title: [Low adherence and high cost as factors in the failure of the use of insecticide-impregnated mosquito bed nets in the control of malaria in the Brazilian Amazon].
abstract: In 1992 during a trial with deltamethrin-impregnated bed nets conducted in Porto Murtinho, municipality of Costa Marques, Rondônia, in the Brazilian Amazon, we investigated community compliance and the economic aspects capable of reducing the impact of this intervention on malaria morbidity. Impregnated bed nets were well accepted by the local population. However, compliance was found to be very low among adults over 15 years of age and mainly during the dry season. The cost of impregnated bed nets was US$18.83 for double-bed nets and US$13.82 for single bed nets. Despite the economic advantages of using impregnated bed nets subsidized by the government, the low compliance and local epidemiological factors do not allow to indicate the use of impregnated bed nets for mass malaria control in the Amazon region.
authors.affiliation: Núcleo de Medicina Tropical e Nutrição, Universidade de Brasilia, DF.
authors.forename: J B
authors.initials: JB
authors.lastname: Santos
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D001513:Beds / Q000191:economics / Q000706:statistics & numerical data; D001938:Brazil; D002648:Child; D002675:Child, Preschool; D003365:Costs and Cost Analysis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007306:Insecticides / Q000191:economics; D008288:Malaria / Q000191:economics / Q000517:prevention & control*; D008297:Male; D009032:Mosquito Control / Q000191:economics / Q000295:instrumentation* / Q000706:statistics & numerical data; D009570:Nitriles; D011722:Pyrethrins / Q000191:economics; D012959:Socioeconomic Factors
chemical_list: D007306:Insecticides; D009570:Nitriles; D011722:Pyrethrins; C017180:decamethrin