ArticleMalaria journal2020
Monitoring the physical and insecticidal durability of the long-lasting insecticidal net DawaPlus
Article in Malaria journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- A systematic review of sample size estimation accuracy on power in malaria cluster randomised trials measuring epidemiological outcomes.BMC medical research methodology · 2024Pooled it
- Modelling the effect of long-lasting insecticidal nets on malaria transmission dynamics in Kebbi State, Nigeria.Infectious Disease Modelling · 2026Article
- Article
- Couple concordance related to ITN use in Malawi.Malaria journal · 2026Article
- The spread of pyrethroid-resistant mosquitoes and their predicted malaria burden across the Democratic Republic of the Congo.Current research in parasitology & vector-borne diseases · 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
- Durability study of VeeralinParasites & vectors · 2025Article
- Physical and insecticidal durability of PermaNetMalaria journal · 2025Article
- Physical and insecticidal durability of InterceptorMalaria journal · 2024Article
- A High Proportion of Malaria Vector Biting and Resting Indoors despite Extensive LLIN Coverage in Côte d'Ivoire.Insects · 2023Article
- Trends in insufficient physical activity among adults in China 2010-18: a population-based study.The international journal of behavioral nutrition and physical activity · 2023Article
- How many mosquito nets are needed to maintain universal coverage: an update.Malaria journal · 2023Article
- Evaluation of Long-lasting insecticidal nets (LLINs) for malaria control in an endemic area in Brazil.Parasites & vectors · 2023Article
- Influence of testing modality on bioefficacy for the evaluation of InterceptorParasites & vectors · 2022Article
- Maps and metrics of insecticide-treated net access, use, and nets-per-capita in Africa from 2000-2020.Nature communications · 2021Article
- Evaluation of the durability of long-lasting insecticidal nets in Guatemala.Malaria journal · 2021Article
- Correlation of textile 'resistance to damage' scores with actual physical survival of long-lasting insecticidal nets in the field.Malaria journal · 2021Article
- Variation of physical durability between LLIN products and net use environments: summary of findings from four African countries.Malaria journal · 2021Article
- A cohort study to identify risk factors for Plasmodium falciparum infection in Burkinabe children: implications for other high burden high impact countries.Malaria journal · 2020Article
- Attrition, physical integrity and insecticidal activity of long-lasting insecticidal nets in sub-Saharan Africa and modelling of their impact on vectorial capacity.Malaria journal · 2020Article
Corrections and comments
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Authors and funding
16 authors at 8 institutions in 3 countries.
Funding
Abstract
backgroundFollowing guidance from the US President's Malaria Initiative, durability monitoring of DawaPlus
methodsThis was a prospective cohort study of representative samples of households from each location, recruited at baseline, 1 to 6 months after the mass campaign. All campaign nets in the households were labelled and followed up over a period of 36 months in Zamfara and Ebonyi and 24 months in Oyo. Primary outcome was the "proportion of nets surviving in serviceable condition" based on attrition and integrity measures and the median survival in years. The outcome for insecticidal durability was determined by bio-assay from sub-samples of campaign nets.
resultsA total of 439 households (98% of target) and 1096 campaign nets (106%) were included in the study. Definite outcomes could be determined for 92% of the cohort nets in Zamfara, 88% in Ebonyi and 75% in Oyo. All-cause attrition was highest in Oyo with 47% no longer present after 24 months, 53% in Ebonyi and 28% in Zamfara after 36 months. Overall only 1% of all campaign nets were used for other purposes. Estimated survival in serviceable condition of the campaign nets was 80% in Zamfara, 55% in Ebonyi (36 months follow-up) and 75% in Oyo (24 months follow-up) corresponding to median survival of 5.3, 3.3, 3.2 years, respectively. Factors associated with better survival were exposure to social messaging combined with a positive net-care attitude and only adult users. Failing to fold the net when hanging and having children under 5 years of age in the household negatively impacted net survival. Insecticidal effectiveness testing at final survey showed knock-down rates of 50-69%, but 24-h mortality above 95% resulting in 100% optimal performance in Ebonyi and Oyo and 97% in Zamfara.
conclusionsResults confirm the strong influence of net-use environment and behavioural factors in the physical survival of the same LLIN brand, which can increase the time until 50% of nets are no longer serviceable by up to 2 years.
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