Title |
Best practices for an insecticide-treated bed net distribution programme in sub-Saharan eastern Africa
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Published in |
Malaria Journal, June 2011
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DOI | 10.1186/1475-2875-10-157 |
Pubmed ID | |
Authors |
Alexis R Sexton |
Abstract |
Insecticide-treated bed nets are the preeminent malaria control means; though there is no consensus as to a best practice for large-scale insecticide-treated bed net distribution. In order to determine the paramount distribution method, this review assessed literature on recent insecticide treated bed net distribution programmes throughout sub-Saharan Eastern Africa. Inclusion criteria were that the study had taken place in sub-Saharan Eastern Africa, targeted malaria prevention and control, and occurred between 1996 and 2007. Forty-two studies were identified and reviewed. The results indicate that distribution frameworks varied greatly; and consequently so did outcomes of insecticide-treated bed net use. Studies revealed consistent inequities between urban and rural populations; which were most effectively alleviated through a free insecticide-treated bed net delivery and distribution framework. However, cost sharing through subsidies was shown to increase programme sustainability, which may lead to more long-term coverage. Thus, distribution should employ a catch up/keep up programme strategy. The catch-up programme rapidly scales up coverage, while the keep-up programme maintains coverage levels. Future directions for malaria should include progress toward distribution of long-lasting insecticide-treated nets. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 2 | 1% |
United States | 2 | 1% |
Canada | 2 | 1% |
Pakistan | 1 | <1% |
Ethiopia | 1 | <1% |
Unknown | 178 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 50 | 27% |
Student > Bachelor | 21 | 11% |
Researcher | 20 | 11% |
Student > Ph. D. Student | 20 | 11% |
Student > Postgraduate | 11 | 6% |
Other | 33 | 18% |
Unknown | 31 | 17% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 57 | 31% |
Social Sciences | 20 | 11% |
Agricultural and Biological Sciences | 19 | 10% |
Nursing and Health Professions | 14 | 8% |
Economics, Econometrics and Finance | 8 | 4% |
Other | 29 | 16% |
Unknown | 39 | 21% |