Net Benefits: A Multicountry Analysis of Observational Data Examining Associations between Insecticide-Treated Mosquito Nets and Health Outcomes
2011

Benefits of Insecticide-Treated Mosquito Nets

Sample size: 29 publication 10 minutes Evidence: high

Author Information

Author(s): Stephen Lim, Nancy Fullman, Andrew Stokes, Nirmala Ravishankar, Felix Masiye, Christopher J. L. Murray, Emmanuela Gakidou

Primary Institution: Institute for Health Metrics and Evaluation, University of Washington

Hypothesis

Does the scale-up of insecticide-treated mosquito nets (ITNs) improve health outcomes in sub-Saharan Africa?

Conclusion

The scale-up of ITN coverage has likely led to significant reductions in child mortality and parasitemia prevalence.

Supporting Evidence

  • Household ownership of at least one ITN was associated with a 20% reduction in parasitemia prevalence.
  • Sleeping under an ITN was linked to a 24% reduction in parasitemia prevalence.
  • ITN ownership was associated with a 23% reduction in child mortality between 1 month and 5 years of age.

Takeaway

Using special mosquito nets can help keep kids safe from malaria, and more kids are living because of them.

Methodology

Matched logistic regression and Cox proportional hazards models were used to analyze data from multiple surveys.

Potential Biases

Potential confounding due to unmeasured variables related to ITN ownership and health outcomes.

Limitations

The study relies on observational data, which may introduce bias and confounding factors.

Participant Demographics

Children under 5 years of age from various sub-Saharan African countries.

Statistical Information

P-Value

p<0.01

Confidence Interval

95% CI 13%–31%

Statistical Significance

p<0.01

Digital Object Identifier (DOI)

10.1371/journal.pmed.1001091

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