Show simple item record

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.
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
refterms.dateFOA2019-03-04T08:54:04Z
html.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.


Files in this item

Thumbnail
Name:
trans spencer, grant, piola.pdf
Size:
177.1Kb
Format:
PDF

This item appears in the following Collection(s)

Show simple item record