title: Assessing the impact of scaling-up bednet coverage through agricultural loan programmes: evidence from a cluster randomised controlled trial in Katete, Zambia.
abstract: To investigate the effectiveness of scaling-up existing bednet distribution campaigns, a randomised controlled trial with 516 farming households in Katete District, a rural area with highly endemic malaria in Zambia's Eastern Province, was evaluated. In the trial, selected farmers were assigned to bednet programmes that allowed them to obtain additional bednets for free or at subsidised prices through agricultural loan programmes. On average, 2.4 nets were distributed in the free distribution group and 0.9 in the net loan group. The marginal health impact of additional nets appears large, reducing the odds of self-reported all-cause morbidity by 40-42% and the odds of self-reported confirmed malaria by 53-60%.
authors.affiliation: Harvard School of Public Health, 665 Huntington Avenue, Building I, Boston, MA 02115, USA. gfink@hsph.harvard.edu
authors.forename: Günther
authors.initials: G
authors.lastname: Fink
authors.forename: Felix
authors.initials: F
authors.lastname: Masiye
mesh_terms: D000383:Agriculture; D016000:Cluster Analysis; D019033:Delivery of Health Care, Integrated / Q000191:economics / Q000379:methods*; D005260:Female; D005381:Financing, Organized; D006801:Humans; D057148:Insecticide-Treated Bednets / Q000191:economics*; D008288:Malaria / Q000453:epidemiology / Q000517:prevention & control*; D008297:Male; D009032:Mosquito Control / Q000191:economics / Q000379:methods*; D009313:National Health Programs; D015397:Program Evaluation; D015024:Zambia / Q000453:epidemiology