The potential role of the educational system in addressing the effect of inadequate knowledge of mosquitoes on use of insecticide-treated nets in Ghana

Andreas Kudom & Ben Mensah | 15 Sep 2010 | Malaria Journal

The study reveals that respondents did not have adequate knowledge on the biology and behaviour of mosquitoes.

Decreased motivation in the use of insecticide-treated nets in a malaria endemic area in Burkina Faso

Lea Pare Toe et al | 29 Jul 2009 | Malaria Journal

The use of insecticide-treated nets (ITNs) is an important tool in the Roll Back Malaria strategy. For ITNs to be effective they need to be used correctly. Previous studies have shown that many factors, such as wealth, access to health care, education, ethnicity and gender, determine the ownership and use of ITNs.

Household possession, use and non-use of treated or untreated mosquito nets in two ecologically diverse regions of Nigeria - Niger Delta and Sahel Savannah

Bamgboye M. Afolabi et al | 19 Feb 2009 | Malaria Journal

This study found that despite the fact that treated nets were distributed widely across Nigeria, the use of this commodity was still very low in the Sahel Savanna region. Future campaigns should include more purposeful social and health education on the importance and advantages of the use of treated nets to save lives in the Sahel Savannah region of Nigeria.

Gains in awareness, ownership and use of insecticide-treated nets in Nigeria, Senegal, Uganda and Zambia

Carol A Baume & Celeste Marin | 07 Aug 2008 | Malaria Journal

In April 2000, the Roll Back Malaria (RBM) "Abuja Summit" set a target of having at least 60% of pregnant women and children under five use insecticide-treated nets (ITNs). Thereafter, programmes were implemented to create demand, reduce taxes and tariffs, spur the commercial market, and reach vulnerable populations with free or subsidized ITNs. Using national ITN monitoring data from the USAID-sponsored AED/NetMark project, this article examines the extent to which these activities were successful in increasing awareness, ownership, and use of nets and ITNs.

Utilization of insecticide-treated nets by under-five children in Nigeria: Assessing progress towards the Abuja targets

Olusola B. Oresanya, Moshe Hoshen & Olayemi T. Sofola | 30 Jul 2008 | Malaria Journal

Household ownership of any net in Nigeria was 23.9% (95% CI, 22.8%-25.1%) and 10.1% for ITNs (95% CI, 9.2%-10.9%). Education, wealth index, presence of an under-five child in the household, family size, residence, and region by residence were predictive of ownership of any net. The presence of an under-five child in the household, family size, education, presence of health facility in the community, gender of household head, region by residence and wealth index by education predicted ITN ownership. Utilization of any net by children under-five was 11.5% (95% CI, 10.4%-12.6%) and 1.7% (95% CI, 1.3%-2.2%) for ITN. Predictors of use of any net among under-five children were fever in the previous two weeks, presence of health facility in the community, caregiver's education, residence, and wealth index by caregiver's education; while religion, presence of health facility and wealth index by caregiver's education predicted the use of ITN among this group.

Increasing Coverage and Decreasing Inequity in Insecticide-Treated Bed Net Use among Rural Kenyan Children

Noor et al. | 21 Aug 2007 | PloS Medicine

Rapid scaling up of ITN coverage among Africa's poorest rural children can be achieved through mass distribution campaigns. These efforts must form an important adjunct to regular, routine access to ITNs through clinics, and each complimentary approach should aim to make this intervention free to clients to ensure equitable access among those least able to afford even the cost of a heavily subsidized net.

Discussion on Modes of Mosquito Net Distribution

| 25 Jul 2007 | Africa Fighting Malaria

Several articles were published this month on modes of distribution for long-lasting insecticidal nets (LLINs).

Sustained high coverage of insecticide-treated bednets through combined Catch-up and Keep-up strategies

Grabowsky et al. | 01 Jul 2007 | Tropical Medicine and International Health

A high level of ITN coverage and use was achieved and sustained by sequential community-based mass campaign Catch-up and clinic-based Keep-up distribution. The campaign nets covered virtually all extant households while clinic-based distribution provided nets for the new sleeping spaces created post-campaign. Because nets can be shared, and most children are born into families that already have a net, the number of new nets needed to sustain high coverage is substantially lower than the number of newborn children. A Catch-up/Keep-up strategy combining mass campaigns for children and clinic-based distribution to pregnant women is an efficient strategy for achieving and sustaining high net coverage. Assuring proper use of nets is a remaining challenge.

Malaria control needs mass distribution of insecticidal bednets

Teklehaimanot et al. | 30 Jun 2007 | The Lancet

Long-lasting insecticidal bednets (LLINs) are one of the major ways to control malaria, and they are widely accepted worldwide by communities in areas affected by malaria. One LLIN costs about US$5 to manufacture and is effective for about 5 years. They have two kinds of protective effects—one for the people directly under the nets, and one for the community at large. The second effect is important, but often ignored. By achieving high community coverage to ensure a substantial community protection, malaria-control efforts can be more powerful than when only individual protection is attempted.

Quick Wins Versus Sustainability: Options for the Upscaling of Insecticide-Treated Nets

Christian Lengeler et al | 01 May 2007 | American Journal of Tropical Medicine and Hygiene

A review of the main elements determining strategic choices for the large-scale distribution of insecticide-treated nets (ITNs) clearly shows the need for multiple strategies. Mass distributions of free nets provide a unique opportunity to achieve quickly high coverage rates. However, there is also a need for additional approaches to 1) provide continuous provision of ITNs for newly pregnant women and their babies and 2) provide protection for the rest of the population. Targeted subsidies will continue to be an important tool to achieve the first objective, either through direct distribution of ITNs or through vouchers. To achieve objective 2, a strong and competitive commercial sector for ITNs seems to be a good option. It is clear that "one size doesn't fit all," and more experience needs to be gathered and shared. With planning and good promotion campaigns, these strategies can co-exist and re-enforce each other.