Determinants of hanging and use of ITNs in the context of near universal coverage in Zambia

作者：Macintyre Kate^*; Littrell Megan; Keating Joseph; Hamainza Busiku; Miller John; Eisele Thomas P

来源：Health Policy and Planning, 2012, 27(4): 316-325.

DOI：10.1093/heapol/czr042

• Malaria
• evidence-based policy
• behaviour change
• bed nets

Among ITN-owning households with a child under five, 69% used at least one ITN the night before the survey. About half of those children (54%) in ITN-owning households were covered the previous night. A strong and consistent predictor of use is household deployment of at least one ITN. Just over half of all ITNs were observed hanging, and reported use of nets for purposes other than malaria prevention was only 3%. Net characteristics, including shape, colour and whether or not the ITN was purchased, were not associated with net deployment. However, ITNs in poor condition are more likely to be observed hanging than ITNs in new or good condition. %26lt;br%26gt;In the context of free mass distribution of ITNs, behaviour change communication and activities are necessary to improve use. Results suggest campaigns and messages that persuade recipients to hang up their ITNs would contribute towards closing the gap between ownership and use.

• 出版日期2012-7