Progress in coverage of bed net ownership and use in Burkina Faso 2003–2014: evidence from population-based surveys

Abstract

BackgroundUse of insecticide-treated bed nets (ITNs) is the cornerstone of malaria prevention. In 2010 and 2013, the Burkina Faso Government launched mass distribution campaigns of ITNs to increase coverage of ownership and use in the country. This study assessed the progress towards universal bed net coverage in Burkina Faso.MethodsThe authors used data from the Burkina Faso 2003 and 2010 Demographic and Health Surveys (DHS), the 2006 Multiple Indicator Cluster Surveys (MICS) and the 2014 Malaria Indicator Survey (MIS). For each survey, the authors computed key malaria prevention indicators in line with recommendations from the Survey and Indicator Task Force of the Roll Back Malaria Monitoring and Evaluation Reference Group. The trends over a decade was assessed by calculating percentage point change between 2003 and 2014.ResultsAt national level, the proportion of households owning at least one ITN increased substantially from 5.6, 95% CI (4.7, 6.5%) in 2003 to 89.9% (88.5, 91.2%) in 2014, with low heterogeneity between regions. The proportion of households owning at least one ITN per two people increased significantly from 1.8% (1.4, 2.3%) in 2003 to 49.2% (47.3, 51.0%) in 2014. ITN use in the general population increased from 2.0% (1.6, 2.3%) in 2003, to 67.0% (65.3, 68.7%) in 2014. A similar trend was observed among children under the age of five years, increasing from 1.9% (1.5, 2.4%) in 2003 to 75.2% (73.2, 77.3%) in 2014, and among pregnant women, increasing from 3.0% (1.9, 4.2%) in 2003 to 77.1% (72.9, 81.3%) in 2014. The intra-household ownership gap was 67.0% (61.5, 72.4%) in 2003, but decreased significantly to 45.3% (43.6, 47.1%) in 2014. The behavioural gap, which was relatively low in 2013 with only 20.0% of people who had access to an ITN but were not using it, further decreased to 5.9% in 2014.ConclusionBurkina Faso made considerable progress in coverage of ITN ownership, access and use between 2003 and 2014, as a result of the two free mass distribution campaigns in 2010 and 2013. However, ITN coverage remains below the national targets of 100% for ownership and 80% for use. The results of 90% of ownership and 67% of use confirm that free mass distribution campaigns of ITNs are effective; however, there is room for improvement to reach and maintain optimal coverage of ITN ownership and use.

Long-Lasting Insecticide Net Ownership, Access and Use in Southwest Ethiopia: A Community-Based Cross-Sectional Study

“…Large household size (≥7 family members) as the main associated factor for households with insufficient access to LLINs (less than one LLINs for every two persons) is not surprising, and is in line with recent findings in Sierra Leone [ 38 ] and Burkina Faso [ 39 ] where available ITNs at household were not able to protect all family members. Besides household size, socio-demographic characteristics of household heads and cooking practices using firewood were also independently associated with limited LLIN access.…”

Factors Associated with the Use of Insecticide-Treated Nets: Analysis of the 2018 Burkina Faso Malaria Indicator Survey

“…Future analysis will examine ITN access as it relates to ITN use in Burkina Faso.When examining ITN usage by community level, ITN use was signi cantly associated with malaria prevalence, residence, and region. While these factors are interrelated, it does highlight that there are places within Burkina Faso that should be prioritized for future social behavior messaging focused on increasing ITN usage.Previous studies have shown that over time, the Centre Region has consistently displayed high ITN usage, most likely re ective of the population in the Centre Region, which is concentrated in urban areas (Ouagadougou)[26]. This analysis aligns with prior research that found rural areas to have lower odds of ITN use as compared to urban areas, and all other regions in the country having lower odds of ITN usage as compared to the Centre Region.…”

Comparative effectiveness of malaria prevention measures: a systematic review and network meta-analysis

“…Even though clinical and statistical significance was found for ITNs, in reality the effectiveness of interventions (ITN) are dependent on a number of extrinsic factors such as population behaviour and vector aetiology. Studies have shown that ITN use is influenced by social behaviour including education, level of knowledge on malaria, and ease of use [ 106 , 107 ]. In addition, other socio-economic factors such as working and staying overnight in the forest decreases protection despite high proportion of coverage by ITNs [ 108 – 110 ].…”