Malaria control in central Malaita, Solomon Islands

Yohannes, Keflemariam; Dulhunty, Joel M.; Kourleoutov, Chaibai; Manuopangai, Vaipulu T.; Polyn, M. K.; Parks, William J.; Williams, Gail M.; Bryan, Joan H.

doi:10.1016/s0001-706x(00)00055-3

Cited by 37 publications

(18 citation statements)

References 15 publications

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“…This reason was also common in other African countries [6,10,20,21]. The other reasons given were based on cultural myths, and failure to use bed nets is often associated with misconceptions and cultural taboos [22].…”

Section: Discussionmentioning

confidence: 98%

The importance of education to increase the use of bed nets in villages outside of Kinshasa, Democratic Republic of the Congo

Ndjinga

Minakawa

2010

Malar J

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BackgroundMalaria is the most prominent disease in the Democratic Republic of the Congo (DRC), and long-lasting insecticide-treated nets (LLINs) have been distributed free of charge since 2006 to combat the disease. However, the success of this bed net campaign depends on sufficient bed net use in all age groups. This study was designed to examine the factors affecting bed net use in villages outside of Kinshasa.MethodsTwo villages along the Congo River, totalling 142 households with 640 residents, were surveyed using a standard questionnaire. The interview determined the number, ages, and sexes of family members; the education level of the family head; the number, colour, and type of nets owned; and the number of nets used in the previous night. The size of house was also measured, and numbers of rooms and beds were recorded. These variables were examined to reveal important factors that affect bed net use.ResultsA total of 469 nets were counted, and nearly all nets were white LLINs. Of these nets, 229 (48.8%) nets were used by 284 (44.4%) residents. Bed nets were used by over 90% of children 5 to 15 years of age, whereas less than 50% of the residents in other age groups used bed nets. The important variables affecting bed net use were numbers of beds and rooms in the house and the education level of the family head of household.ConclusionEducation was the most important factor affecting bed net use in the villages outside Kinshasa. Development of an educational programme, particularly one directed toward parents, is necessary to reduce misconceptions and increase prevalence of bed net use among all age groups.

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Section: Discussionmentioning

confidence: 98%

The importance of education to increase the use of bed nets in villages outside of Kinshasa, Democratic Republic of the Congo

Ndjinga

Minakawa

2010

Malar J

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“…Elsewhere, the cold rainy season has been reported to be a key reason for using MBNs [31, 32]. Some of the challenges of the study include the fact that there was no established list of households in any of the health areas and so systematic simple random selection of households was a little difficult.…”

Section: Discussionmentioning

confidence: 99%

Socio-demographic factors influencing the ownership and utilization of insecticide-treated bed nets among malaria vulnerable groups in the Buea Health District, Cameroon

et al. 2014

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BackgroundMalaria remains a public health problem and the use of insecticide-treated bed nets (ITNs) against it in vulnerable groups (pregnant women and children <5 years) is recommended in Cameroon. This study was aimed at assessing the socio-demographic factors influencing the ownership and utilization of ITNs among vulnerable groups in the Buea Health District (BHD).MethodsIn a cross-sectional survey a questionnaire was administered in households with at least a child <5 years and/pregnant woman in five health areas of the BHD. Information on demographic variables, household composition, mosquito bed net (MBN) ownership, utilization and factors influencing ownership and utilization was recorded.ResultsA total of 443 respondents were recruited and 208 (47.0%) possessed at least one MBN (total = 275 MBNs) with a median of 1.33 nets. Of the 275 nets found in households, 89 (32%) were potent ITNs and others had never been retreated/treated. Purchase of MBNs from the market was associated with marital status (P = 0.010) and urban settlement (P = 0.045). The number of respondents who did not know where to retreat/treat ITNs was significantly higher (P = 0.005) in urban than rural dwellers. The proportion of rural respondents who had once taken their MBNs for re-treatment was significantly higher (P = 0.002) than that of urban dwellers. MBN utilisation was 69.7% (95% confidence interval; CI = .63.2–75.6%). A total of 83.4%, 13.8% and 3.4% used MBNs throughout the year, during the rainy and dry seasons respectively. MBN use in children under five was associated with being from an urban area (P = 0.01). MBN use in pregnant women was associated with living in block-louver houses than in block-pane houses (P = 0.047).ConclusionsUtilization of MBN needs to be encouraged to match ownership while free distribution of ITNs to vulnerable groups needs to be continuous and consistent.Electronic supplementary materialThe online version of this article (doi:10.1186/1756-0500-7-624) contains supplementary material, which is available to authorized users.

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“…In March, 25.7% of the total bed nets were placed in the farming huts even though the study respondents reported that they rarely stayed at the huts overnight. There were two possible reasons for this: first, the nets may be used for nuisance protection during the day, as was reported in a number of studies [26,27]; second, the difficulty involved with frequently carrying a net between the main residences and farming huts [12]. Programme planners need to take the extra nets used in farming huts into account when they decide how many nets are required for distribution.…”

Section: Discussionmentioning

confidence: 99%

Is staying overnight in a farming hut a risk factor for malaria infection in a setting with insecticide-treated bed nets in rural Laos?

Nonaka

Laimanivong

Kobayashi

et al. 2010

Malar J

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BackgroundOvernight stays in farming huts are known to pose a risk of malaria infection. However, studies reporting the risk were conducted in the settings of poor net coverage. This study sought to assess whether an overnight stay in a farming hut is associated with an increased risk of malaria infection if insecticide-treated bed nets (ITNs) are properly used.MethodsA pair of cross-sectional surveys was carried out in the Lamarm district of Sekong province, Laos, in March (dry season) and August (rainy season) in 2008. Questionnaire-based interviews and blood examinations were conducted with farmers and their household members from three randomly selected villages in March (127 households, 891 people) and August (128 households, 919 people). Logistic regression analysis, adjusted for potential confounding factors, was used to assess the association between malaria infection status and frequency of overnight stays for the two weeks prior to the study in both the seasons.ResultsIn March, 13.7% of participants reported staying overnight in a farming hut at least once in the previous two weeks. The percentage increased to 74.6% in August. Not only adults but also young children stayed overnight as often as adults. The use of an ITN the preceding night was common both in farming huts (66.3% in March, 95.2% in August), and in main residences (85.8% in March, 92.5% in August). Logistic regression analysis showed no statistical association between malaria infection status and frequency of overnight stays in farming huts in either study period. However, people sharing one family type net with five people or more were significantly more likely to have malaria than those sharing a net with up to two people in the dry season.ConclusionsThis study showed that staying overnight in farming huts was not associated with an increased risk of malaria infection in the setting where ITNs were widely used in farming huts. It suggests that malaria infection during overnight stays in farming huts might be preventable if ITNs are properly used in rural Laos.

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Malaria control in central Malaita, Solomon Islands

Cited by 37 publications

References 15 publications

The importance of education to increase the use of bed nets in villages outside of Kinshasa, Democratic Republic of the Congo

The importance of education to increase the use of bed nets in villages outside of Kinshasa, Democratic Republic of the Congo

Socio-demographic factors influencing the ownership and utilization of insecticide-treated bed nets among malaria vulnerable groups in the Buea Health District, Cameroon

Is staying overnight in a farming hut a risk factor for malaria infection in a setting with insecticide-treated bed nets in rural Laos?

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