Trial reportMalaria journal2012
The effect of household heads training about the use of treated bed nets on the burden of malaria and anaemia in under-five children: a cluster randomized trial in Ethiopia.
Trial report in Malaria journal, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Improving socioeconomic status may reduce the burden of malaria in sub Saharan Africa: A systematic review and meta-analysis.PloS one · 2019Pooled it
- Pooled it
- Strategies to increase the ownership and use of insecticide-treated bednets to prevent malaria.The Cochrane database of systematic reviews · 2015Pooled it
- The effect of household heads training on long-lasting insecticide-treated bed nets utilization: a cluster randomized controlled trial in Ethiopia.Malaria journal · 2012Trial
- Community engagement approaches for malaria prevention, control and elimination: a scoping review.BMJ open · 2024Article
- Ownership and use of long-lasting insecticidal nets three months after a mass distribution campaign in Uganda, 2021.Malaria journal · 2022Article
- Risk factors of anemia among preschool children in Ethiopia: a Bayesian geo-statistical model.BMC nutrition · 2022Article
- Measuring the effect of interpersonal communication on awareness and knowledge of COVID-19 among rural communities in Eastern Nigeria.Health education research · 2020Article
- Determinants of malaria infection in Dembia district, Northwest Ethiopia: a case-control study.BMC public health · 2018Article
- Long-Lasting Insecticide Net Ownership, Access and Use in Southwest Ethiopia: A Community-Based Cross-Sectional Study.International journal of environmental research and public health · 2017Article
- Incidence, prevalence and mortality rates of malaria in Ethiopia from 1990 to 2015: analysis of the global burden of diseases 2015.Malaria journal · 2017Article
- Mortality and Disability-Adjusted Life-Years (Dalys) for Common Neglected Tropical Diseases in Ethiopia, 1990-2015: Evidence from the Global Burden of Disease Study 2015.Ethiopian medical journal · 2017Article
- Prevalence and Factors Associated with Anemia Among Children Under 5 Years of Age--Uganda, 2009.The American journal of tropical medicine and hygiene · 2015Article
- Dynamics of Plasmodium falciparium and Plasmodium vivax in a micro-ecological setting, Southwest Ethiopia: effects of altitude and proximity to a dam.BMC infectious diseases · 2014Article
- Application of loop analysis for evaluation of malaria control interventions.Malaria journal · 2014Article
- Predictors of long-lasting insecticide-treated bed net ownership and utilization: evidence from community-based cross-sectional comparative study, Southwest Ethiopia.Malaria journal · 2013Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLong-lasting insecticide-treated bed nets (LLITN) have demonstrated a significant effect in reducing malaria-related morbidity and mortality. However, barriers on the utilization of LLITN have hampered the desired outcomes. The aim of this study was to assess the effect of community empowerment on the burden of malaria and anaemia in under-five children in Ethiopia.
methodsA cluster randomized trial was done in 22 (11 intervention and 11 control) villages in south-west Ethiopia. The intervention consisted of tailored training of household heads about the proper use of LLITN and community network system. The burden of malaria and anaemia in under-five children was determined through mass blood investigation at baseline, six and 12 months of the project period. Cases of malaria and anaemia were treated based on the national protocol. The burden of malaria and anaemia between the intervention and control villages was compared using the complex logistic regression model by taking into account the clustering effect. Eight Focus group discussions were conducted to complement the quantitative findings.
resultsA total of 2,105 household heads received the intervention and the prevalence of malaria and anaemia was assessed among 2410, 2037 and 2612 under-five children at baseline, six and 12 months of the project period respectively. During the high transmission/epidemic season, children in the intervention arm were less likely to have malaria as compared to children in the control arm (OR = 0.42; 95%CI: 0.32, 0.57). Symptomatic malaria also steadily declined in the intervention villages compared to the control villages in the follow up periods. Children in the intervention arm were less likely to be anaemic compared to those in the control arm both at the high (OR = 0.84; 95%CI: 0.71, 0.99)) and low (OR = 0.73; 95%CI: 0.60, 0.89) transmission seasons.
conclusionTraining of household heads on the utilization of LLITN significantly reduces the burden of malaria in under-five children. The Ministry of Health of Ethiopia in collaboration with other partners should design similar strategies in high-risk areas to control malaria in Ethiopia.
trial registrationAustralia and New Zealand Clinical Trials Register (ANZCTR): ACTRN12610000035022.
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