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Gains in awareness, ownership and use of insecticide-treated nets in Nigeria, Senegal, Uganda and Zambia.

Baume CA, Marin MC - Malar. J. (2008)

Bottom Line: Thereafter, programmes were implemented to create demand, reduce taxes and tariffs, spur the commercial market, and reach vulnerable populations with subsidized ITNs.The results show the impact of ITN activities before the launch of massive free net distribution programmes.A mix of demand creation, a strengthened commercial sector, reduced taxes and tariffs, and programmes making ITNs available at reduced prices resulted in impressive gains in awareness, ownership, and use of nets and ITNs in Nigeria, Senegal, Zambia, and Uganda between 2000 and 2004-2006.

View Article: PubMed Central - HTML - PubMed

Affiliation: Academy for Educational Development, 1825 Connecticut Avenue NW, Washington, DC 20009, USA. cbaume@aed.org

ABSTRACT

Background: In April 2000, the Roll Back Malaria (RBM) "Abuja Summit" set a target of having at least 60% of pregnant women and children under five use insecticide-treated nets (ITNs). Thereafter, programmes were implemented to create demand, reduce taxes and tariffs, spur the commercial market, and reach vulnerable populations with subsidized ITNs. Using national ITN monitoring data from the USAID-sponsored AED/NetMark project, this article examines the extent to which these activities were successful in increasing awareness, ownership, and use of nets and ITNs.

Methods: A series of surveys with standardized sampling and measurement methods was used to compare four countries at two points in time. Surveys were conducted in 2000 and again in 2004 (Nigeria, Senegal, Zambia) or 2006 (Uganda). They contained questions permitting classification of each net as untreated, ever-treated or currently-treated (an ITN). Household members as well as nets owned were enumerated so that households, household members, and nets could be used as units of analysis. Several measures of net/ITN ownership, plus RBM ITN use indicators, were calculated. The results show the impact of ITN activities before the launch of massive free net distribution programmes.

Results: In 2000, treated nets were just being introduced to the public, but four to six years later the awareness of ITNs was nearly universal in all countries but Nigeria, where awareness increased from 7% to 60%. By any measure, there were large increases in ownership of nets, especially treated nets, in all countries. All countries but Nigeria made commensurate gains in the proportion of under-fives sleeping under a net/ITN, and in all countries the proportion of pregnant women sleeping under a net/ITN increased greatly.

Conclusion: A mix of demand creation, a strengthened commercial sector, reduced taxes and tariffs, and programmes making ITNs available at reduced prices resulted in impressive gains in awareness, ownership, and use of nets and ITNs in Nigeria, Senegal, Zambia, and Uganda between 2000 and 2004-2006. None of the countries reached the ambitious Abuja targets for ITN use, but they made substantial progress towards them.

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Percent of households owning at least one net/ITN. The bottom segment shows households owning at least one ITN (a net treated within the past year), the middle segment shows the percent of households owning at least one net that was treated more than 12 months ago, and the top segment shows the percent owning an untreated net.
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Figure 2: Percent of households owning at least one net/ITN. The bottom segment shows households owning at least one ITN (a net treated within the past year), the middle segment shows the percent of households owning at least one net that was treated more than 12 months ago, and the top segment shows the percent owning an untreated net.

Mentions: By any measure, there were large increases in the ownership of nets, and especially treated nets, in all countries (Figure 2). The countries with the lowest percent of households owning a net to begin with doubled their net coverage, and those with higher initial coverage made very large gains. For example, between 2000 and 2004, the percent of households owning a hanging net (treated or untreated) rose from 12% to 27% in Nigeria and from 34% to 56% in Senegal. For ever-treated nets, the rise was from 0% to 10% in Nigeria and from 11% to 43% in Senegal. There were especially large increases in the percent of households owning an ITN – from 8% to 39% in Senegal between 2000 and 2004, and from 1% to 21% in Uganda between 2000 and 2006.


Gains in awareness, ownership and use of insecticide-treated nets in Nigeria, Senegal, Uganda and Zambia.

Baume CA, Marin MC - Malar. J. (2008)

Percent of households owning at least one net/ITN. The bottom segment shows households owning at least one ITN (a net treated within the past year), the middle segment shows the percent of households owning at least one net that was treated more than 12 months ago, and the top segment shows the percent owning an untreated net.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2527013&req=5

Figure 2: Percent of households owning at least one net/ITN. The bottom segment shows households owning at least one ITN (a net treated within the past year), the middle segment shows the percent of households owning at least one net that was treated more than 12 months ago, and the top segment shows the percent owning an untreated net.
Mentions: By any measure, there were large increases in the ownership of nets, and especially treated nets, in all countries (Figure 2). The countries with the lowest percent of households owning a net to begin with doubled their net coverage, and those with higher initial coverage made very large gains. For example, between 2000 and 2004, the percent of households owning a hanging net (treated or untreated) rose from 12% to 27% in Nigeria and from 34% to 56% in Senegal. For ever-treated nets, the rise was from 0% to 10% in Nigeria and from 11% to 43% in Senegal. There were especially large increases in the percent of households owning an ITN – from 8% to 39% in Senegal between 2000 and 2004, and from 1% to 21% in Uganda between 2000 and 2006.

Bottom Line: Thereafter, programmes were implemented to create demand, reduce taxes and tariffs, spur the commercial market, and reach vulnerable populations with subsidized ITNs.The results show the impact of ITN activities before the launch of massive free net distribution programmes.A mix of demand creation, a strengthened commercial sector, reduced taxes and tariffs, and programmes making ITNs available at reduced prices resulted in impressive gains in awareness, ownership, and use of nets and ITNs in Nigeria, Senegal, Zambia, and Uganda between 2000 and 2004-2006.

View Article: PubMed Central - HTML - PubMed

Affiliation: Academy for Educational Development, 1825 Connecticut Avenue NW, Washington, DC 20009, USA. cbaume@aed.org

ABSTRACT

Background: In April 2000, the Roll Back Malaria (RBM) "Abuja Summit" set a target of having at least 60% of pregnant women and children under five use insecticide-treated nets (ITNs). Thereafter, programmes were implemented to create demand, reduce taxes and tariffs, spur the commercial market, and reach vulnerable populations with subsidized ITNs. Using national ITN monitoring data from the USAID-sponsored AED/NetMark project, this article examines the extent to which these activities were successful in increasing awareness, ownership, and use of nets and ITNs.

Methods: A series of surveys with standardized sampling and measurement methods was used to compare four countries at two points in time. Surveys were conducted in 2000 and again in 2004 (Nigeria, Senegal, Zambia) or 2006 (Uganda). They contained questions permitting classification of each net as untreated, ever-treated or currently-treated (an ITN). Household members as well as nets owned were enumerated so that households, household members, and nets could be used as units of analysis. Several measures of net/ITN ownership, plus RBM ITN use indicators, were calculated. The results show the impact of ITN activities before the launch of massive free net distribution programmes.

Results: In 2000, treated nets were just being introduced to the public, but four to six years later the awareness of ITNs was nearly universal in all countries but Nigeria, where awareness increased from 7% to 60%. By any measure, there were large increases in ownership of nets, especially treated nets, in all countries. All countries but Nigeria made commensurate gains in the proportion of under-fives sleeping under a net/ITN, and in all countries the proportion of pregnant women sleeping under a net/ITN increased greatly.

Conclusion: A mix of demand creation, a strengthened commercial sector, reduced taxes and tariffs, and programmes making ITNs available at reduced prices resulted in impressive gains in awareness, ownership, and use of nets and ITNs in Nigeria, Senegal, Zambia, and Uganda between 2000 and 2004-2006. None of the countries reached the ambitious Abuja targets for ITN use, but they made substantial progress towards them.

Show MeSH
Related in: MedlinePlus