Contribution of integrated campaign distribution of long-lasting insecticidal nets to coverage of target groups and total populations in malaria-endemic areas in Madagascar.
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.
Kulkarni
Manisha A
MA
HealthBridge, Ottawa, Ontario, Canada. mkulkarni@healthbridge.ca
Vanden Eng
Jodi
J
Desrochers
Rachelle E
RE
Cotte
Annett Hoppe
AH
Goodson
James L
JL
Johnston
Adam
A
Wolkon
Adam
A
Erskine
Marcy
M
Berti
Peter
P
Rakotoarisoa
Andriamahefa
A
Ranaivo
Louise
L
Peat
Jason
J
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