Malaria in camps for internally-displaced persons in Uganda: evaluation of an insecticide-treated bednet distribution programme.

Hdl Handle:
http://hdl.handle.net/10144/15449
Title:
Malaria in camps for internally-displaced persons in Uganda: evaluation of an insecticide-treated bednet distribution programme.
Authors:
Spencer, S; Grant, A D; Piola, P; Tukpo, K; Okia, M; Garcia, M; Salignon, P; Genevier, C; Kiguli, J; Guthmann, J P
Journal:
Transactions of the Royal Society of Tropical Medicine and Hygiene
Abstract:
Malaria is a key health problem among displaced populations in malaria-endemic areas. Mass distribution of insecticide-treated bednets (ITN) to prevent malaria is often carried out in complex emergencies, but there are few data on the outcome or operational effectiveness of such programmes. In June 2001, Medecins Sans Frontieres completed a mass distribution of ITNs (Permanet) to internally displaced persons in Bundibugyo, southwest Uganda, distributing one to four nets per household, and aiming to provide coverage for all residents. In July 2002, we did a cross-sectional survey using three-stage cluster sampling to evaluate the programme. A total of 1245 individuals from 835 households were interviewed. An ITN was present in 75.6% (95% CI 72.7-78.5) of the households, but only 56.5% (95% CI 52.3-60.4) of individuals were sleeping under an ITN, and nets were often damaged. The prevalence of malarial parasitaemia was 11.2% (95% CI 9.4-13.0), and was significantly lower in ITN users compared to non-users (9.2% vs. 13.8%, relative risk [RR] 0.63, 95% CI 0.46-0.87); ITNs with severe damage remained effective (RR for severely damaged net 0.58, 95% CI 0.35-0.98). There was no significant difference in haemoglobin concentration between ITN users and non-users.
Affiliation:
Médecins Sans Frontières, 4 rue Saint Sabin, 75011 Paris, France.
Publisher:
Elsevier; Wiley-Blackwell
Issue Date:
Dec-2004
URI:
http://hdl.handle.net/10144/15449
DOI:
10.1016/j.trstmh.2004.01.012
PubMed ID:
15485702
Additional Links:
http://www.sciencedirect.com/science/journal/00359203
Language:
en
ISSN:
0035-9203
Appears in Collections:
Malaria

Full metadata record

DC FieldValue Language
dc.contributor.authorSpencer, S-
dc.contributor.authorGrant, A D-
dc.contributor.authorPiola, P-
dc.contributor.authorTukpo, K-
dc.contributor.authorOkia, M-
dc.contributor.authorGarcia, M-
dc.contributor.authorSalignon, P-
dc.contributor.authorGenevier, C-
dc.contributor.authorKiguli, J-
dc.contributor.authorGuthmann, J P-
dc.date.accessioned2007-12-20T14:54:37Z-
dc.date.available2007-12-20T14:54:37Z-
dc.date.issued2004-12-
dc.identifier.citationMalaria in camps for internally-displaced persons in Uganda: evaluation of an insecticide-treated bednet distribution programme. 2004, 98 (12):719-27 Trans. R. Soc. Trop. Med. Hyg.en
dc.identifier.issn0035-9203-
dc.identifier.pmid15485702-
dc.identifier.doi10.1016/j.trstmh.2004.01.012-
dc.identifier.urihttp://hdl.handle.net/10144/15449-
dc.description.abstractMalaria is a key health problem among displaced populations in malaria-endemic areas. Mass distribution of insecticide-treated bednets (ITN) to prevent malaria is often carried out in complex emergencies, but there are few data on the outcome or operational effectiveness of such programmes. In June 2001, Medecins Sans Frontieres completed a mass distribution of ITNs (Permanet) to internally displaced persons in Bundibugyo, southwest Uganda, distributing one to four nets per household, and aiming to provide coverage for all residents. In July 2002, we did a cross-sectional survey using three-stage cluster sampling to evaluate the programme. A total of 1245 individuals from 835 households were interviewed. An ITN was present in 75.6% (95% CI 72.7-78.5) of the households, but only 56.5% (95% CI 52.3-60.4) of individuals were sleeping under an ITN, and nets were often damaged. The prevalence of malarial parasitaemia was 11.2% (95% CI 9.4-13.0), and was significantly lower in ITN users compared to non-users (9.2% vs. 13.8%, relative risk [RR] 0.63, 95% CI 0.46-0.87); ITNs with severe damage remained effective (RR for severely damaged net 0.58, 95% CI 0.35-0.98). There was no significant difference in haemoglobin concentration between ITN users and non-users.en
dc.language.isoenen
dc.publisherElsevier-
dc.publisherWiley-Blackwellen
dc.relation.urlhttp://www.sciencedirect.com/science/journal/00359203-
dc.rightsArchived on this site with the kind permission of Elsevier Ltd. and the Royal Society of Tropical Medicine and Hygiene, http://www.rstmh.org/transactions.aspen
dc.subject.meshAdulten
dc.subject.meshBedding and Linensen
dc.subject.meshChilden
dc.subject.meshChild, Preschoolen
dc.subject.meshCross-Sectional Studiesen
dc.subject.meshEndemic Diseasesen
dc.subject.meshEquipment Failureen
dc.subject.meshFemaleen
dc.subject.meshHemoglobinsen
dc.subject.meshHumansen
dc.subject.meshInfanten
dc.subject.meshInsecticidesen
dc.subject.meshMalariaen
dc.subject.meshMaleen
dc.subject.meshParasitemiaen
dc.subject.meshPopulation Surveillanceen
dc.subject.meshPrevalenceen
dc.subject.meshProgram Evaluationen
dc.subject.meshRefugeesen
dc.subject.meshRisk Factorsen
dc.subject.meshUgandaen
dc.titleMalaria in camps for internally-displaced persons in Uganda: evaluation of an insecticide-treated bednet distribution programme.en
dc.contributor.departmentMédecins Sans Frontières, 4 rue Saint Sabin, 75011 Paris, France.en
dc.identifier.journalTransactions of the Royal Society of Tropical Medicine and Hygieneen

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