Determinants of household demand for bed nets in a rural area of southern Mozambique.
Determinants of household demand for bed nets in a rural area of southern Mozambique.
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DOI：
10.1186/1475-2875-8-132
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发表时间：
2009-06-15
期刊：
影响因子：
3
通讯作者：
Menéndez C
中科院分区：
文献类型：
--
作者：
Chase C;Sicuri E;Sacoor C;Nhalungo D;Nhacolo A;Alonso PL;Menéndez C
使驱虫蚊帐 (ITN) 成为对抗疟疾传播的长期、可持续解决方案的关键是了解驱使其购买和使用的因素。很少有研究分析家庭层面预防疟疾的蚊帐需求的决定因素，特别是对蚊帐的需求与其他蚊虫预防方法的需求相比如何。本研究利用家庭调查来评估莫桑比克南部农村疟疾流行地区对蚊帐需求的决定因素。该研究考察了蚊帐的支付意愿（WTP）、蚊帐的拥有量、使用情况和过去的购买行为，以及预防疟疾的替代方法的支出和使用频率。虽然样本中总体净拥有量较低，但证据并未表明在控制协变量时较贫困家庭拥有蚊帐的可能性较小，而且获得免费蚊帐的可能性也不取决于社会经济地位 (SES)。正规教育和市场知识似乎表明平均支付意愿较高，而使用预防疟疾的替代方法和接受室内滞留喷洒（IRS）可以减少对蚊帐的需求。为了实现驱虫蚊帐的长期可持续性，研究结果表明，在某些情况下可能需要全额或部分补贴，以鼓励家庭获得和使用蚊帐。考虑到综合疟疾控制干预措施可能产生的替代效应，以及不考虑家庭对疟疾预防的偏好的危险，成功的疟疾控制运动应将一部分资金投入到教育国税局的接受者和其他预防方法的使用者，让他们了解即使在没有蚊子的情况下使用蚊帐的重要性。
A key to making insecticide-treated nets (ITNs) a long-term, sustainable solution to the spread of malaria is understanding what drives their purchase and use. Few studies have analysed the determinants of demand for bed nets for malaria prevention at the household level, and in particular, how demand for nets compares with demand for other mosquito prevention methods. This study uses a household survey to assess the determinants of demand for bed nets in an area of endemic malaria transmission in rural, southern Mozambique. The study looks at willingness to pay (WTP) for bed nets, net ownership, usage, and past purchase behaviour, alongside expenditure and frequency of use of alternate methods for malaria prevention. While overall net ownership in the sample is low, the evidence fails to suggest that poorer households are less likely to own bed nets, when controlling for covariates, nor does the likelihood of receiving a free net depend on socioeconomic status (SES). Formal schooling and market knowledge seem to indicate higher average willingness to pay, while use of alternate methods for malaria prevention, and receipt of Indoor Residual Spraying (IRS) are found to decrease demand for bed nets. For long-term sustainability of ITNs to be realized, results suggest that either full or partial subsidies may be necessary in some contexts to encourage households to obtain and use nets. Given the possible substitution effects of combined malaria control interventions, and the danger of not taking into consideration household preferences for malaria prevention, successful malaria control campaigns should invest a portion of their funds towards educating recipients of IRS and users of other preventive methods on the importance of net use even in the absence of mosquitoes.
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影响因子：
168.9
作者：
Goodman, CA;Coleman, PG;Mills, AJ
通讯作者：
Mills, AJ
影响因子：
3.5
作者：
Filmer, D;Pritchett, LH
通讯作者：
Pritchett, LH
影响因子：
3
作者：
Mulligan, Jo-Ann;Yukich, Joshua;Hanson, Kara
通讯作者：
Hanson, Kara
DOI：
10.4269/ajtmh.1998.59.80
发表时间：
1998-07-01
影响因子：
3.3
作者：
Binka, FN;Indome, F;Smith, T
通讯作者：
Smith, T
DOI：
10.1016/s0035-9203(00)90103-2
发表时间：
2000-07-01
影响因子：
2.2
作者：
Howard, SC;Omumbo, J;Snow, RW
通讯作者：
Snow, RW