Distribution of free untreated bednets bundled with insecticide via an integrated child health campaign in Lindi Region, Tanzania: Lessons for future campaigns
Distribution of free untreated bednets bundled with insecticide via an integrated child health campaign in Lindi Region, Tanzania: Lessons for future campaigns
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DOI：
10.4269/ajtmh.2007.76.1100
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发表时间：
2007-06-01
影响因子：
3.3
通讯作者：
Kachur, S. Patrick
中科院分区：
文献类型：
--
作者：
Skarbinski, Jacek;Massaga, Julius J.;Kachur, S. Patrick
使用驱虫蚊帐预防疟疾的情况仍然很少，需要采取有效的分发战略。在坦桑尼亚林迪地区开展了一项综合儿童保健运动，免费向5岁以下儿童分发162 254顶未经处理的蚊帐，并附有杀虫剂、麻疹疫苗、维生素A和甲苯咪唑。我们在运动后3个月进行了一次有代表性的家庭调查。总共访问了574户家庭，其中354名5岁以下儿童。在5岁以下的家庭中，蚊帐和驱虫蚊帐的拥有率分别从60.9%增加到90.7%（P < 0.001）和从16.5%增加到37.3%（P < 0.001）。所有财富五分位数都有所增加，公平性得到改善。据报告，5岁以下儿童前一天晚上使用蚊帐和驱虫蚊帐的比例分别为46.3%和21.5%。综合运动迅速和公平地增加了蚊帐的拥有和使用，值得继续大规模执行。然而，我们的研究发现，蚊帐很少处理，因此，未来的运动应该提供工厂处理的长效驱虫蚊帐。驱虫蚊帐使用率低突出表明，需要进一步努力增加运动后的使用。
Use of insecticide-treated bednets (ITNs) to prevent malaria remains low, and effective distribution strategies are needed. An integrated child health campaign with free distribution of 162,254 untreated bednets bundled with insecticide, measles vaccination, vitamin A, and mebendazole for children < 5 years old ("under-5s") was conducted in Lindi Region, Tanzania. We conducted a representative household survey 3 months after the campaign. Altogether, 574 households with 354 under-5s were visited. In households with an under-5, possession of bednets and ITNs increased from 60.9% to 90.7% (P < 0.001) and from 16.5% to 37.3% (P < 0.001), respectively. Increases occurred in all wealth quintiles and equity improved. Reported bednet and ITN use the previous night among under-5s was 46.3% and 21.5%, respectively. Integrated campaigns rapidly and equitably increase bednet possession and use meriting continued large-scale implementation. However, our study found that bednets were rarely treated, thus, future campaigns should provide factory-treated long-lasting ITNs. Low ITN use underscores the need for further efforts to increase use after campaigns.