An evaluation of LLIN ownership, access, and use during the Magude project in southern Mozambique
PLos ONE
; 18(3): 1-18, mar. 31 2023. graf., tab
Article
in English
| RSDM
| ID: biblio-1531601
Responsible library:
MZ1.1
ABSTRACT
The Magude Project assessed the feasibly of eliminating malaria in a low transmission setting in southern Mozambique using a package of interventions. This study measured the ownership, access and use of long-lasting insecticide treated nets (LLINs) and inequalities in these indicators across household wealth, size and population subgroups, to understand the protection that LLINs provided during the project. Data were obtained from various household surveys. At least 31% of the nets distributed during the 2014 and 2017 campaigns were lost during the first year post-distribution. Most nets (77.1%) present in the district were Olyset Nets. LLIN access never exceeded 76.3% and use varied seasonally between 40% and 76.4%. LLIN access limited LLIN use during the project, especially during the high transmission season. LLIN ownership, access and use were lower in harder-toreach localities, in poorer and larger households. Children and women below 30 had poorer access to LLINs than the overall population. Net use was lowest among school-aged children and young adults, especially among young males, and highest in children under 5, pregnant women, in older adults and in households that received indoor residual spraying (IRS). This study revealed that LLIN mass-distribution campaigns alone are not sufficient to achieve the high level of net protection needed during elimination programs and that reviewing the LLIN allocation scheme, top-up distributions and/or community engagement campaigns is needed, also to reduce inequalities in populations' access to LLINs.
Full text:
Available
Collection:
National databases
/
MZ
Health context:
SDG3 - Health and Well-Being
/
Neglected Diseases
/
SDG3 - Target 3.3 End transmission of communicable diseases
Health problem:
Target 3.3: End transmission of communicable diseases
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Malaria
/
Malaria
Database:
RSDM
Main subject:
Mosquito Control
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Intellectual Property of Pharmaceutic Products and Process
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Insecticides
Limits:
Adult
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Aged
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Aged, 80 and over
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Child
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Female
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Humans
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Pregnancy
Country/Region as subject:
Africa
Language:
English
Journal:
PLos ONE
Year:
2023
Document type:
Article
Institution/Affiliation country:
Center for Evolution and Medicine, School of Life Sciences, Arizona State University/US
/
Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça/MZ
/
ISGlobal/ES
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Instituto Nacional da Saúde, Ministério da Saúde/MZ
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Programa Nacional de Controlo da Malária, Ministério da Saúde/MZ