Tropical Medicine and Health 2012;40(4):125-131
doi:10.2149/tmh.2012-06
Distribution of Subsidized Insecticide-treated Bed Nets through a Community Health Committee in Boboye Health District, Niger
Daisuke Nonaka ; Abani Maazou ; Shigeo Yamagata ; Issofou Oumarou ; Takako Uchida ; Honoré JG Yacouba ; Jun Kobayashi ; Tsutomu Takeuchi ; Tetsuya Mizoue
Keywords
insecticide-treated bed net; community-based net distribution; community participation; malaria; Niger
Country
Japan
Language
English
Abstract
In Niger, insecticide-treated bed nets (ITNs) have been distributed to the target group of households with young children and/or pregnant women at healthcare facilities in the course of antenatal/immunization clinics. With the aim of universal coverage, ITNs were additionally distributed to households through strengthened community health committees in 2009. This study assessed the impact of the community-based net distribution strategy involving community health committees in the ITN coverage in Boboye Health District, Niger. A cross-sectional survey was carried out on 1,034 households drawn from the intervention area (the co-existence of the community-based system together with the facility-based system) and the control area (the facility-based system alone). In the intervention area, 55.8% of households owned ITNs delivered through the community-based system, and 29.6% of households exclusively owned ITNs obtained through the community-based system. The community-based system not only reached households within the target group (54.6% ownership) but also those without (59.1% ownership). Overall, household ITN ownership was significantly higher in the intervention area than in the control area (82.5% vs. 60.7%). In combination, the community-based system and the facility-based system achieved a high ITN coverage. The community-based system contributed to reducing leakage in the facility-based system.
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