ArticleMalaria journal2018
Effect of individual and community-level bed net usage on malaria prevalence among under-fives in the Democratic Republic of Congo.
Article in Malaria journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it, 90 citations in OpenAlex.
- Malaria among under-five children in Ethiopia: a systematic review and meta-analysis.Malaria journal · 2022Pooled it
- Community benefits of mass distribution of three types of dual-active-ingredient long-lasting insecticidal nets against malaria prevalence in Tanzania: evidence from a 3-year cluster-randomized controlled trial.BMC public health · 2025Trial
- Ideational factors and their association with insecticide treated net use in Magoe District, Mozambique.Malaria journal · 2022Trial
- Impact of Insecticide-Treated Nets onTropical medicine and infectious disease · 2026Article
- Fabric integrity, net type and risk index predict attrition of insecticide-treated nets: evidence from a community durability trial of pyrethroid-piperonyl butoxide (PBO) nets in Tanzania.Malaria journal · 2025Review
- G-estimation with partial interference.Stat (International Statistical Institute) · 2025Article
- A decline in the coverage and utilization of long-lasting insecticidal nets in Southern Ethiopia: A repeated cross-sectional study.PloS one · 2025Article
- Reasons for low long-lasting insecticide-treated net use and repurposing: qualitative study from southern Ethiopia.Frontiers in public health · 2025Article
- G-formula for observational studies under stratified interference, with application to bed net use on malaria.Statistics in medicine · 2024Article
- Insufficient duration of insecticidal efficacy of YaheMalaria journal · 2024Article
- Complete series method (CSM): a convenient method to reduce daily heterogeneity when evaluating the regeneration time (RT) of insecticide-treated nets (ITNs).Parasites & vectors · 2024Article
- Time of exposure and assessment influence the mortality induced by insecticides against metabolic resistant mosquitoes.Parasites & vectors · 2024Article
- Malaria amongst children under five in sub-Saharan Africa: a scoping review of prevalence, risk factors and preventive interventions.European journal of medical research · 2023Article
- Malaria profile and socioeconomic predictors among under-five children: an analysis of 11 sub-Saharan African countries.Malaria journal · 2023Article
- Malaria among children under 10 years in 4 endemic health areas in Kisantu Health Zone: epidemiology and transmission.Malaria journal · 2023Article
- Impact of mass distribution of long-lasting insecticide nets on the incidence of malaria in Lomami, Democratic Republic of Congo: a study based on electronic health record data (2018 - 2019).The Pan African medical journal · 2023Observational
- Article
- Assessing afebrile malaria and bed-net use in a high-burden region of India: Findings from multiple rounds of mass screening.PloS one · 2023Article
- Coating formulation change leads to inferior performance of long-lasting insecticidal nets in Papua New Guinea.Malaria journal · 2022Article
- Evaluating recurrent episodes of malaria incidence in Timika, Indonesia, through a Markovian multiple-state model.Infectious Disease Modelling · 2022Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundUnderstanding the contribution of community-level long-lasting, insecticidal net (LLIN) coverage to malaria control is critical to planning and assessing intervention campaigns. The Democratic Republic of Congo (DRC), which has one of the highest burdens of malaria cases and deaths and has dramatically scaled up LLIN ownership in recent years thus it is an ideal setting to evaluate the effect of individual versus community-level use to prevent malaria among children under the age of 5.
resultsData were derived from the 2013-2014 DRC Demographic and Health Survey. Community-level LLIN usage was significantly associated with protection against malaria, even when individual-level LLIN usage was included in the model. In stratified analysis, higher levels of community LLIN coverage enhanced the protective effect of individual LLIN usage, resulting in lower malaria prevalence among individuals who used a LLIN. A sub-analysis of individual LLIN usage by insecticide type revealed deltamethrin-treated nets were more protective than permethrin-treated nets, suggesting that mosquitoes in the DRC are more susceptible to deltamethrin.
conclusionsThis study examines the effects of individual and community-level LLIN usage in young children in an area of high ITN usage. Individual and community LLIN usage were significantly associated with protection against malaria in children under 5 in the DRC. Importantly, the protective effect of individual LLIN usage against malaria is enhanced when community LLIN coverage is higher, demonstrating the importance of increasing community-level LLIN usage. LLINs treated with deltamethrin were shown to be more protective against malaria than LLINs treated with permethrin. Demographic and Health Surveys are thus a novel and important means of surveillance for insecticide resistance.
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