Gains in awareness, ownership and use of insecticide-treated nets in Nigeria, Senegal, Uganda and Zambia
2008

Insecticide-Treated Nets in Africa: Gains in Awareness and Use

Sample size: 1000 publication 10 minutes Evidence: moderate

Author Information

Author(s): Carol A Baume, Marin M Celeste

Primary Institution: Academy for Educational Development

Hypothesis

To what extent were activities aimed at increasing awareness, ownership, and use of insecticide-treated nets (ITNs) successful in Nigeria, Senegal, Uganda, and Zambia?

Conclusion

Significant progress was made in increasing awareness, ownership, and use of insecticide-treated nets in the studied countries, although none reached the Abuja targets.

Supporting Evidence

  • Awareness of ITNs increased from 7% to 60% in Nigeria between 2000 and 2004.
  • Household ownership of nets doubled in Nigeria from 12% to 27% between 2000 and 2004.
  • Significant increases in the proportion of under-fives sleeping under a net were observed in Senegal and Zambia.

Takeaway

This study shows that more people in Nigeria, Senegal, Uganda, and Zambia are using special mosquito nets to prevent malaria, but not enough people are using them yet.

Methodology

Surveys were conducted in 2000 and again in 2004 or 2006 using standardized sampling methods across four countries.

Potential Biases

Potential bias due to the sampling method, which may over-represent households with children under five.

Limitations

The study may not represent national averages as it focused on areas with high malaria prevalence and included only households with children under five.

Participant Demographics

Women of reproductive age (15-49) who were mothers or guardians of children under five.

Statistical Information

P-Value

0.07 for the increase in Nigerian under-fives sleeping under a net.

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1475-2875-7-153

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