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Spatial distribution of bednet coverage under routine distribution through the public health sector in a rural district in Kenya.

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Date
2011
Authors
O'Meara, Wendy Prudhomme
Smith, Nathan
Ekal, Emmanuel
Cole, Donald
Ndege, Samson
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Abstract
Insecticide-treated nets (ITNs) are one of the most important and cost-effective tools for malaria control. Maximizing individual and community benefit from ITNs requires high population-based coverage. Several mechanisms are used to distribute ITNs, including health facility-based targeted distribution to high-risk groups; community-based mass distribution; social marketing with or without private sector subsidies; and integrating ITN delivery with other public health interventions. The objective of this analysis is to describe bednet coverage in a district in western Kenya where the primary mechanism for distribution is to pregnant women and infants who attend antenatal and immunization clinics. We use data from a population-based census to examine the extent of, and factors correlated with, ownership of bednets. We use both multivariable logistic regression and spatial techniques to explore the relationship between household bednet ownership and sociodemographic and geographic variables. We show that only 21% of households own any bednets, far lower than the national average, and that ownership is not significantly higher amongst pregnant women attending antenatal clinic. We also show that coverage is spatially heterogeneous with less than 2% of the population residing in zones with adequate coverage to experience indirect effects of ITN protection.
Type
Journal article
Subject
Cluster Analysis
Family Characteristics
Female
Geography
Health Facilities
Humans
Infant
Insecticide-Treated Bednets
Kenya
Models, Biological
Mosquito Control
Multivariate Analysis
Ownership
Pregnancy
Public Health
Public Sector
Regression Analysis
Rural Population
Permalink
https://hdl.handle.net/10161/5957
Published Version (Please cite this version)
10.1371/journal.pone.0025949
Publication Info
O'Meara, Wendy Prudhomme; Smith, Nathan; Ekal, Emmanuel; Cole, Donald; & Ndege, Samson (2011). Spatial distribution of bednet coverage under routine distribution through the public health sector in a rural district in Kenya. PLoS One, 6(10). pp. e25949. 10.1371/journal.pone.0025949. Retrieved from https://hdl.handle.net/10161/5957.
This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
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Scholars@Duke

O'Meara

Wendy P O'Meara

Associate Professor of Medicine
Dr. Wendy O’Meara is an Associate Professor at Duke University School of Medicine in the Division of Infectious Diseases, visiting professor at Moi University, and the Associate Director for Research of the Duke Global Health Institute. She has been based full-time in Kenya since 2007. Dr. O’Meara’s team is interested in improving rational drug use for suspected malaria fevers through expanding the use of diagnostic tools in the community and in health facilities. As
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