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Sleeping arrangements and mass distribution of bed nets in six districts in central and northern Mozambique

OBJECTIVE: Universal coverage with insecticide‐treated bed nets is a cornerstone of modern malaria control. Mozambique has developed a novel bed net allocation strategy, where the number of bed nets allocated per household is calculated on the basis of household composition and assumptions about who...

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Autores principales: Plucinski, M. M., Chicuecue, S., Macete, E., Chambe, G. A., Muguande, O., Matsinhe, G., Colborn, J., Yoon, S. S., Doyle, T. J., Kachur, S. P., Aide, P., Alonso, P. L., Guinovart, C., Morgan, J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4738406/
https://www.ncbi.nlm.nih.gov/pubmed/26338026
http://dx.doi.org/10.1111/tmi.12596
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author Plucinski, M. M.
Chicuecue, S.
Macete, E.
Chambe, G. A.
Muguande, O.
Matsinhe, G.
Colborn, J.
Yoon, S. S.
Doyle, T. J.
Kachur, S. P.
Aide, P.
Alonso, P. L.
Guinovart, C.
Morgan, J.
author_facet Plucinski, M. M.
Chicuecue, S.
Macete, E.
Chambe, G. A.
Muguande, O.
Matsinhe, G.
Colborn, J.
Yoon, S. S.
Doyle, T. J.
Kachur, S. P.
Aide, P.
Alonso, P. L.
Guinovart, C.
Morgan, J.
author_sort Plucinski, M. M.
collection PubMed
description OBJECTIVE: Universal coverage with insecticide‐treated bed nets is a cornerstone of modern malaria control. Mozambique has developed a novel bed net allocation strategy, where the number of bed nets allocated per household is calculated on the basis of household composition and assumptions about who sleeps with whom. We set out to evaluate the performance of the novel allocation strategy. METHODS: A total of 1994 households were visited during household surveys following two universal coverage bed net distribution campaigns in Sofala and Nampula provinces in 2010–2013. Each sleeping space was observed for the presence of a bed net, and the sleeping patterns for each household were recorded. The observed coverage and efficiency were compared to a simulated coverage and efficiency had conventional allocation strategies been used. A composite indicator, the product of coverage and efficiency, was calculated. Observed sleeping patterns were compared with the sleeping pattern assumptions. RESULTS: In households reached by the campaign, 93% (95% CI: 93–94%) of sleeping spaces in Sofala and 84% (82–86%) in Nampula were covered by campaign bed nets. The achieved efficiency was high, with 92% (91–93%) of distributed bed nets in Sofala and 93% (91–95%) in Nampula covering a sleeping space. Using the composite indicator, the novel allocation strategy outperformed all conventional strategies in Sofala and was tied for best in Nampula. The sleeping pattern assumptions were completely satisfied in 66% of households in Sofala and 56% of households in Nampula. The most common violation of the sleeping pattern assumptions was that male children 3–10 years of age tended not to share sleeping spaces with female children 3–10 or 10–16 years of age. CONCLUSIONS: The sleeping pattern assumptions underlying the novel bed net allocation strategy are generally valid, and net allocation using these assumptions can achieve high coverage and compare favourably with conventional allocation strategies.
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spelling pubmed-47384062016-02-12 Sleeping arrangements and mass distribution of bed nets in six districts in central and northern Mozambique Plucinski, M. M. Chicuecue, S. Macete, E. Chambe, G. A. Muguande, O. Matsinhe, G. Colborn, J. Yoon, S. S. Doyle, T. J. Kachur, S. P. Aide, P. Alonso, P. L. Guinovart, C. Morgan, J. Trop Med Int Health Original Research Papers OBJECTIVE: Universal coverage with insecticide‐treated bed nets is a cornerstone of modern malaria control. Mozambique has developed a novel bed net allocation strategy, where the number of bed nets allocated per household is calculated on the basis of household composition and assumptions about who sleeps with whom. We set out to evaluate the performance of the novel allocation strategy. METHODS: A total of 1994 households were visited during household surveys following two universal coverage bed net distribution campaigns in Sofala and Nampula provinces in 2010–2013. Each sleeping space was observed for the presence of a bed net, and the sleeping patterns for each household were recorded. The observed coverage and efficiency were compared to a simulated coverage and efficiency had conventional allocation strategies been used. A composite indicator, the product of coverage and efficiency, was calculated. Observed sleeping patterns were compared with the sleeping pattern assumptions. RESULTS: In households reached by the campaign, 93% (95% CI: 93–94%) of sleeping spaces in Sofala and 84% (82–86%) in Nampula were covered by campaign bed nets. The achieved efficiency was high, with 92% (91–93%) of distributed bed nets in Sofala and 93% (91–95%) in Nampula covering a sleeping space. Using the composite indicator, the novel allocation strategy outperformed all conventional strategies in Sofala and was tied for best in Nampula. The sleeping pattern assumptions were completely satisfied in 66% of households in Sofala and 56% of households in Nampula. The most common violation of the sleeping pattern assumptions was that male children 3–10 years of age tended not to share sleeping spaces with female children 3–10 or 10–16 years of age. CONCLUSIONS: The sleeping pattern assumptions underlying the novel bed net allocation strategy are generally valid, and net allocation using these assumptions can achieve high coverage and compare favourably with conventional allocation strategies. John Wiley and Sons Inc. 2015-09-28 2015-12 /pmc/articles/PMC4738406/ /pubmed/26338026 http://dx.doi.org/10.1111/tmi.12596 Text en © 2015 The Authors. Tropical Medicine & International Health Published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial (http://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Research Papers
Plucinski, M. M.
Chicuecue, S.
Macete, E.
Chambe, G. A.
Muguande, O.
Matsinhe, G.
Colborn, J.
Yoon, S. S.
Doyle, T. J.
Kachur, S. P.
Aide, P.
Alonso, P. L.
Guinovart, C.
Morgan, J.
Sleeping arrangements and mass distribution of bed nets in six districts in central and northern Mozambique
title Sleeping arrangements and mass distribution of bed nets in six districts in central and northern Mozambique
title_full Sleeping arrangements and mass distribution of bed nets in six districts in central and northern Mozambique
title_fullStr Sleeping arrangements and mass distribution of bed nets in six districts in central and northern Mozambique
title_full_unstemmed Sleeping arrangements and mass distribution of bed nets in six districts in central and northern Mozambique
title_short Sleeping arrangements and mass distribution of bed nets in six districts in central and northern Mozambique
title_sort sleeping arrangements and mass distribution of bed nets in six districts in central and northern mozambique
topic Original Research Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4738406/
https://www.ncbi.nlm.nih.gov/pubmed/26338026
http://dx.doi.org/10.1111/tmi.12596
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