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Implementation strategies to increase access and demand of long-lasting insecticidal nets:

2017-10-25Artigo científico Acesso aberto
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dc.contributor.authorArroz, Jorge A H
dc.contributor.authorMendis, Chandana
dc.contributor.authorPinto, Liliana
dc.contributor.authorCandrinho, Baltazar
dc.contributor.authorPinto, J
dc.contributor.authorMartins, MR
dc.contributor.institutionVector borne diseases and pathogens (VBD)
dc.contributor.institutionInstituto de Higiene e Medicina Tropical (IHMT)
dc.contributor.institutionGlobal Health and Tropical Medicine (GHTM)
dc.contributor.institutionPopulation health, policies and services (PPS)
dc.contributor.pblBioMed Central (BMC)
dc.date.accessioned2021-05-03T22:40:11Z
dc.date.available2021-05-03T22:40:11Z
dc.date.issued2017-10-25
dc.description.abstractBACKGROUND: The universal coverage bed nets campaign is a proven health intervention promoting increased access, ownership, and use of bed nets to reduce malaria burden. This article describes the intervention and implementation strategies that Mozambique carried out recently in order to improve access and increase demand for long-lasting insecticidal nets (LLINs). METHODS: A before-and-after study with a control group was used during Stage I of the implementation process. The following strategies were tested in Stage I: (1) use of coupons during household registration; (2) use of stickers to identify the registered households; (3) new LLIN ascription formula (one LLIN for every two people). In Stage II, the following additional strategies were implemented: (4) mapping and micro-planning; (5) training; and (6) supervision. Odds ratio (OR) and 95% confidence interval (CI) were used to compare and establish differences between intervened and control districts in Stage I. Main outcomes were: percentage of LLINs distributed, percentage of target households benefited. RESULTS: In Stage I, 87.8% (302,648) of planned LLINs were distributed in the intervention districts compared to 77.1% (219,613) in the control districts [OR: 2.14 (95% CI 2.11-2.16)]. Stage I results also showed that 80.6% (110,453) of households received at least one LLIN in the intervention districts compared to 72.8% (87,636) in the control districts [OR: 1.56 (95% CI 1.53-1.59)]. In Stage II, 98.4% (3,536,839) of the allocated LLINs were delivered, covering 98.6% (1,353,827) of the registered households. CONCLUSIONS: Stage I results achieved better LLINs and household coverage in districts with the newly implemented strategies. The results of stage II were also encouraging. Additional strategies adaptation is required for a wide-country LLIN campaignen
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent9
dc.format.extent1351430
dc.identifier.doi10.1186/s12936-017-2086-3
dc.identifier.issn1475-2875
dc.identifier.otherPURE: 6439526
dc.identifier.otherPURE UUID: 8f13bb71-4b30-4db4-890c-dd65b2223f48
dc.identifier.otherScopus: 85032207691
dc.identifier.otherPubMed: 29070079
dc.identifier.otherPubMedCentral: PMC5679509
dc.identifier.otherORCID: /0000-0001-8572-7708/work/51264381
dc.identifier.otherORCID: /0000-0002-7941-0285/work/69039779
dc.identifier.urihttp://hdl.handle.net/10362/116860
dc.identifier.urlhttps://malariajournal.biomedcentral.com/track/pdf/10.1186/s12936-017-2086-3
dc.language.isoeng
dc.peerreviewedyes
dc.subjectBefore-and-after design
dc.subjectImplementation strategies
dc.subjectImplementation study
dc.subjectLong-lasting insecticidal nets
dc.subjectUniversal coverage bed nets campaign
dc.subjectMozambique
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectInfectious Diseases
dc.subjectSDG 3 - Good Health and Well-being
dc.subjectSDG 10 - Reduced Inequalities
dc.titleImplementation strategies to increase access and demand of long-lasting insecticidal nets:en
dc.title.subtitlea before-and-after study and scale-up process in Mozambiqueen
dc.typejournal article
degois.publication.issue1
degois.publication.titleMalaria Journal
degois.publication.volume16
dspace.entity.typePublication
rcaap.rightsopenAccess

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