Impact of mass distribution of free long-lasting\ud insecticidal nets on childhood malaria morbidity:\ud The Togo National Integrated Child Health\ud Campaign

Autor: Terlouw, Anja, Morgah, Kodjo, Wolkon, Adam, Dare, Aboudou, Dorkenoo, Ameyo, Eliades, M James, Vanden Eng, Jodi, Sodahlon, Yao K, terKuile, Feiko, Hawley, William A.
Jazyk: angličtina
Rok vydání: 2010
Předmět:
DOI: 10.1186/1475-2875-9-199
Popis: \ud Background: An evaluation of the short-term impact on childhood malaria morbidity of mass distribution of free\ud long-lasting insecticidal nets (LLINs) to households with children aged 9-59 months as part of the Togo National\ud Integrated Child Health Campaign.\ud Methods: The prevalence of anaemia and malaria in children aged zero to 59 months was measured during two\ud cross-sectional household cluster-sample surveys conducted during the peak malaria transmission, three months\ud before (Sept 2004, n = 2521) and nine months after the campaign (Sept 2005, n = 2813) in three districts\ud representative of Togo’s three epidemiological malaria transmission regions: southern tropical coastal plains (Yoto),\ud central fertile highlands (Ogou) and northern semi-arid savannah (Tone).\ud Results: In households with children 65% in all 3 districts. Reported ITN use by children during the previous night was 35.9%, 43.8% and 80.6% in\ud Yoto, Ogou and Tone, respectively. Rainfall patterns were comparable in both years. The overall prevalence of\ud moderate to severe anaemia (Hb < 8.0 g/dL) was reduced by 28% (prevalence ratio [PR] 0.72, 95% CI 0.62-0.84) and\ud mean haemoglobin was increased by 0.35 g/dL (95% CI 0.25-0.45).\ud The effect was predominantly seen in children aged 18-59 months and in the two southern districts: PR (95% CI)\ud for moderate to severe anaemia and clinical malaria: Yoto 0.62 (0.44-0.88) and 0.49 (0.35-0.75); Ogou 0.54 (0.37-0.79)\ud and 0.85 (0.57-1.27), respectively. Similar reductions occurred in children
Databáze: OpenAIRE