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Determining and addressing obstacles to the effective use of long-lasting insecticide-impregnated nets in rural Tanzania
BACKGROUND: The objective of this project was to achieve high, sustainable levels of net coverage in a village in rural Tanzania by combining free distribution of long-lasting insecticide-impregnated nets (LLINs) with community-tailored education. In Tanzania, malaria is the leading cause of morbidi...
Autores principales: | , , , , |
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2009
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2809069/ https://www.ncbi.nlm.nih.gov/pubmed/20043830 http://dx.doi.org/10.1186/1475-2875-8-315 |
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author | Widmar, Maria Nagel, Courtney J Ho, Deborah Y Benziger, Peter W Hennig, Nils |
author_facet | Widmar, Maria Nagel, Courtney J Ho, Deborah Y Benziger, Peter W Hennig, Nils |
author_sort | Widmar, Maria |
collection | PubMed |
description | BACKGROUND: The objective of this project was to achieve high, sustainable levels of net coverage in a village in rural Tanzania by combining free distribution of long-lasting insecticide-impregnated nets (LLINs) with community-tailored education. In Tanzania, malaria is the leading cause of morbidity and mortality. Although malaria bed nets have a well-established role in reducing disease burden, few rural households have access to nets, and effective use depends on personal practices and attitudes. METHODS: Five practices and attitudes inconsistent with effective LLIN use were identified from household interviews (n = 10). A randomized survey of villagers (n = 132) verified local prevalence of these practices and attitudes. Community leaders held an educational session for two members of every household addressing these practice and attitudes, demonstrating proper LLIN use, and emphasizing behaviour modification. Attendees received one or two LLINs per household. Surveys distributed three weeks (n = 104) and 15 months (n = 104) post-intervention assessed corrected practices and attitudes. Project efficacy was defined by correction of baseline practices and attitudes as well as high rates of reported daily net use, with statistical significance determined by chi-square test. RESULTS: Baseline interviews and surveys revealed incorrect practices and attitudes regarding 1) use of nets in dry season, 2) need to retreat LLINs, 3) children napping under nets, 4) need to repair nets, and 5) net procurement as a priority, with 53- 88.6% incorrect responses (11.4-47% correct responses). A three-week follow-up demonstrated 83-95% correct responses. Fifteen-month follow-up showed statistically significant (p < 0.01) corrections from baseline in all five practice and attitudes (39.4-93.3% correct answers). 89.4% of respondents reported using their nets every night, and 93.3% affirmed purchase of nets as a financial priority. CONCLUSIONS: Results suggest that addressing community-specific practices and attitudes prior to LLIN distribution promotes consistent and correct use, and helps change attitudes towards bed nets as a preventative health measure. Future LLIN distributions can learn from the paradigm established in this project. |
format | Text |
id | pubmed-2809069 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-28090692010-01-21 Determining and addressing obstacles to the effective use of long-lasting insecticide-impregnated nets in rural Tanzania Widmar, Maria Nagel, Courtney J Ho, Deborah Y Benziger, Peter W Hennig, Nils Malar J Research BACKGROUND: The objective of this project was to achieve high, sustainable levels of net coverage in a village in rural Tanzania by combining free distribution of long-lasting insecticide-impregnated nets (LLINs) with community-tailored education. In Tanzania, malaria is the leading cause of morbidity and mortality. Although malaria bed nets have a well-established role in reducing disease burden, few rural households have access to nets, and effective use depends on personal practices and attitudes. METHODS: Five practices and attitudes inconsistent with effective LLIN use were identified from household interviews (n = 10). A randomized survey of villagers (n = 132) verified local prevalence of these practices and attitudes. Community leaders held an educational session for two members of every household addressing these practice and attitudes, demonstrating proper LLIN use, and emphasizing behaviour modification. Attendees received one or two LLINs per household. Surveys distributed three weeks (n = 104) and 15 months (n = 104) post-intervention assessed corrected practices and attitudes. Project efficacy was defined by correction of baseline practices and attitudes as well as high rates of reported daily net use, with statistical significance determined by chi-square test. RESULTS: Baseline interviews and surveys revealed incorrect practices and attitudes regarding 1) use of nets in dry season, 2) need to retreat LLINs, 3) children napping under nets, 4) need to repair nets, and 5) net procurement as a priority, with 53- 88.6% incorrect responses (11.4-47% correct responses). A three-week follow-up demonstrated 83-95% correct responses. Fifteen-month follow-up showed statistically significant (p < 0.01) corrections from baseline in all five practice and attitudes (39.4-93.3% correct answers). 89.4% of respondents reported using their nets every night, and 93.3% affirmed purchase of nets as a financial priority. CONCLUSIONS: Results suggest that addressing community-specific practices and attitudes prior to LLIN distribution promotes consistent and correct use, and helps change attitudes towards bed nets as a preventative health measure. Future LLIN distributions can learn from the paradigm established in this project. BioMed Central 2009-12-31 /pmc/articles/PMC2809069/ /pubmed/20043830 http://dx.doi.org/10.1186/1475-2875-8-315 Text en Copyright ©2009 Widmar et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Widmar, Maria Nagel, Courtney J Ho, Deborah Y Benziger, Peter W Hennig, Nils Determining and addressing obstacles to the effective use of long-lasting insecticide-impregnated nets in rural Tanzania |
title | Determining and addressing obstacles to the effective use of long-lasting insecticide-impregnated nets in rural Tanzania |
title_full | Determining and addressing obstacles to the effective use of long-lasting insecticide-impregnated nets in rural Tanzania |
title_fullStr | Determining and addressing obstacles to the effective use of long-lasting insecticide-impregnated nets in rural Tanzania |
title_full_unstemmed | Determining and addressing obstacles to the effective use of long-lasting insecticide-impregnated nets in rural Tanzania |
title_short | Determining and addressing obstacles to the effective use of long-lasting insecticide-impregnated nets in rural Tanzania |
title_sort | determining and addressing obstacles to the effective use of long-lasting insecticide-impregnated nets in rural tanzania |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2809069/ https://www.ncbi.nlm.nih.gov/pubmed/20043830 http://dx.doi.org/10.1186/1475-2875-8-315 |
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