Geographical Factors Affecting Bed Net Ownership, a Tool for the Elimination of Anopheles-Transmitted Lymphatic Filariasis in Hard-to-Reach Communities
Identifieur interne : 003611 ( Main/Exploration ); précédent : 003610; suivant : 003612Geographical Factors Affecting Bed Net Ownership, a Tool for the Elimination of Anopheles-Transmitted Lymphatic Filariasis in Hard-to-Reach Communities
Auteurs : Michelle C. Stanton ; Moses J. Bockarie ; Louise A. Kelly-HopeSource :
- PLoS ONE [ 1932-6203 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Animaux, Anopheles (physiologie), Connaissances, attitudes et pratiques en santé, Démographie (), Facteurs socioéconomiques, Femelle, Filariose lymphatique (), Géographie médicale, Humains, Lutte contre les moustiques (), Lutte contre les moustiques (organisation et administration), Lutte contre les moustiques (économie), Maladies négligées (), Modèles logistiques, Moustiquaires de lit traitées aux insecticides (ressources et distribution), Moustiquaires de lit traitées aux insecticides (économie), Population rurale (), Population urbaine (), Propriété (), Propriété (économie), Propriété (éthique), République démocratique du Congo, Transports.
- MESH :
- organisation et administration : Lutte contre les moustiques.
- physiologie : Anopheles.
- ressources et distribution : Moustiquaires de lit traitées aux insecticides.
- économie : Lutte contre les moustiques, Moustiquaires de lit traitées aux insecticides, Propriété.
- éthique : Propriété.
- Adulte, Adulte d'âge moyen, Animaux, Connaissances, attitudes et pratiques en santé, Démographie, Facteurs socioéconomiques, Femelle, Filariose lymphatique, Géographie médicale, Humains, Lutte contre les moustiques, Maladies négligées, Modèles logistiques, Population rurale, Population urbaine, Propriété, République démocratique du Congo, Transports.
English descriptors
- KwdEn :
- Adult, Animals, Anopheles (physiology), Democratic Republic of the Congo, Demography (statistics & numerical data), Elephantiasis, Filarial (prevention & control), Female, Geography, Medical, Health Knowledge, Attitudes, Practice, Humans, Insecticide-Treated Bednets (economics), Insecticide-Treated Bednets (supply & distribution), Logistic Models, Middle Aged, Mosquito Control (economics), Mosquito Control (organization & administration), Mosquito Control (statistics & numerical data), Neglected Diseases (prevention & control), Ownership (economics), Ownership (ethics), Ownership (statistics & numerical data), Rural Population (statistics & numerical data), Socioeconomic Factors, Transportation, Urban Population (statistics & numerical data).
- MESH :
- geographic : Democratic Republic of the Congo.
- economics : Insecticide-Treated Bednets, Mosquito Control, Ownership.
- ethics : Ownership.
- organization & administration : Mosquito Control.
- physiology : Anopheles.
- prevention & control : Elephantiasis, Filarial, Neglected Diseases.
- statistics & numerical data : Demography, Mosquito Control, Ownership, Rural Population, Urban Population.
- supply & distribution : Insecticide-Treated Bednets.
- Adult, Animals, Female, Geography, Medical, Health Knowledge, Attitudes, Practice, Humans, Logistic Models, Middle Aged, Socioeconomic Factors, Transportation.
Abstract
Vector control, including the use of bed nets, is recommended as a possible strategy for eliminating lymphatic filariasis (LF) in post-conflict countries such as the Democratic Republic of Congo (DRC). This study examined the geographical factors that influence bed net ownership in DRC in order to identify hard-to-reach communities that need to be better targeted. In particular, urban/rural differences and the influence of population density, proximity to cities and health facilities, plus access to major transport networks were investigated. Demographic and Health Survey geo-referenced cluster level data were used to map bed net coverage (proportion of households with at least one of any type of bed net or at least one insecticide-treated net (ITN)), and ITN density (ITNs per person) for 260 clusters. Bivariate and multiple logistic or Poisson regression analyses were used to determine significant relationships. Overall, bed net (30%) and ITN (9%) coverage were very low with significant differences found between urban and rural clusters. In rural clusters, ITN coverage/density was positively correlated with population density (r = 0.25, 0.27 respectively, p<0.01), and negatively with the distance to the two largest cities, Kinshasa or Lubumbashi (r = −0.28, −0.30 respectively, p<0.0001). Further, ownership was significantly negatively correlated with distance to primary national roads and railways (all three measures), distance to main rivers (any bed net only) and distance to the nearest health facility (ITNs only). Logistic and Poisson regression models fitted to the rural cluster data indicated that, after controlling for measured covariates, ownership levels in the Bas-Congo province close to Kinshasa were much larger than that of other provinces. This was most noticeable when considering ITN coverage (odds ratio: 5.3, 95% CI: 3.67–7.70). This analysis provides key insights into the barriers of bed net ownership, which will help inform both LF and malaria bed net distribution campaigns as part of an integrated vector management strategy.
Url:
DOI: 10.1371/journal.pone.0053755
PubMed: 23308281
PubMed Central: 3538722
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en"><p>Vector control, including the use of bed nets, is recommended as a possible strategy for eliminating lymphatic filariasis (LF) in post-conflict countries such as the Democratic Republic of Congo (DRC). This study examined the geographical factors that influence bed net ownership in DRC in order to identify hard-to-reach communities that need to be better targeted. In particular, urban/rural differences and the influence of population density, proximity to cities and health facilities, plus access to major transport networks were investigated. Demographic and Health Survey geo-referenced cluster level data were used to map bed net coverage (proportion of households with at least one of any type of bed net or at least one insecticide-treated net (ITN)), and ITN density (ITNs per person) for 260 clusters. Bivariate and multiple logistic or Poisson regression analyses were used to determine significant relationships. Overall, bed net (30%) and ITN (9%) coverage were very low with significant differences found between urban and rural clusters. In rural clusters, ITN coverage/density was positively correlated with population density (r = 0.25, 0.27 respectively, p<0.01), and negatively with the distance to the two largest cities, Kinshasa or Lubumbashi (r = −0.28, −0.30 respectively, p<0.0001). Further, ownership was significantly negatively correlated with distance to primary national roads and railways (all three measures), distance to main rivers (any bed net only) and distance to the nearest health facility (ITNs only). Logistic and Poisson regression models fitted to the rural cluster data indicated that, after controlling for measured covariates, ownership levels in the Bas-Congo province close to Kinshasa were much larger than that of other provinces. This was most noticeable when considering ITN coverage (odds ratio: 5.3, 95% CI: 3.67–7.70). This analysis provides key insights into the barriers of bed net ownership, which will help inform both LF and malaria bed net distribution campaigns as part of an integrated vector management strategy.</p>
</div>
</front>
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<tree><noCountry><name sortKey="Bockarie, Moses J" sort="Bockarie, Moses J" uniqKey="Bockarie M" first="Moses J." last="Bockarie">Moses J. Bockarie</name>
<name sortKey="Kelly Hope, Louise A" sort="Kelly Hope, Louise A" uniqKey="Kelly Hope L" first="Louise A." last="Kelly-Hope">Louise A. Kelly-Hope</name>
<name sortKey="Stanton, Michelle C" sort="Stanton, Michelle C" uniqKey="Stanton M" first="Michelle C." last="Stanton">Michelle C. Stanton</name>
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