Evaluation of the coverage and effective use rate of long-lasting insecticidal nets after nation-wide scale up of their distribution in Benin.

Evaluation of the coverage and effective use rate of long-lasting insecticidal nets after nation-wide scale up of their distribution in Benin.
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DOI:
10.1186/1756-3305-6-265
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发表时间:
2013-09-16
影响因子:
3.2
通讯作者:
Akogbeto MC
Akogbeto MC
中科院分区:
医学2区
文献类型:
--
作者:
Tokponnon FT;Aholoukpe B;Denon EY;Gnanguenon V;Bokossa A;N'guessan R;Oke M;Gazard DK;Akogbeto MC

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在贝宁,2011年向家庭免费分发了约400万顶长效驱虫蚊帐,以预防疟疾。与以前仅针对5岁以下儿童和孕妇的运动不同,这次分发运动是为了实现全民覆盖。这项研究提出了LLIN的覆盖率和分配运动后的使用结果。本研究是一项横断面住户调查,采用分层两阶段整群抽样设计。这些阶层代表了2011年全国分配运动所覆盖的12个省,包括在全国随机选择的总共4 800个家庭。采用了根据标准疟疾指标调查家庭问卷改编的问卷。使用QPS软件输入数据并使用R 2.14.1进行分析。LLIN拥有率为86.4%(74 - 94)。平均每个家庭收到3个长效驱虫蚊帐(2-4个)。符合两人一套蚊帐比例的家庭比例为77%。睡在LLINs下的人比例很高(84.8%)。城市居民LLIN使用率比农村地区有效使用者低10%(P = 0.00224)。在贝宁开展的普遍分发运动增加了社区对LLIN的拥有和使用。但还需要作出更多努力,以改善和维持LLIN的覆盖面。
In Benin, around four million Long-Lasting Insecticide-treated Nets were freely distributed to household to prevent malaria in 2011. In contrast to a previous campaign that targeted only children under 5 years and pregnant women, this distribution campaign was conducted in order to achieve universal coverage. This study presents the results of LLIN coverage and utilization after the distribution campaign. The study was a cross-sectional household survey which utilized a stratified two-stage cluster sampling design. The strata represented the twelve departments covered by the national distribution campaign in 2011 and included a total of 4,800 households randomly selected in the country. A questionnaire adapted from the standard Malaria Indicator Survey (MIS) Household Questionnaire was used. Data were entered using QPS software and analyzed with R 2.14.1. LLIN ownership was 86.4% (74 – 94). On average, each household received 3 LLINs (2–4). The proportion of households that met the ratio one net for two persons was 77%. The proportions of individuals sleeping under LLINs were high (84.8%). LLIN use among urban residents was 10% lower than in effective users from rural areas (P = 0.00224). The universal distribution campaign conducted in Benin has increased LLIN ownership and use in the community. But additional efforts are need to improve and maintain LLIN coverage.
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