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Assessing bed net use and non-use after long-lasting insecticidal net distribution: a simple framework to guide programmatic strategies

BACKGROUND: Insecticide-treated nets (ITNs) are becoming increasingly available to vulnerable populations at risk for malaria. Their appropriate and consistent use is essential to preventing malaria, but ITN use often lags behind ITN ownership. In order to increase ITN use, it is necessary to devise...

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Autores principales: Vanden Eng, Jodi L, Thwing, Julie, Wolkon, Adam, Kulkarni, Manisha A, Manya, Ayub, Erskine, Marcy, Hightower, Allen, Slutsker, Laurence
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2890673/
https://www.ncbi.nlm.nih.gov/pubmed/20482776
http://dx.doi.org/10.1186/1475-2875-9-133
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author Vanden Eng, Jodi L
Thwing, Julie
Wolkon, Adam
Kulkarni, Manisha A
Manya, Ayub
Erskine, Marcy
Hightower, Allen
Slutsker, Laurence
author_facet Vanden Eng, Jodi L
Thwing, Julie
Wolkon, Adam
Kulkarni, Manisha A
Manya, Ayub
Erskine, Marcy
Hightower, Allen
Slutsker, Laurence
author_sort Vanden Eng, Jodi L
collection PubMed
description BACKGROUND: Insecticide-treated nets (ITNs) are becoming increasingly available to vulnerable populations at risk for malaria. Their appropriate and consistent use is essential to preventing malaria, but ITN use often lags behind ITN ownership. In order to increase ITN use, it is necessary to devise strategies that accurately identify, differentiate, and target the reasons and types of non-use. METHODS: A simple method based on the end-user as the denominator was employed to classify each individual into one of four ITN use categories: 1) living in households not owning an ITN; 2) living in households owning, but not hanging an ITN; 3) living in households owning and hanging an ITN, but who are not sleeping under one; and 4) sleeping under an ITN. This framework was applied to survey data designed to evaluate long-lasting insecticidal nets (LLINs) distributions following integrated campaigns in five countries: Togo, Sierra Leone, Madagascar, Kenya and Niger. RESULTS: The percentage of children <5 years of age sleeping under an ITN ranged from 51.5% in Kenya to 81.1% in Madagascar. Among the three categories of non-use, children living in households without an ITN make up largest group (range: 9.4%-30.0%), despite the efforts of the integrated child health campaigns. The percentage of children who live in households that own but do not hang an ITN ranged from 5.1% to 16.1%. The percentage of children living in households where an ITN was suspended, but who were not sleeping under it ranged from 4.3% to 16.4%. Use by all household members in Sierra Leone (39.9%) and Madagascar (60.4%) indicate that integrated campaigns reach beyond their desired target populations. CONCLUSIONS: The framework outlined in this paper provides a helpful tool to examine the deficiencies in ITN use. Monitoring and evaluation strategies designed to assess ITN ownership and use can easily incorporate this approach using existing data collection instruments that measure the standard indicators.
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spelling pubmed-28906732010-06-24 Assessing bed net use and non-use after long-lasting insecticidal net distribution: a simple framework to guide programmatic strategies Vanden Eng, Jodi L Thwing, Julie Wolkon, Adam Kulkarni, Manisha A Manya, Ayub Erskine, Marcy Hightower, Allen Slutsker, Laurence Malar J Research BACKGROUND: Insecticide-treated nets (ITNs) are becoming increasingly available to vulnerable populations at risk for malaria. Their appropriate and consistent use is essential to preventing malaria, but ITN use often lags behind ITN ownership. In order to increase ITN use, it is necessary to devise strategies that accurately identify, differentiate, and target the reasons and types of non-use. METHODS: A simple method based on the end-user as the denominator was employed to classify each individual into one of four ITN use categories: 1) living in households not owning an ITN; 2) living in households owning, but not hanging an ITN; 3) living in households owning and hanging an ITN, but who are not sleeping under one; and 4) sleeping under an ITN. This framework was applied to survey data designed to evaluate long-lasting insecticidal nets (LLINs) distributions following integrated campaigns in five countries: Togo, Sierra Leone, Madagascar, Kenya and Niger. RESULTS: The percentage of children <5 years of age sleeping under an ITN ranged from 51.5% in Kenya to 81.1% in Madagascar. Among the three categories of non-use, children living in households without an ITN make up largest group (range: 9.4%-30.0%), despite the efforts of the integrated child health campaigns. The percentage of children who live in households that own but do not hang an ITN ranged from 5.1% to 16.1%. The percentage of children living in households where an ITN was suspended, but who were not sleeping under it ranged from 4.3% to 16.4%. Use by all household members in Sierra Leone (39.9%) and Madagascar (60.4%) indicate that integrated campaigns reach beyond their desired target populations. CONCLUSIONS: The framework outlined in this paper provides a helpful tool to examine the deficiencies in ITN use. Monitoring and evaluation strategies designed to assess ITN ownership and use can easily incorporate this approach using existing data collection instruments that measure the standard indicators. BioMed Central 2010-05-18 /pmc/articles/PMC2890673/ /pubmed/20482776 http://dx.doi.org/10.1186/1475-2875-9-133 Text en Copyright ©2010 Eng 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
Vanden Eng, Jodi L
Thwing, Julie
Wolkon, Adam
Kulkarni, Manisha A
Manya, Ayub
Erskine, Marcy
Hightower, Allen
Slutsker, Laurence
Assessing bed net use and non-use after long-lasting insecticidal net distribution: a simple framework to guide programmatic strategies
title Assessing bed net use and non-use after long-lasting insecticidal net distribution: a simple framework to guide programmatic strategies
title_full Assessing bed net use and non-use after long-lasting insecticidal net distribution: a simple framework to guide programmatic strategies
title_fullStr Assessing bed net use and non-use after long-lasting insecticidal net distribution: a simple framework to guide programmatic strategies
title_full_unstemmed Assessing bed net use and non-use after long-lasting insecticidal net distribution: a simple framework to guide programmatic strategies
title_short Assessing bed net use and non-use after long-lasting insecticidal net distribution: a simple framework to guide programmatic strategies
title_sort assessing bed net use and non-use after long-lasting insecticidal net distribution: a simple framework to guide programmatic strategies
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2890673/
https://www.ncbi.nlm.nih.gov/pubmed/20482776
http://dx.doi.org/10.1186/1475-2875-9-133
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