Investigating the acceptability of non-mesh, long-lasting insecticidal nets amongst nomadic communities in Garissa County, Kenya using a prospective, longitudinal study design and cross-sectional household surveys.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101139802 Publication Model: Electronic Cited Medium: Internet ISSN: 1475-2875 (Electronic) Linking ISSN: 14752875 NLM ISO Abbreviation: Malar J Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2002-
    • Subject Terms:
      Patient Acceptance of Health Care*; Disease Transmission, Infectious/*prevention & control ; Insecticide-Treated Bednets/*statistics & numerical data ; Malaria/*prevention & control; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; Cross-Sectional Studies ; Family Characteristics ; Female ; Humans ; Infant ; Infant, Newborn ; Interviews as Topic ; Kenya ; Longitudinal Studies ; Male ; Middle Aged ; Prospective Studies ; Transients and Migrants ; Young Adult
    • Abstract:
      Background: North East Kenya is an area of semi-arid terrain, prone to malaria epidemics. The distribution of long-lasting insecticidal nets (LLINs) has long been a key malaria intervention, however, for nomadic populations who live and sleep outside, in harsh climates and areas with increasing reports of exophagic behaviour of mosquitoes, traditional LLINs are often inadequate. This study investigates the acceptability of non-mesh LLINs, specifically designed to suit nomadic, outdoor sleeping communities.
      Methods: In September 2011, 13,922 non-mesh LLINs were distributed to 8,511 nomadic households in Garissa County, North East Province, Kenya. A prospective, longitudinal study design was used to assess the acceptability of this novel type of LLIN. Cross-sectional household surveys, focus group discussions (FGDs), and key informant interviews (KIs) were used to collect data on attitudes and practices regarding the Dumuria nets.
      Results: A very high level of acceptability was reported with 95.3% of respondents stating they liked the nets. Of the factors reportedly determining net use the most frequently mentioned was "vulnerability". Of those with concerns about the nets, the colour (white) was the most frequently reported.
      Conclusion: The tailoring of LLINs to specific communities and contexts leads to increased levels of acceptability. Large-scale, blanket net distribution campaigns, which are currently the standard practice, do not cater for the specific and nuanced needs of the differing communities they often serve. This non-mesh LLIN offers a highly effective and desirable malaria prevention option to a typically hard to reach and underserved nomadic population at increased risk of malaria infection.
    • References:
      Trop Med Int Health. 1999 Oct;4(10):695-707. (PMID: 10583904)
      Malar J. 2014;13:351. (PMID: 25187326)
      Bull Entomol Res. 2001 Aug;91(4):265-72. (PMID: 11587622)
      Cochrane Database Syst Rev. 2004;(2):CD000363. (PMID: 15106149)
      World Health Forum. 1992;13(4):307-10. (PMID: 1466726)
      Med Vet Entomol. 2006 Dec;20(4):425-37. (PMID: 17199754)
      Am J Trop Med Hyg. 2010 Aug;83(2 Suppl):28-37. (PMID: 20682903)
      Malar J. 2011;10:83. (PMID: 21477376)
      PLoS Med. 2011 Sep;8(9):e1001091. (PMID: 21909249)
      PLoS One. 2012;7(3):e31481. (PMID: 22438864)
      Malar J. 2012;11:93. (PMID: 22455864)
      J Infect Dis. 2012 Nov 15;206(10):1622-9. (PMID: 22966127)
      Parasit Vectors. 2013;6:46. (PMID: 23433393)
      Parasit Vectors. 2013;6:114. (PMID: 23601146)
      J Vector Ecol. 2013 Jun;38(1):134-42. (PMID: 23701618)
      Parasit Vectors. 2013;6:340. (PMID: 24304974)
      Malar J. 2014;13:125. (PMID: 24678587)
      Bull World Health Organ. 2000;78(12):1389-400. (PMID: 11196486)
    • Grant Information:
      United Kingdom Chief Scientist Office
    • Publication Date:
      Date Created: 20150206 Date Completed: 20160104 Latest Revision: 20220331
    • Publication Date:
      20240829
    • Accession Number:
      PMC4327792
    • Accession Number:
      10.1186/s12936-015-0546-1
    • Accession Number:
      25652420