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Child bed net use before, during, and after a bed net distribution campaign in Bo, Sierra Leone
Shamika Ranasinghe1, Rashid Ansumana2,3, Alfred S Bockarie4
1Department of Global and Community Health, George Mason University, 4400 University Drive 5B7, Fairfax, VA, 22030, USA. sranasi3@gmu.edu.
Insights
Bed net use in Sierra Leone children under five significantly increased after a national campaign. Consistent long-lasting insecticidal net (LLIN) use remains crucial for malaria prevention efforts.
Area of Science:
- Public Health
- Epidemiology
- Malaria Prevention
Background:
- Examined changes in bed net usage among children under five in Sierra Leone.
- Focused on the period during and after a national long-lasting insecticidal net (LLIN) distribution campaign in 2010.
Purpose of the Study:
- To analyze the shift in bed net utilization rates among young children.
- To identify factors influencing bed net use post-campaign.
Main Methods:
- Cross-sectional study involving over 3000 caregivers of children under five in urban Bo, Sierra Leone.
- Utilized chi-squared tests and multivariate regression models to assess changes and influencing factors.
Main Results:
- Reported bed net use increased from 38.7% pre-campaign to 75.3% post-campaign.
- A significant drop in use was observed during the campaign week (21.8%).
- Increased bed net use was consistent across demographic, socioeconomic, and health behavior groups (p < 0.01).
Conclusions:
- Universal LLIN distribution significantly boosted bed net use among children.
- Future strategies must emphasize consistent LLIN use and address remaining disparities in insecticide-treated bed net (ITN) utilization.
Background:
This analysis examined how the proportion of children less than 5-years-old who slept under a bed net the previous night changed during and after a national long-lasting insecticidal net (LLIN) distribution campaign in Sierra Leone in November-December 2010.
Methods:
A citywide cross-sectional study in 2010-2011 interviewed the caregivers of more than 3000 under-five children from across urban Bo, Sierra Leone. Chi squared tests were used to assess change in use rates over time, and multivariate regression models were used to examine the factors associated with bed net use.
Results:
Reported rates of last-night bed net use changed from 38.7 % (504/1304) in the months before the LLIN campaign to 21.8 % (78/357) during the week of the campaign to 75.3 % (1045/1387) in the months after the national campaign. The bed net use rate significantly increased (p < 0.01) from before the campaign to after the universal LLIN distribution campaign in all demographic, socioeconomic, and health behaviour groups, even though reported use during the campaign dropped significantly.
Conclusion:
Future malaria prevention efforts will need to promote consistent use of LLINs and address any remaining disparities in insecticide-treated bed net (ITN) use.
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