Increasing coverage and decreasing inequity in insecticide-treated bed net use among rural Kenyan children
2007

Increasing Use of Mosquito Nets in Rural Kenya

Sample size: 3700 publication Evidence: high

Author Information

Author(s): Noor Abdisalan M, Amin Abdinasir A, Akhwale Willis S, Snow Robert W

Primary Institution: Kenya Medical Research Institute/Wellcome Trust Research Programme

Hypothesis

Can different delivery models increase the use of insecticide-treated bed nets among rural Kenyan children?

Conclusion

Mass distribution campaigns significantly increased the use of insecticide-treated nets among the poorest children in rural Kenya.

Supporting Evidence

  • ITN coverage was only 7.1% in 2004, rising to 67.3% by 2006.
  • The free mass distribution method achieved the highest coverage among the poorest children.
  • Socioeconomic inequity in net coverage decreased significantly over the study period.

Takeaway

This study shows that giving away free mosquito nets helps more kids in poor areas sleep under them, which keeps them safe from malaria.

Methodology

The study involved annual surveys of ITN coverage among a cohort of 3,700 children aged 0–4 years across four districts in Kenya from 2004 to 2006.

Potential Biases

Potential biases in self-reported net use and socioeconomic status may affect the results.

Limitations

The study may not be generalizable to urban areas or other regions outside the four districts studied.

Participant Demographics

Children aged 0-4 years from rural households in four districts of Kenya.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1371/journal.pmed.0040255

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