Distribution Systems of Insecticide-treated Bed Nets for Malaria Control in Rural Burkina Faso: Cluster-randomized Controlled Trial

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2008 Sep 12

PMID 18784840

Citations 20

Authors

Olaf Muller

Manuela De Allegri

Heiko Becher

Justin Tiendrebogo

Claudia Beiersmann

Maurice Ye

Bocar Kouyate

Ali Sie

Albrecht Jahn

Affiliations

Soon will be listed here.

Abstract

Background: Insecticide-impregnated bed nets (ITNs) have been shown to be a highly effective tool against malaria in the endemic regions of sub-Saharan Africa (SSA). There are however different opinions about the role of ITN social marketing and ITN free distribution in the roll-out of ITN programmes. The objective of this study was to evaluate the effects of free ITN distribution through antenatal care services in addition to an ITN social marketing programme in an area typical for rural SSA.

Methods: A cluster-randomised controlled ITN trial took place in the whole Kossi Province in north-western Burkina Faso, an area highly endemic for malaria. Twelve clusters were assigned to long-term ITN (Serena brand) social marketing plus free ITN (Serena brand) distribution to all pregnant women attending governmental antenatal care services (group A), and 13 clusters to ITN social marketing only (group B). The intervention took place during the rainy season of 2006 and thereafter. The trial was evaluated through a representative household survey at baseline and after one year. Serena ITN household ownership was the primary outcome measure.

Findings: A total of 1052 households were visited at baseline in February 2006 and 1050 at follow-up in February 2007. Overall Serena ITN household ownership increased from 16% to 28% over the study period, with a significantly higher increase in group A (13% to 35%) than in group B (18% to 23%) (p<0.001).

Interpretation: The free distribution of ITNs to pregnant women through governmental antenatal care services in addition to ITN social marketing substantially improved ITN household ownership in rural Burkina Faso.

Trial Registration: Controlled-Trials.com ISRCTN07985309.

Citing Articles

Effectiveness of health education interventions to improve malaria knowledge and insecticide-treated nets usage among populations of sub-Saharan Africa: systematic review and meta-analysis.

Onyinyechi O, Nashriq Mohd Nazan A, Ismail S Front Public Health. 2023; 11:1217052.

PMID: 37601202 PMC: 10435857. DOI: 10.3389/fpubh.2023.1217052.

Utilization of Long-Lasting Insecticide Treated Nets and Parasitaemia at 6 Months after a Mass Distribution Exercise among Households in Mbarara Municipality, Uganda: A Cross-Sectional Community Based Study.

Nuwamanya S, Kansiime N, Aheebwe E, Akatukwasa C, Nabulo H, Turyakira E Malar Res Treat. 2018; 2018:4387506.

PMID: 30155242 PMC: 6093084. DOI: 10.1155/2018/4387506.

Evaluation of community-based continuous distribution of long-lasting insecticide-treated nets in Toamasina II District, Madagascar.

Zegers de Beyl C, Kilian A, Brown A, Sy-Ar M, Selby R, Randriamanantenasoa F Malar J. 2017; 16(1):327.

PMID: 28797252 PMC: 5553758. DOI: 10.1186/s12936-017-1985-7.

Understanding home delivery in a context of user fee reduction: a cross-sectional mixed methods study in rural Burkina Faso.

De Allegri M, Tiendrebeogo J, Muller O, Ye M, Jahn A, Ridde V BMC Pregnancy Childbirth. 2015; 15:330.

PMID: 26653013 PMC: 4676832. DOI: 10.1186/s12884-015-0764-0.

An insecticide-treated bed-net campaign and childhood malaria in Burkina Faso.

Louis V, Schoeps A, Tiendrebeogo J, Beiersmann C, Ye M, Damiba M Bull World Health Organ. 2015; 93(11):750-8.

PMID: 26549902 PMC: 4622154. DOI: 10.2471/BLT.14.147702.

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