title: Contribution of integrated campaign distribution of long-lasting insecticidal nets to coverage of target groups and total populations in malaria-endemic areas in Madagascar.
abstract: In October 2007, Madagascar conducted a nationwide integrated campaign to deliver measles vaccination, mebendazole, and vitamin A to children six months to five years of age. In 59 of the 111 districts, long-lasting insecticidal nets (LLINs) were delivered to children less than five years of age in combination with the other interventions. A community-based, cross-sectional survey assessed LLIN ownership and use six months post-campaign during the rainy season. LLIN ownership was analyzed by wealth quintile to assess equity. In the 59 districts, 76.8% of households possessed at least one LLIN from any source and 56.4% of households possessed a campaign net. Equity of campaign net ownership was evident. Post-campaign, the LLIN use target of > or = 80% by children less than five years of age and a high level of LLIN use (69%) by pregnant women were attained. Targeted LLIN distribution further contributed to total population coverage (60%) through use of campaign nets by all age groups.
authors.affiliation: HealthBridge, Ottawa, Ontario, Canada. mkulkarni@healthbridge.ca
authors.forename: Manisha A
authors.initials: MA
authors.lastname: Kulkarni
authors.forename: Jodi
authors.initials: J
authors.lastname: Vanden Eng
authors.forename: Rachelle E
authors.initials: RE
authors.lastname: Desrochers
authors.forename: Annett Hoppe
authors.initials: AH
authors.lastname: Cotte
authors.forename: James L
authors.initials: JL
authors.lastname: Goodson
authors.forename: Adam
authors.initials: A
authors.lastname: Johnston
authors.forename: Adam
authors.initials: A
authors.lastname: Wolkon
authors.forename: Marcy
authors.initials: M
authors.lastname: Erskine
authors.forename: Peter
authors.initials: P
authors.lastname: Berti
authors.forename: Andriamahefa
authors.initials: A
authors.lastname: Rakotoarisoa
authors.forename: Louise
authors.initials: L
authors.lastname: Ranaivo
authors.forename: Jason
authors.initials: J
authors.lastname: Peat
mesh_terms: D000328:Adult; D002675:Child, Preschool; D019353:Endemic Diseases; D005260:Female; D006801:Humans; D007223:Infant; D057148:Insecticide-Treated Bednets; D008270:Madagascar / Q000453:epidemiology; D008288:Malaria / Q000453:epidemiology / Q000517:prevention & control*; D008297:Male; D009032:Mosquito Control; D011247:Pregnancy