Integrating insecticide-treated bednets into a measles vaccination campaign achieves high, rapid and equitable coverage with direct and voucher-based methods
Integrating insecticide-treated bednets into a measles vaccination campaign achieves high, rapid and equitable coverage with direct and voucher-based methods
复制标题
DOI：
10.1111/j.1365-3156.2005.01502.x
复制
发表时间：
2005-11-01
影响因子：
3.3
通讯作者：
Selanikio, J
中科院分区：
文献类型：
--
作者：
Grabowsky, M;Farrell, N;Selanikio, J
非洲驱虫蚊帐的人口覆盖率远低于阿布贾60%的目标，而相同人口在疫苗接种运动期间实现的覆盖率通常超过90%。ITNS的家庭(HH)成本是其普及的一个重要障碍。我们调查了将免费发放的ITN与麻疹疫苗接种活动联系起来的覆盖率、公平性和成本。在赞比亚的全国麻疹疫苗接种运动期间，四个农村地区的儿童在接种麻疹疫苗时获得了免费的ITN。在一个城区，儿童得到一张代金券，可以在商业分发地点兑换成蚊帐。约1700名HHS被问及在麻疹运动期间是否接种了疫苗和ITN，以及有关资产(例如，类型的屋顶材料或自行车所有权)的问题，以评估HH的财富。计算了每个财富五分之一中儿童的净拥有量。农村儿童ITN覆盖率从16.7%上升到81.1%，公平比从0.32上升到0.88，城市从50.7%上升到76.2%(公平比：0.66~1.19)。在直接分发的农村地区和分发代金券的城市地区，提供的每个信托基金的业务费用分别为0.35美元和1.89美元。通过疫苗接种运动大规模分发ITN，以低成本实现快速、高和公平的覆盖。
Population coverage of insecticide-treated nets (ITNs) in Africa falls well below the Abuja target of 60% while coverage levels achieved during vaccination campaigns in the same populations typically exceed 90%. Household (HH) cost of ITNs is an important barrier to their uptake. We investigated the coverage, equity and cost of linking distribution of free ITNs to a measles vaccination campaign. During a national measles vaccination campaign in Zambia, children in four rural districts were given a free ITN when they received their measles vaccination. In one urban district, children were given a voucher, which could be redeemed for a net at a commercial distribution site. About 1700 HHs were asked whether they received vaccination and an ITN during a measles campaign, as well as questions on assets (e.g. type roofing material or bicycle ownership) to assess HH wealth. Net ownership was calculated for children in each wealth quintile. In the rural areas, ITN coverage among children rose from 16.7% to 81.1% and the equity ratio from 0.32 to 0.88 and in the urban area from 50.7% to 76.2% (equity ratio: 0.66-1.19). The operational cost per ITN delivered was $0.35 in the rural area with direct distribution and $1.89 in the urban areas with voucher distribution. Mass distribution of ITNs through vaccination campaigns achieves rapid, high and equitable coverage at low cost.