title: Community coverage with insecticide-treated mosquito nets and observed associations with all-cause child mortality and malaria parasite infections.
abstract: Randomized trials and mathematical modeling suggest that insecticide-treated mosquito nets (ITNs) provide community-level protection to both those using ITNs and those without individual access. Using nationally representative household survey datasets from 17 African countries, we examined whether community ITN coverage is associated with malaria infections in children < 5 years old and all-cause child mortality (ACCM) among children < 5 years old in households with one or more ITNs versus without any type of mosquito net (treated or untreated). Increasing ITN coverage (> 50%) was protective against malaria infections and ACCM for children in households with an ITN, although this protection was not conferred to children in households without ITNs in these data. Children in households with ITNs were protected against malaria infections and ACCM with ITN coverage > 30%, but this protection was not significant with ITN coverage < 30%. Results suggest that ITNs are more effective with higher ITN coverage.
authors.affiliation: Department of Public Health, Food Studies and Nutrition, Syracuse University, Syracuse, New York; Department of Global Health Systems and Development, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Malaria Elimination Initiative, Global Health Group, University of California, San Francisco, California; Center for Applied Malaria Research and Evaluation, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Global Health Group, University of California, San Francisco, California dalarsen@syr.edu.
authors.forename: David A
authors.initials: DA
authors.lastname: Larsen
authors.affiliation: Department of Public Health, Food Studies and Nutrition, Syracuse University, Syracuse, New York; Department of Global Health Systems and Development, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Malaria Elimination Initiative, Global Health Group, University of California, San Francisco, California; Center for Applied Malaria Research and Evaluation, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Global Health Group, University of California, San Francisco, California.
authors.forename: Paul
authors.initials: P
authors.lastname: Hutchinson
authors.affiliation: Department of Public Health, Food Studies and Nutrition, Syracuse University, Syracuse, New York; Department of Global Health Systems and Development, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Malaria Elimination Initiative, Global Health Group, University of California, San Francisco, California; Center for Applied Malaria Research and Evaluation, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Global Health Group, University of California, San Francisco, California.
authors.forename: Adam
authors.initials: A
authors.lastname: Bennett
authors.affiliation: Department of Public Health, Food Studies and Nutrition, Syracuse University, Syracuse, New York; Department of Global Health Systems and Development, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Malaria Elimination Initiative, Global Health Group, University of California, San Francisco, California; Center for Applied Malaria Research and Evaluation, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Global Health Group, University of California, San Francisco, California.
authors.forename: Joshua
authors.initials: J
authors.lastname: Yukich
authors.affiliation: Department of Public Health, Food Studies and Nutrition, Syracuse University, Syracuse, New York; Department of Global Health Systems and Development, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Malaria Elimination Initiative, Global Health Group, University of California, San Francisco, California; Center for Applied Malaria Research and Evaluation, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Global Health Group, University of California, San Francisco, California.
authors.forename: Philip
authors.initials: P
authors.lastname: Anglewicz
authors.affiliation: Department of Public Health, Food Studies and Nutrition, Syracuse University, Syracuse, New York; Department of Global Health Systems and Development, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Malaria Elimination Initiative, Global Health Group, University of California, San Francisco, California; Center for Applied Malaria Research and Evaluation, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Global Health Group, University of California, San Francisco, California.
authors.forename: Joseph
authors.initials: J
authors.lastname: Keating
authors.affiliation: Department of Public Health, Food Studies and Nutrition, Syracuse University, Syracuse, New York; Department of Global Health Systems and Development, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Malaria Elimination Initiative, Global Health Group, University of California, San Francisco, California; Center for Applied Malaria Research and Evaluation, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Global Health Group, University of California, San Francisco, California.
authors.forename: Thomas P
authors.initials: TP
authors.lastname: Eisele
mesh_terms: D000349:Africa; D046688:Child Mortality; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005191:Family Characteristics; D005260:Female; D006801:Humans; D007223:Infant; D057148:Insecticide-Treated Bednets; D016015:Logistic Models; D008288:Malaria / Q000401:mortality* / Q000517:prevention & control*; D008297:Male; D009032:Mosquito Control / Q000379:methods; D012111:Residence Characteristics; D012959:Socioeconomic Factors; D016896:Treatment Outcome