 clusters representing 33,993 people. Most (92.1%) guardians of eligible children had heard about the campaign, the primary sources being health workers (33.7%), neighbours (26.2%), and radio (22.0%). Of eligible children, 82.4% received mebendazole, 83.8% received vitamin A, and 75.4% received LLINs. Almost all (91.4%) LLINs received during the campaign remained in the household; of those not remaining, 74.4% had been given away and none were reported sold. At least one insecticide-treated net (ITN) was present in 82.3% of all households, 89.2% of households with a child < 5 years and 57.5% of households without a child < 5 years. Just over half (52.4%) of ITNs had been received during the campaign. Considering possible indicators of universal coverage, 39.8% of households owned at least one ITN per two people, 21.6% owned at least one ITN per sleeping space and 34.7% of the general population slept under an ITN the night before the survey. In addition, 45.6% of children < 5 years, and 49.2% of pregnant women had slept under an ITN.Conclusions: The nationwide integrated LLIN distribution campaign allowed household ITN ownership of one or more ITNs to surpass the RBM target of 80% set for 2010, though additional distribution strategies are needed to reach populations missed by the targeted campaign and to reach the universal coverage targets of one ITN per sleeping space and 80% of the population using an ITN.