Insecticide-treated net ownership and usage in Niger after a nationwide integrated campaign
Insecticide-treated net ownership and usage in Niger after a nationwide integrated campaign
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DOI：
10.1111/j.1365-3156.2008.02070.x
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发表时间：
2008-06-01
影响因子：
3.3
通讯作者：
Lama, Marcel
中科院分区：
文献类型：
--
作者：
Thwing, Julie;Hochberg, Natasha;Lama, Marcel
2005年12月和2006年3月，尼日尔在全国范围内开展了向5岁以下儿童分发小儿麻痹症疫苗和长效驱虫蚊帐的综合运动。我们评估了运动的有效性，净保留，驱虫蚊帐（ITN）的所有权，和usage.METHODS两个全国性的横断面调查在2006年1月（旱季）和2006年9月（雨季），采用分层两阶段整群抽样设计。我们映射选定的社区，选定的家庭通过简单的随机抽样，并管理调查问卷的访问者使用个人数字assistance.RESULTS第一次调查显示，ITN的所有家庭的所有权是6.3%之前的运动，增加到65.1%运动后的第二次调查。第二次调查还显示，有一个长效驱虫蚊帐的家庭中有73.4%< 5 received an LLIN and that 97.7% of households that received >保留了这种蚊帐，有5岁以下子女的家庭拥有驱虫蚊帐的财富公平比率从运动前的0.17增加到运动后的0.79。在旱季，15.4%的儿童< 5岁和11.3%的孕妇睡在驱虫蚊帐下，而在雨季，55.5%的儿童< 5岁和48.2%的孕妇睡在驱虫蚊帐下。结论在综合运动期间的免费分发迅速增加了驱虫蚊帐的所有权，并减少了最高和最低财富五分之一之间的不平等。驱虫蚊帐的保留率很高，在疟疾传播季节使用率很高。然而，弱势群体拥有和使用驱虫蚊帐的情况仍然没有达到成果管理制的目标，需要采取更多的战略来增加所有权和使用率。
OBJECTIVES In December 2005 and March 2006, Niger conducted nationwide integrated campaigns to distribute polio vaccine and long lasting insecticide-treated nets (LLINs) to children < 5 years of age. We evaluated the campaign effectiveness, net retention, insecticide-treated net (ITN) ownership, and usage.METHODS Two nationwide cross-sectional surveys in January 2006 (dry season) and September 2006 (rainy season), using a stratified two-stage cluster sampling design. We mapped selected communities, selected households by simple random sampling, and administered questionnaires by interviewers using personal digital assistants.RESULTS The first survey showed that ITN ownership in all households was 6.3% prior to the campaign, increasing to 65.1% after the campaign in the second survey. The second survey also showed that 73.4% of households with children < 5 received an LLIN and that 97.7% of households that received >= one LLIN retained it. The wealth equity ratio for ITN ownership in households with children < 5 increased from 0.17 prior to the campaign to 0.79 afterward. During the dry season, 15.4% of all children < 5 and 11.3% of pregnant women slept under an ITN, while during rainy season, 55.5% of children < 5 and 48.2% of pregnant women slept under an ITN.CONCLUSIONS Free distribution during the integrated campaign rapidly increased ITN ownership and decreased inequities between those in the highest and lowest wealth quintiles. Retention of ITNs was very high, and usage was high during malaria transmission season. However, ITN ownership and usage by vulnerable groups continues to fall short of RBM targets, and additional strategies are needed to increase ownership and usage.