Mosquito Net Coverage and Utilisation for MalariaControl in Tanzania

摘要: In recent years malaria parasites have developed resistance to the most commonly used antimalarial drugs in Tanzania, posing a major challenge for its control. This has led frequent changes of treatment guidelines, more recently expensive, yet effective arthemether/lumefantrine. The use insecticide treated mosquito nets (ITNs) and long lasting (LLINs) Tanzania increased slowly over past few years. Despite introduction voucher scheme vulnerable groups, proportion households with at least an ITN/LLIN country not been able achieve Abuja Declaration 60% net coverage. Statistics available on utilisation do provide good estimate coverage, because different study design collect information. survey was carried out 21 districts determine coverage baseline information requirement cover every sleeping bed country. Specifically, this aimed (i) ITN by distribution country; (ii) knowledge, attitudes practice householders as regards prevention control Twenty one (one from each region) Mainland were selected survey. Selection district random. district, two wards selected, urban (within capital) rural or sub‐urban. Households randomly using table random numbers. At household level, head any adult who represented interviewed. A structured pre‐tested questionnaire attitude practices control, emphasis ownership utilisation. Of 9549 targeted households, 9166 (96%) participated Majority respondents (76.8%) district.The mean size 3.9 persons. On average, children <5 old accounted 39.3% members households. Respondents no formal education 15.8‐37.4% interviewees. Most them Mkuranga (55%), Kigoma‐Ujiji (44.2%) Newala (37.9%). High literate rates observed Arumeru Moshi districts. majority knew that is vector parasite (92.6‐99.4%) infection through bite (92.7‐99.8%). knowledge transmission generally high (94.0‐99.0%). (95.2%) considered way prevention. However, these, only 66.7% said actually their life time. Knowledge highest lowest Eastern Central zones, respectively. Seventy‐seven percent (4457/8933) agreed investigator entry into houses verify the number owned. 62.9% (5,785/8933) had net. Northern (76.5%) Southern zones owned among Western Zone (39.6%). District‐wise, Lindi (94.5%), Kyela (91.3%) (86.1%), Ilala (83.1%) and Nyamagana (80.0%). Ownership very low Kilolo (34.8%), Kigoma (36.5%) Musoma Rural (41.3%). nets, 74.4% all year round. larger (68.5%), Mpwapwa (51.9%), Songea (49.2%) Shinyanga (46.3%) during rainy season. Out 9,166 visited, 3,610 (39.3%) under five child. 1,939 (53.7%) child slept previous night. Use total 1939 underfives (any type). 1140 (58.8%) (ITN). Overall, 31.6% Highest reported (47.7%), (47.7%) (46.4%). Lowest (16.0%), (17.2%) Urambo (17.7%). (43.6%) than untreated (40.9%). Control bedbugs, lice, fleas, mites cockroaches added advantage nets. 30.8% 19.6% mentioned cockroach bedbug main ITN, respectively. (52.9%) preferred blue coloured (Northern=45.6%; Central=59.2%; Eastern=56.4%; Lake= 54.4%; Southern= 60.3%, Western= 58.5%) Highlands= 49.1%). Other colour preferences white (29.6%), green (14.1%), black (2.1%) pink (1.2%). strong preference (77.3%) (75.5%) other hand, weakest (24.7%) district. (82%) rectangular shaped (61.8%) map national logo identify distributed 62.7% 28.8% own type) net, expects fives 2009, after Under Five Catch‐up Campaign complete, be 80%. If achieved, there need concerted effort scaling up demand throughout Moreover, planned IRS currently unpopular should accompanied rigorous community health avoid members.