Successful integration of insecticide-treated bed net distribution with mass drug administration in Central Nigeria
Successful integration of insecticide-treated bed net distribution with mass drug administration in Central Nigeria
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DOI：
10.4269/ajtmh.2006.75.650
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发表时间：
2006-10-01
影响因子：
3.3
通讯作者：
Richards, Frank
中科院分区：
文献类型：
--
作者：
Blackburn, Brian G.;Eigege, Abel;Richards, Frank
在非洲，按蚊传播疟疾和淋巴丝虫病（LF）;经驱虫处理的蚊帐大大减少了这两种疾病的传播。向5岁以下儿童和孕妇提供经杀虫剂处理的蚊帐是疟疾控制倡议的一个主要目标，但由于成本和后勤问题，非洲的使用率仍然很低。因此，我们将驱虫蚊帐分发与2004年尼日利亚中部LF/盘尾丝虫病大规模药物管理（MDA）计划结合起来。社区志愿人员分发了38 600顶驱虫蚊帐，同时用伊维菌素/阿苯达唑治疗了150 800人（2003年为135 600人）。随后进行了一项30组调查。在接受调查的五岁以下儿童/婴儿出生后不久的家庭中，80%（95%可信区间，72-87%）拥有1顶以上经杀虫剂处理的蚊帐，比2003年增加了9倍。这是第一次将驱虫蚊帐的分发与大规模药物管理联系起来，大大提高了驱虫蚊帐的拥有率和使用率，而不会对大规模药物管理的覆盖面产生不利影响。这种整合使两个项目在实现互利的同时共享资源，是迅速提高经杀虫剂处理的蚊帐覆盖率目标的一种模式。
In Africa anopheline mosquitoes transmit malaria and lymphatic filariasis (LF); insecticide-treated bed nets significantly reduce transmission of both. Insecticide-treated bed net provision to children under 5 (U5) and pregnant women (PW) is a major goal of malaria control initiatives, but use in Africa remains low because of cost and logistics. We therefore integrated insecticide-treated bed net distribution with the 2004 LF/onchocerciasis mass drug administration (MDA) program in Central Nigeria. Community volunteers distributed 38,600 insecticide-treated bed nets, while simultaneously treating 150,800 persons with ivermectin/albendazole (compared with 135,600 in 2003). This was subsequently assessed with a 30-cluster survey. Among surveyed households containing U5/PW, 80% (95% CI, 72-87%) owned >= 1 insecticide-treated bed net, a 9-fold increase from 2003. This first linkage of insecticide-treated bed net distribution with mass drug administration resulted in substantial improvement in insecticide-treated bed net ownership and usage, without adversely affecting mass drug administration coverage. Such integration allowed two programs to share resources while realizing mutual benefit, and is one model for rapidly improving insecticide-treated bed net coverage objectives.