Determinants of bednet ownership and use in visceral leishmaniasis-endemic areas of the Indian subcontinent


Por: Vanlerberghe V., Singh S.P., Paudel I.S., Ostyn B., Picado A., Sánchez A., Rijal S., Sundar S., Davies C., Boelaert M.

Publicada: 1 ene 2010
Resumen:
Objective To document ownership and use of bednets with its determinants in the visceral leishmaniasis (VL)-endemic region where mainly non-insecticide impregnated nets are available through commercial channels, and bednets are being considered as a leishmaniasis vector control measure. Methods In August-September 2006, semi-structured household (HH) questionnaires and observation guides were used in a random sample of 1330 HHs in VL-endemic districts of India and Nepal to collect data on VL knowledge, HH socio-economic status, bednet ownership and use patterns. An asset index was constructed to allow wealth ranking of the HH. A binary logistic response General Estimating Equations model was fitted to evaluate the determinants of bednet ownership and use. Results The proportion of HHs with at least one bednet purchased on the commercial market was 81.5% in India and 70.2% in Nepal. The bednets were used in all seasons by 50.6% and 54.1% of the Indian and Nepalese HH owning a bed net. There was striking inequity in bednet ownership: only 38.3% of the poorest quintile in Nepal owned at least one net, compared to 89.7% of the wealthiest quintile. In India, the same trend was observed though somewhat less pronounced (73.6%vs. 93.7%). Multivariate analysis showed that poverty was an important independent predictor for not having a bednet in the HH [OR 5.39 (2.90-10.03)]. Conclusion Given the inequity in commercial bednet ownership, free distribution of insecticide-treated bednets to the general population seems imperative to achieve a mass effect on vector density. © 2009 Blackwell Publishing Ltd.

Filiaciones:
Vanlerberghe V.:
 Epidemiology and Disease Control Unit, Department of Public Health, Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerp, Belgium

Singh S.P.:
 Institute of Medical Sciences, Banaras Hindu University, Varanasi, India

Paudel I.S.:
 B. P. Koirala Institute of Health Sciences, Dharan, Nepal

Ostyn B.:
 Epidemiology and Disease Control Unit, Department of Public Health, Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerp, Belgium

Picado A.:
 London School of Hygiene and Tropical Medicine, London, United Kingdom

Sánchez A.:
 Epidemiology and Disease Control Unit, Department of Public Health, Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerp, Belgium

Rijal S.:
 B. P. Koirala Institute of Health Sciences, Dharan, Nepal

Sundar S.:
 Institute of Medical Sciences, Banaras Hindu University, Varanasi, India

Boelaert M.:
 Epidemiology and Disease Control Unit, Department of Public Health, Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerp, Belgium
ISSN: 13602276
Editorial
WILEY-BLACKWELL PUBLISHING, INC, COMMERCE PLACE, 350 MAIN ST, MALDEN 02148, MA USA, Estados Unidos America
Tipo de documento: Article
Volumen: 15 Número: 1
Páginas: 60-67
WOS Id: 000272662600009
ID de PubMed: 19917036
imagen

MÉTRICAS