Implementation strategies to increase access and demand of long-lasting insecticidal nets: a before-and-after study and scale-up process in Mozambique

Malaria Journal
Jorge A H ArrozMaria do Rosário O Martins

Abstract

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). 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. 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 resu...Continue Reading

References

Mar 24, 2005·Drug Safety : an International Journal of Medical Toxicology and Drug Experience·Oscar Simooya
Dec 7, 2007·Implementation Science : IS·Christopher CarrollShashi Balain
Feb 4, 2011·Epidemiologic Perspectives & Innovations : EP+I·Joseph H Abramson
May 18, 2013·Malaria Journal·Elizabeth R StevensJustin Hugelen-Padin

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