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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, WP
    Smith, N
    Ekal, E
    Cole, D
    Ndege, S
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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
    http://hdl.handle.net/10161/5957
    Published Version (Please cite this version)
    10.1371/journal.pone.0025949
    Publication Info
    O'Meara, WP; Smith, N; Ekal, E; Cole, D; & Ndege, S (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 http://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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