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Distribution of Subsidized Insecticide-treated Bed Nets through a Community Health Committee in Boboye Health District, Niger


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Title: Distribution of Subsidized Insecticide-treated Bed Nets through a Community Health Committee in Boboye Health District, Niger
Authors: Nonaka, Daisuke / Maazou, Abani / Yamagata, Shigeo / Oumarou, Issofou / Uchida, Takako / Yacouba, Honoré JG / Kobayashi, Jun / Takeuchi, Tsutomu / Mizoue, Tetsuya
Issue Date: 13-Mar-2013
Publisher: 日本熱帯医学会 / Japanese Society of Tropical Medicine
Citation: Tropical Medicine and Health, 40(4), pp.125-131; 2013
Abstract: In Niger, insecticide-treated bed nets (ITNs) have been distributed to the target group of households with young children and/or pregnant women at healthcare facilities in the course of antenatal/immunization clinics. With the aim of universal coverage, ITNs were additionally distributed to households through strengthened com-munity health committees in 2009. This study assessed the impact of the community-based net distribution strat-egy involving community health committees in the ITN coverage in Boboye Health District, Niger. A cross-sectional survey was carried out on 1,034 households drawn from the intervention area (the co-existence of thecommunity-based system together with the facility-based system) and the control area (the facility-based systemalone). In the intervention area, 55.8% of households owned ITNs delivered through the community-based system,and 29.6% of households exclusively owned ITNs obtained through the community-based system. Thecommunity-based system not only reached households within the target group (54.6% ownership) but also thosewithout (59.1% ownership). Overall, household ITN ownership was significantly higher in the intervention areathan in the control area (82.5% vs. 60.7%). In combination, the community-based system and the facility-basedsystem achieved a high ITN coverage. The community-based system contributed to reducing leakage in thefacility-based system.
Keywords: Community participation / Community-based net distribution / Insecticide-treated bed net / Malaria / Niger
URI: http://hdl.handle.net/10069/32041
ISSN: 13488945
DOI: 10.2149/tmh.2012-06
Rights: © 2013 Japanese Society of Tropical Medicine
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/32041

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