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Malaria in camps for internally-displaced persons in Uganda: evaluation of an insecticide-treated bednet distribution programme.

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dc.contributor Médecins Sans Frontières, 4 rue Saint Sabin, 75011 Paris, France.
dc.creator Spencer, S
dc.creator Grant, A D
dc.creator Piola, P
dc.creator Tukpo, K
dc.creator Okia, M
dc.creator Garcia, M
dc.creator Salignon, P
dc.creator Genevier, C
dc.creator Kiguli, J
dc.creator Guthmann, J P
dc.date 2004-12
dc.date.accessioned 2017-01-31T07:09:05Z
dc.date.available 2017-01-31T07:09:05Z
dc.identifier Malaria in camps for internally-displaced persons in Uganda: evaluation of an insecticide-treated bednet distribution programme. 2004, 98 (12):719-27 Trans. R. Soc. Trop. Med. Hyg.
dc.identifier 0035-9203
dc.identifier 15485702
dc.identifier 10.1016/j.trstmh.2004.01.012
dc.identifier http://hdl.handle.net/10144/15449
dc.identifier http://fieldresearch.msf.org/msf/handle/10144/15449
dc.identifier Transactions of the Royal Society of Tropical Medicine and Hygiene
dc.identifier.uri http://dspace.mediu.edu.my:8181/xmlui/handle/10144/15449
dc.description Malaria is a key health problem among displaced populations in malaria-endemic areas. Mass distribution of insecticide-treated bednets (ITN) to prevent malaria is often carried out in complex emergencies, but there are few data on the outcome or operational effectiveness of such programmes. In June 2001, Medecins Sans Frontieres completed a mass distribution of ITNs (Permanet) to internally displaced persons in Bundibugyo, southwest Uganda, distributing one to four nets per household, and aiming to provide coverage for all residents. In July 2002, we did a cross-sectional survey using three-stage cluster sampling to evaluate the programme. A total of 1245 individuals from 835 households were interviewed. An ITN was present in 75.6% (95% CI 72.7-78.5) of the households, but only 56.5% (95% CI 52.3-60.4) of individuals were sleeping under an ITN, and nets were often damaged. The prevalence of malarial parasitaemia was 11.2% (95% CI 9.4-13.0), and was significantly lower in ITN users compared to non-users (9.2% vs. 13.8%, relative risk [RR] 0.63, 95% CI 0.46-0.87); ITNs with severe damage remained effective (RR for severely damaged net 0.58, 95% CI 0.35-0.98). There was no significant difference in haemoglobin concentration between ITN users and non-users.
dc.language en
dc.publisher Elsevier
dc.publisher Wiley-Blackwell
dc.relation http://www.sciencedirect.com/science/journal/00359203
dc.rights Archived on this site with the kind permission of Elsevier Ltd. and the Royal Society of Tropical Medicine and Hygiene, http://www.rstmh.org/transactions.asp
dc.title Malaria in camps for internally-displaced persons in Uganda: evaluation of an insecticide-treated bednet distribution programme.


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