The Gambian National Impregnated Bednet Programme : Evaluation of the 1994 cost recovery trial.
Following the success of a controlled trial of insecticide-impregnated bednets in reducing mortality in children, The Gambia started a National Impregnated Bednet Programme (NIBP) in 1992.
The objectives of this programme were to introduce impregnated bednets into all primary health care (PHC) villages and to establish a system of cost recovery over a three-year period.
During the initial phase of the programme, when insecticide was given out free, a high uptake was achieved.
However, after small user charges were introduced in 1993, coverage dropped to a low level.
In 1994, different systems of insecticide distribution and permethrin formulations were tried in an attempt to improve coverage.
A nationwide cross-sectional survey carried out during the 1994 rainy season measured coverage by distribution channel, as well as the knowledge, attitudes and practices of health workers and villagers during the intervention.
Overall, only 16% of bednets were impregnated in 1994, compared to 80% when the insecticide was offered free of charge in previous years.
Lack of money was the major reason given by villagers for not impregnating their bednets in 1994.
Use of impregnated bednets was higher in areas where the sale of permethrin emulsion by village health workers was supplemented by the sale of insecticide in individual packages through shops. (...)
Mots-clés Pascal : Programme sanitaire, Insecticide, Lutte chimique, Vecteur, Paludisme, Protozoose, Parasitose, Infection, Milieu rural, Soin santé primaire, Enfant, Homme, Gambie, Afrique, Connaissance, Attitude, Comportement, Evaluation, Pyréthrinoïde, Perméthrine, Moustiquaire
Mots-clés Pascal anglais : Sanitary program, Insecticide, Chemical control, Vector, Malaria, Protozoal disease, Parasitosis, Infection, Rural environment, Primary health care, Child, Human, Gambia, Africa, Knowledge, Attitude, Behavior, Evaluation, Pyrethroids, Permethrin
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0010739
Code Inist : 002B05E02B4. Création : 17/04/1998.