Skip to main content

Free Content Socially marketed insecticide-treated nets effectively reduce Plasmodium infection and anaemia among children in urban Malawi

Download Article:

You have access to the full text article on a website external to Ingenta Connect.

Please click here to view this article on Wiley Online Library.

You may be required to register and activate access on Wiley Online Library before you can obtain the full text. If you have any queries please visit Wiley Online Library

Abstract:

Summary Background 

Use of insecticide-treated nets (ITNs) has become a central focus for the Roll Back Malaria campaign, and many countries in Africa have now embarked on large-scale public health programmes aimed at making ITNs available to those at greatest risk. However, the effectiveness of these programmes has rarely been evaluated. Method 

We conducted a cross-sectional survey to assess the impact of an ITN social marketing programme on Plasmodium falciparum infection and anaemia among children in urban Malawi. Results 

Knowledge of ITNs was high; however, only 42% of the children surveyed reported to have used an ITN the previous night. Nevertheless, 17% (295/1721) of children had a positive P. falciparum smear at enrolment. Use of ITNs was associated with 52% protective efficacy against Plasmodium parasitemia. More than two-thirds of children were anaemic, yet the mean haemoglobin concentration was significantly higher in children using ITNs than in those not using nets. ITN use was associated with wealth, as poorer households were 60% less likely to use treated nets. Conclusion 

Although ITN social marketing programmes have the potential of improving malaria control and prevention, additional efforts are required to reach those for whom even subsidized nets are still too expensive.

Keywords: anaemia; effectiveness; insecticide-treated nets; malaria infection; social marketing

Document Type: Research Article

DOI: https://doi.org/10.1111/j.1365-3156.2006.01684.x

Affiliations: 1:  Center for Disease Control and Prevention, Atlanta, GA, USA 2:  College of Osteopathic Medicine, Michigan State University, East Lansing, MI, USA 3:  Department of Epidemiology, School of Public Health, The University of Michigan, Ann Arbor, MI, USA

Publication date: 2006-09-01

  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
X
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more