Insecticide-treated nets ownership and utilization among under-five children following the 2010 mass distribution in Burkina Faso

Abstract

BackgroundPeriodic mass distributions contribute significantly to universal access to insecticide-treated nets (ITNs). However, due to the limited number of nets distributed, needs remain unsatisfied, particularly in large households.MethodsThis study was conducted in Kaya health district following the 2010 mass distribution of ITNs in Burkina Faso. Data were collected on the socio-economic and geo-spatial characteristics and ITN possession and utilization levels of 2,004 households. The study explored: 1) ITN access, in terms of intra-household saturation with ITNs (households with at least one ITN for every two members) correctly installed and in very good physical condition; and 2) factors influencing the decision to place under-five children under a net. Particular attention was given to vector control activities undertaken by mothers.ResultsOf the 2,004 households, 90% possessed at least one ITN. However, intra-household saturation with ITNs was below 60% in small households and below 20% in large ones (>6 members). Crude proportion ratios comparing possession and levels of intra-household saturation with ITNs varied between 1.5 (small households) and 7.8 (large households). The proportions of households with ITNs for every two members that were correctly hung or in very good physical condition ranged from 0% to 6.5% in large households and 27.8% to 40.7% in small ones. ITN use to protect under-five children was lower in large households; it was significantly higher when there was at least one ITN for every two members. In large households, it was significantly higher when a child had experienced an episode of any illness in the previous two weeks and when the mother had taken actions to control vector proliferation. In small households, ITN use was significantly higher in families with agricultural land and children aged 12–23 months.ConclusionOwnership rates were high, but real access to bed nets remained limited. The allocation process disadvantages large families. Real access to bed nets implies they are available, properly installed, and in good condition. More post-campaign awareness-raising activities targeting preventive practices in households could foster more effective ITN use.

Insecticide-Treated Nets Utilization and Associated Factors among under-5 Years Old Children in Mirab-Abaya District, Gamo-Gofa Zone, Ethiopia

“…The finding was in line with slight difference with the study from Southern Ethiopia, which was 27.2% (15). However, it was boldly lower than a study conducted in malaria endemic areas of Raya Alamata District, Ethiopia 71% and in Burkina Faso, 70% (13, 22). The possible explanation for such discrepancies could be geographical variations, the time gap between distributions of ITNs, and survey period and also other age groups might be utilized as evidenced in these studies (6).…”

“…This is consistent with findings from Ethiopia and Kenya (10, 17). In contrary from Ethiopian and Kenyan study evidences, a study conducted at Burkina Faso showed that family size showed no significant difference in under five ITNs utilization (22). The possible explanations for this might be in proportionate family size with the number of bed rooms or separate sleeping space.…”

“…Many studies in Africa had showed similar findings (17, 20, 21). However, a study done in Burkina Faso had shown no significant difference between ITNs utilization and family size (22) and sharing of sleeping space increases ITNs utilization in Nigeria (20). …”

Efficacy of Olyset Duo, a bednet containing pyriproxyfen and permethrin, versus a permethrin-only net against clinical malaria in an area with highly pyrethroid-resistant vectors in rural Burkina Faso: a cluster-randomised controlled trial

“…[3] Mi ssing for one mosquito i n the PPF-LLIN arm. [4] See methods for es timation details. Grey horizontal bands indicate the four surveys that were conducted during the trial (see Figure 2).…”

“…It is also one of the few countries with no significant association between LLIN ownership and reduction in child mortality . 3 Even though approximately 90% of households in 2013 owned at least one LLIN, 4,5 national surveys show little impact on Plasmodium falciparum prevalence, with 61% of children aged six months to five years infected in 2014. 5 One possible reason for the lack of impact in the past and the rising number of cases in recent years is the increasing insecticide resistance in vectors seen in Burkina Faso 6 and across most of sub-Saharan Africa.…”