Contribution of Integrated Campaign Distribution of Long-Lasting Insecticidal Nets to Coverage of Target Groups and Total Populations in Malaria-Endemic Areas in Madagascar

• Published in: The American journal of tropical medicine and hygiene 2010-03, Vol.82 (3), p.420-425
• Main Authors: Kulkarni, Manisha A, Eng, Jodi Vanden, Desrochers, Rachelle E, Cotte, Annett Hoppe, Goodson, James L, Johnston, Adam, Wolkon, Adam, Erskine, Marcy, Berti, Peter, Rakotoarisoa, Andriamahefa, Ranaivo, Louise, Peat, Jason
• Format: Article
• Language: English
• Subjects: Adult; Biological and medical sciences; Child, Preschool; Endemic Diseases; Female; Human protozoal diseases; Humans; Infant; Infectious diseases; Insecticide-Treated Bednets; Madagascar - epidemiology; Malaria; Malaria - epidemiology; Malaria - prevention & control; Male; Medical sciences; Mosquito Control; Parasitic diseases; Pregnancy; Protozoal diseases
• ISSN: 0002-9637; 1476-1645
• DOI: 10.4269/ajtmh.2010.09-0597

In October 2007, Madagascar conducted a nationwide integrated campaign to deliver measles vaccination, mebendazole, and vitamin A to children six months to five years of age. In 59 of the 111 districts, long-lasting insecticidal nets (LLINs) were delivered to children less than five years of age in combination with the other interventions. A community-based, cross-sectional survey assessed LLIN ownership and use six months post-campaign during the rainy season. LLIN ownership was analyzed by wealth quintile to assess equity. In the 59 districts, 76.8% of households possessed at least one LLIN from any source and 56.4% of households possessed a campaign net. Equity of campaign net ownership was evident. Post-campaign, the LLIN use target of > or = 80% by children less than five years of age and a high level of LLIN use (69%) by pregnant women were attained. Targeted LLIN distribution further contributed to total population coverage (60%) through use of campaign nets by all age groups.