ArticleMalaria journal2019
Can ITN distribution policies increase children's ITN use? A DHS analysis.
Article in Malaria journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Prevalence and determinants of insecticide-treated bed-net utilization among under-five children in Ethiopia: a systematic review and meta-analysis.Malaria journal · 2025Pooled it
- Implementation performance of routine insecticide-treated nets distribution through the health facilities in mainland Tanzania: 5 years (2018-2022) experience.Malaria journal · 2025Article
- Facilitators and barriers of malaria prevention and treatment services to pregnant women in Ethiopia: a multi-level health system analysis, 2025.Malaria journal · 2025Article
- Measuring quality of facility-based ITN distribution in Ghana.Malaria journal · 2023Article
- Successful implementation of ITN distribution through health facilities in Ghana.Malaria journal · 2023Article
- Utilization of Insecticide-Treated Nets in Households for Under-5 Children and Associated Factors in East Mesekan District, Gurage Zone, Southern Ethiopia.Environmental health insights · 2023Article
- Rethinking integrated service delivery for malaria.PLOS global public health · 2022Review
- Malaria prevalence and long-lasting insecticidal net use in rural western Uganda: results of a cross-sectional survey conducted in an area of highly variable malaria transmission intensity.Malaria journal · 2021Article
- Use of long-lasting insecticidal nets among women attending antenatal clinic at a tertiary hospital in Bayelsa State, Nigeria 2019.Malaria journal · 2020Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInsecticide-treated nets (ITN) have largely been distributed via mass distribution campaigns. Since 2011, however, the World Health Organization (WHO) has recommended additional ITN distribution via routine antenatal care (ANC) and expanded programme on immunization (EPI) services. Countries have begun to implement these routine facility-based distribution strategies, but inconsistently, and there is little research on outcomes of these new programmes. This paper investigates the impact of ITN distribution policies on children's net use, comparing countries with different policies in place.
methodsDemographic Health Surveys from 25 countries in Africa were used to analyse household ITN ownership, and ITN use among children under 5 years of age. Countries were categorized in terms of the ITN facility-based distribution policies in place, based on nationally reported policies and distribution data provided to the WHO. The analysis was conducted for individual countries and then pooled with all countries in each category weighted equally to present the average country experience, by ITN distribution policy.
resultsHousehold ITN ownership, children's ITN use, and children's ITN use in households with at least one ITN increase with each additional routine facility-based distribution policy. An average of 54.0% of children slept under an ITN in countries with ITN distribution via ANC and EPI, compared to 34.3% and 24.7% in countries with ITN distribution via ANC only, or no facility-based distribution, respectively. Linear regression found a 13% increase in net use among children under 5, on average, with each additional ITN distribution policy.
conclusionITN distribution via ANC and EPI can not only assist countries in maintaining ITN ownership and use, but may be extremely effective at increasing ITN ownership and use. There is also an additional benefit associated with combined ANC and EPI-based ITN distribution, compared to ANC distribution alone.
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