ArticleBulletin of the World Health Organization2017
Equity trends in ownership of insecticide-treated nets in 19 sub-Saharan African countries.
Article in Bulletin of the World Health Organization, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Malaria transmission and prevalence in rice-growing versus non-rice-growing villages in Africa: a systematic review and meta-analysis.The Lancet. Planetary health · 2022Pooled it
- The gap between having and using: socioeconomic inequalities in long-lasting insecticidal net coverage among children and adolescents in rural Guinea.Tropical medicine and health · 2026Article
- Costs of single-phase door-to-door insecticide-treated net mass distribution campaigns in Nigeria: a case study in Ondo and Anambra states.Malaria journal · 2026Article
- Socioeconomic health equity with malaria burden: quantifying slope (Relative) index of inequity in malaria infection outcomes in the Southeastern-coastal Tanzania.BMC public health · 2026Article
- Dynamics in ownership, access and use of long-lasting insecticidal nets in Togo: Evidence from three population-based surveys.PLOS global public health · 2025Article
- Malaria Prevention for Pregnant Women and Under-Five Children in 10 Sub-Saharan Africa Countries: Socioeconomic and Temporal Inequality Analysis.International journal of environmental research and public health · 2024Article
- Ownership and use of long-lasting insecticidal nets three months after a mass distribution campaign in Uganda, 2021.Malaria journal · 2022Article
- Social network correlates of free and purchased insecticide-treated bed nets in rural Uganda.Malaria journal · 2022Article
- A Cross-Sectional Survey on the Malaria Control and Prevention Knowledge, Attitudes, and Practices of Caregivers of Children Under-5 in the Western Area of Sierra Leone.Tropical medicine and infectious disease · 2022Article
- Factors associated with the use of insecticide-treated nets: analysis of the 2018 Burkina Faso Malaria Indicator Survey.Malaria journal · 2021Article
- Chloroquine and Sulfadoxine-Pyrimethamine Resistance in Sub-Saharan Africa-A Review.Frontiers in genetics · 2021Review
- Coverage outcomes (effects), costs, cost-effectiveness, and equity of two combinations of long-lasting insecticidal net (LLIN) distribution channels in Kenya: a two-arm study under operational conditions.BMC public health · 2020Article
- Mind the gap: scaling up the utilization of insecticide treated mosquito nets using a knowledge translation model in Isingiro district, rural south western Uganda.Health psychology and behavioral medicine · 2020Article
- Costs of insecticide-treated bed net distribution systems in sub-Saharan Africa.Malaria journal · 2020Article
- Are new national malaria strategic plans informed by the previous ones? A comprehensive assessment of sub-Saharan African countries from 2001 to present.Malaria journal · 2019Article
- LLIN Evaluation in Uganda Project (LLINEUP): factors associated with ownership and use of long-lasting insecticidal nets in Uganda: a cross-sectional survey of 48 districts.Malaria journal · 2018Article
- Using equitable impact sensitive tool (EQUIST) to promote implementation of evidence informed policymaking to improve maternal and child health outcomes: a focus on six West African Countries.Globalization and health · 2018Article
- Epidemiological characterization of malaria in rural southern Tanzania following China-Tanzania pilot joint malaria control baseline survey.Malaria journal · 2018Article
- Uneven malaria transmission in geographically distinct districts of Bobo-Dioulasso, Burkina Faso.Parasites & vectors · 2018Article
- Access and adequate utilization of malaria control interventions in rural Malawi: a descriptive quantitative study.Malaria journal · 2018Article
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the change in equity of insecticide-treated net (ITN) ownership among 19 malaria-endemic countries in sub-Saharan Africa before and after the launch of the Cover The Bed Net Gap initiative.
methodsTo assess change in equity in ownership of at least one ITN by households from different wealth quintiles, we used data from Demographic and Health Surveys and Malaria Indicator Surveys. We assigned surveys conducted before the launch (2003-2008) as baseline surveys and surveys conducted between 2009-2014 as endpoint surveys. We did country-level and pooled multicountry analyses. Pooled analyses based on malaria transmission risk, were done by dividing geographical zones into either low- and intermediate-risk or high-risk. To assess changes in equity, we calculated the Lorenz concentration curve and concentration index (C-index).
findingsOut of the 19 countries we assessed, 13 countries showed improved equity between baseline and endpoint surveys and two countries showed no changes. Four countries displayed worsened equity, two favouring the poorer households and two favouring the richer. The multicountry pooled analysis showed an improvement in equity (baseline survey C-index: 0.11; 95% confidence interval, CI: 0.10 to 0.11; and endpoint survey C-index: 0.00; 95% CI: -0.01 to 0.00). Similar trends were seen in both low- and intermediate-risk and high-risk zones.
conclusionThe mass ITN distribution campaigns to increase coverage, linked to the launch of the Cover The Bed Net Gap initiative, have led to improvement in coverage of ITN ownership across sub-Saharan Africa with significant reduction in inequity among wealth quintiles.
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