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Distribución gratuita de mosquiteras impregnadas con insecticida a mujeres embarazadas en Kinshasa: una forma efectiva de alcanzar un 80% de uso entre mujeres y sus recién nacidos
Author(s) -
Pettifor Audrey,
Taylor Eboni,
Nku David,
Duvall Sandra,
Tabala Martine,
Mwandagalirwa Kashamuka,
Meshnick Steve,
Behets Frieda
Publication year - 2009
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2008.02179.x
Subject(s) - medicine , bed nets , attendance , cesarean delivery , pediatrics , pregnancy , population , obstetrics , environmental health , biology , economics , genetics , economic growth
Summary Objective To determine whether long lasting insecticide treated bed nets (LLINs) distributed free of charge to pregnant women at their first antenatal clinic visit in Kinshasa, DRC are used from the time of distribution to delivery and 6 months after delivery. Methods Women were enrolled into a cohort study at their first antenatal care (ANC) visit and provided LLINs free of charge. Reported use of these nets was then measured at the time of delivery ( n = 328) and in a random sample of women ( n = 100) 6 months post‐delivery using an interviewer administered, structured questionnaire. Results At baseline, only 25% of women reported having slept under a bed net the night before the interview. At the time of delivery, after being provided an LLIN for free, this increased to 79%. Six months post‐delivery ( n = 100), 80% of women reported sleeping under a net with a child under the age of 5 the night before the interview. Conclusions Freely distributed bed nets are acceptable, feasible and result in high usage. Free distribution of bed nets during antenatal clinic visits may be a highly effective way to rapidly increase the use of bed nets among both pregnant women and their newborn infants in areas with high levels of ANC attendance.