Sleeping arrangements under long-lasting impregnated mosquito nets: differences during low and high malaria transmission seasons

Fernando, Sumadhya Deepika; Abeyasinghe, Rabindra; Galappaththy, Gawrie N. L.; Gunawardena, Nalika; Ranasinghe, Athula; Rajapaksa, Lalini C.

doi:10.1016/j.trstmh.2008.10.018

Cited by 23 publications

(20 citation statements)

References 7 publications

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“…This prevents detailed analysis of the determinants of non-use among those with access which might inform BCC planning to improve targeting of messaging to these ‘hold outs’. However, analysis of use rates by age in households with enough nets compared to households without enough nets indicates that those most likely not to be using a net when nets are scarce are adolescents and the elderly [41], as adults and young children tend to be prioritized for net use [9], [14], [17], [20], [42]–[46]. Reported reasons for not using nets when one is available are well documented [21], [24], [47]–[49], and non-use is primarily due to lack of perceived mosquito density and hot nighttime temperatures [21].…”

Section: Discussionmentioning

confidence: 99%

Recalculating the Net Use Gap: A Multi-Country Comparison of ITN Use versus ITN Access

Koenker

Kilian²

2014

PLoS ONE

100

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Use of insecticide treated nets is widely recognized as one of the main interventions to prevent malaria and high use rates are a central goal of malaria programs. The gap between household ownership of at least one ITN and population use of ITN has in the past been seen as evidence for failure to achieve appropriate net use. However, past studies compared net use with ownership of at least one net, not access to sufficient nets within households. This study recalculates the net use gap in recent large household surveys using the comparison indicator of ‘access to nets within the household’ as now recommended by Roll Back Malaria and the World Health Organization. Data from 41 Demographic Health Surveys (DHS) and Malaria Indicator Surveys (MIS) (2005–2012) in sub-Saharan Africa were used. For each dataset three indicators were calculated: population access to ITN, population use of ITN, and household ownership of at least one ITN. The ITN use gap was expressed as the difference between one and the ratio of use to access. The median proportion of users compared to those with access was high, at 82.1%. Even at population access levels below 50%, a median 80.6% used an ITN given they had access, and this rate increased to 91.2% for access rates above 50%. Linear regression of use against access showed that 89.0% of household members with access to nets used them the night before. These results clearly show that previous interpretations of the net use gap as a failure of behavioral change communication interventions were not justified and that the gap was instead primarily driven by lack of intra-household access. They also demonstrate the usefulness of the newly recommended ITN indicators; access to an ITN within the household provides a much more accurate comparison of ITN use than ownership.

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Section: Discussionmentioning

confidence: 99%

Recalculating the Net Use Gap: A Multi-Country Comparison of ITN Use versus ITN Access

Koenker

Kilian²

2014

PLoS ONE

100

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“…Thus considerably lower than 80% of the targeted coverage of the Roll Back Malaria [13]. Moreover, this is higher than ITNs use rate in other malaria endemic countries, such as Iran (18.0%), Southern Ethiopia 15.8% [14], [3] and much lower than Sri Lanka (90%) and India (79.2%) [15], [16].…”

Section: Discussionmentioning

confidence: 99%

“…Overall Knowledge about ITN was calculated by adding up the score for each other across all (11) questions and the total score was (15). Poor Knowledge with score of less than the mean (<8.2) and Good Knowledge with the score equal to mean (8.2) or above.…”

Section: Figure 2 Overall Score Of Mother's Knowledge Attitudes Andmentioning

confidence: 99%

Knowledge, Attitude and Practices Among Mothers Towards Insecticide-Treated Nets in Abuharira Village -Um Remta Locality- The White Nile State -2015

Masaad¹,

Elmosaad²,

Mohammed³

et al. 2017

SJCM

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Abstract:Malaria is the most prevalent parasitic endemic disease in North Sudan, 75% of the total population is at risk.WHO recommends the use of insecticide-treated nets (ITNs) an effective malaria control strategy. This study was aimed to assess the knowledge, attitudes and practices of mother's about Insecticide-Treated Nets as one of the preventive measures against malaria. This is a descriptive community based study of (295) mothers living in Abo Harira village in North Sudan. The pre-tested structured questionnaire was used for data collection. Multivariate logistic regression was used to study association between the dependent and independent variables, using Spss version 20. The study showed that more than half (55.9%) of mothers had good knowledge regarding ITNs, In spite of good knowledge about ITNs, (66.8 %) of mothers still had negative attitude and only (27.8%) reported always sleeping under it. Multivariate analysis suggested that mothers aged ≤31 years were more likely to have good knowledge about ITNs compared with mother with age ≥ 32 years [OR; 0.5174 (95% CI: 0.2974-0.9001)]. Similarly, mothers who had formal education were more likely to have knowledge about ITNs, two time higher than those with informal education [OR; 2.2 (95% CI: 1.274-3.788)]. We observed that mothers with age ≤31 years had positive attitudes towards ITNs [OR=0.461; 95%CI= (0.2578-0.8232)]. In addition, mothers with formal education were more likely to have positive attitude toward ITNs two time higher than those with informal education [OR; 1.99 (95% CI: 1.1182-3.5731)]. Only association between income and practice is evident. Higher income group is more likely to practice preventive activities two time higher than those with low income group [OR; 1.69 (95% CI: 1.0158-2.8214)]. We Conclude that the attitude and practice of mothers to ITNs in this study was poor. Multivariate analysis revealed that knowledge of mothers about ITNs has significant association with age and education, also illustrate that mothers attitude towards ITNs has significant association with age, mother's work, education and monthly income. Therefore, Education System and the Malaria Control Programme in North Sudan should work closely, especially on malaria education for behaviour change as a key element for increasing utilization of ITNs.

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“…For instance, after conducting IDIs with 19 adults in Zanzibar, Beer et al found that young children received priority for net use when households had insufficient nets to protect all members [23]. In their survey of ITN use in over 2,400 Sri Lankan households, Fernando et al found that 75% and 90% of children under five slept under a net during low and high malaria transmission season, respectively [24,25]. Baume and Marin’s five-country population-based review of net use found “women of reproductive age and children under five… were most likely to use the net; least likely were children of age five to 14 and adult males.” The authors concluded that net campaigns should focus more on year-round use than biological vulnerability [14].…”

Section: Discussionmentioning

confidence: 99%

Decision-making on intra-household allocation of bed nets in Uganda: do households prioritize the most vulnerable members?

Lam

Harvey

Monroe

et al. 2014

Malar J

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BackgroundAccess to insecticide-treated bed nets has increased substantially in recent years, but ownership and use remain well below 100% in many malaria endemic areas. Understanding decision-making around net allocation in households with too few nets is essential to ensuring protection of the most vulnerable. This study explores household net allocation preferences and practices across four districts in Uganda.MethodsData collection consisted of eight focus group discussions, twelve in-depth interviews, and a structured questionnaire to inventory 107 sleeping spaces in 28 households.ResultsIn focus group discussions and in-depth interviews, participants almost unanimously stated that pregnant women, infants, and young children should be prioritized when allocating nets. However, sleeping space surveys reveal that heads of household sometimes receive priority over children less than five years of age when households have too few nets to cover all members.ConclusionsWhen asked directly, most net owners highlight the importance of allocating nets to the most biologically vulnerable household members. This is consistent with malaria behaviour change and health education messages. In actual allocation, however, factors other than biological vulnerability may influence who does and does not receive a net.

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Sleeping arrangements under long-lasting impregnated mosquito nets: differences during low and high malaria transmission seasons

Cited by 23 publications

References 7 publications

Recalculating the Net Use Gap: A Multi-Country Comparison of ITN Use versus ITN Access

Recalculating the Net Use Gap: A Multi-Country Comparison of ITN Use versus ITN Access

Knowledge, Attitude and Practices Among Mothers Towards Insecticide-Treated Nets in Abuharira Village -Um Remta Locality- The White Nile State -2015

Decision-making on intra-household allocation of bed nets in Uganda: do households prioritize the most vulnerable members?

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