Unforeseen misuses of bed nets in fishing villages along Lake Victoria

Minakawa, Noboru; Dida, Gabriel O.; Sonye, Gorge; Futami, Kyoko; Kaneko, Satoshi

doi:10.1186/1475-2875-7-165

Cited by 105 publications

(115 citation statements)

References 11 publications

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“…Since poverty remains high in rural areas of Uganda, the Government's strategy of free distribution of ITNs is likely to greatly benefit such communities. However, some studies conducted in other parts of Africa have shown misuse of received nets including being used for fishing 20,21 . Therefore, an all-encompassing approach including health education and targeting other malaria prevention methods is recommended.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and practices on malaria prevention in two rural communities in Wakiso District, Uganda

Musoke¹,

Karani²,

Ssempebwa³

et al. 2015

Afr H. Sci.

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Background: Malaria is the leading cause of morbidity and mortality in Uganda particularly among children under 5 years of age. Objectives: The study assessed the knowledge and practices on malaria prevention in 2 rural communities in Wakiso District, Uganda with emphasis on the various prevention methods. Methods: The study was a cross-sectional survey carried out among 376 households using both quantitative and qualitative methods. Log-binomial regression, chi square and Spearman's rank order correlation were used to test for associations. Results: The majority of participants (64.6%) had low knowledge on malaria prevention methods, with untreated mosquito nets (81.7%), mosquito coils (36.9%) and insecticide treated nets (29.6%) being the most known methods. Knowledge on malaria prevention methods was associated with age (χ2 = 32.1; p < 0.01), employment status (χ2 = 18.1; p < 0.01), education (χ2 = 20.3; p = 0.01), income (χ2 = 14.5; p = 0.01) and having heard a malaria message in the previous 12 months (χ2 = 92.3; p < 0.01). Households that had at least one mosquito net were 45.5% and net ownership increased with household income. Only 0.5% of the houses had undergone indoor residual spraying in the previous 12 months, while 2.1% had complete mosquito proofing in windows and ventilators to prevent mosquito entry. Conclusion: There is potential to improve practices on malaria prevention by targeting other methods beyond mosquito nets such as installing proofing in windows and ventilators. The integrated approach to malaria prevention which advocates the use of several malaria prevention methods in a holistic manner should be explored for this purpose.

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Section: Discussionmentioning

confidence: 99%

Knowledge and practices on malaria prevention in two rural communities in Wakiso District, Uganda

Musoke¹,

Karani²,

Ssempebwa³

et al. 2015

Afr H. Sci.

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“…15 Ensuring continued use entails a better understanding of LLIN user preferences, use patterns, alternative uses for LLINs, and factors influencing LLIN use. [16][17][18] Little data exist on sustained use of LLINs in regions of declining malaria transmission. LLIN use was evaluated over a 6-year period in a region of declining malaria transmission in southern Zambia.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Sustained Use of Long-Lasting Insecticide-Treated Nets Following a Reduction in Malaria Transmission in Southern Zambia

Pinchoff

Hamapumbu

Tamaki

et al. 2015

The American Society of Tropical Medicine and Hygiene

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Abstract. Understanding factors influencing sustained use of long-lasting insecticide-treated nets (LLIN) in areas of declining malaria transmission is critical to sustaining control and may facilitate elimination. From 2008 to 2013, 655 households in Choma District, Zambia, were randomly selected and residents were administered a questionnaire and malaria rapid diagnostic test. Mosquitoes were collected concurrently by light trap. In a multilevel model, children and adolescents of 5-17 years of age were 55% less likely to sleep under LLIN than adults (odds ratio [OR] = 0.45; 95% confidence interval [CI] = 0.35, 0.58). LLIN use was 80% higher during the rainy season (OR = 1.8; CI = 1.5, 2.2) and residents of households with three or more nets were over twice as likely to use a LLIN (OR = 2.1; CI = 1.4, 3.1). For every increase in 0.5 km from the nearest health center, the odds of LLIN use decreased 9% (OR = 0.9; CI = 0.88, 0.98). In a second multilevel model, the odds of LLIN use were more than twice high if more than five mosquitoes (anopheline and culicine) were captured in the house compared with households with no mosquitoes captured (OR = 2.1; CI = 1.1, 3.9). LLIN use can be sustained in low-transmission settings with continued education and distributions, and may be partially driven by the presence of nuisance mosquitoes.

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“…In major fishing villages in western Kenya, a considerable number of ITNs were used for catching and drying fish [14]. In Ethiopia, some people used ITNs for drying grain, tying cattle to a tree, and tablecloths, etc.…”

Section: Introductionmentioning

confidence: 99%

N-player mosquito net game: Individual and social rationality in the misuse of insecticide-treated nets

Honjo

Satake

2014

Journal of Theoretical Biology

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Many governmental and non-governmental organizations have distributed insecticide-treated nets (ITNs) to malaria endemic areas, which contributed to the reduction of malaria deaths. However, some people in malaria endemic areas used ITNs for alternative purposes such as fishery and agriculture. It is unclear why people threatened by malaria misuse ITNs. Here we develop a N -player mosquito net game, and theoretically show that the misuse of ITNs might be underpinned by individual and social rationality. In the mosquito net game, each player uses ITNs for malaria prevention or alternative purposes. The proper ITN use decreases the probability of malaria infection, while the improper ITN use increases the player's labor productivity. Each player's expected payoff is influenced by other players' strategies. We found that the misuse of ITNs can be a Pareto efficient Nash equilibrium. The * Corresponding author Email address: keita_honjo@ees.hokudai.ac.jp (Keita Honjo) maximum number of players using ITNs for malaria prevention is limited by insecticidal effectiveness of ITNs and extra income from ITN misuse. Furthermore, we found that players in a low-income community are attracted to the misuse of ITNs even if the probability of malaria infection is high.Introduction of a tax on ITN misuse was shown to be effective to motivate the players to use ITNs for malaria prevention. Our results demonstrate that understanding decision making of people in malaria endemic areas is essential to design more effective malaria control programs.

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Unforeseen misuses of bed nets in fishing villages along Lake Victoria

Cited by 105 publications

References 11 publications

Knowledge and practices on malaria prevention in two rural communities in Wakiso District, Uganda

Knowledge and practices on malaria prevention in two rural communities in Wakiso District, Uganda

Factors Associated with Sustained Use of Long-Lasting Insecticide-Treated Nets Following a Reduction in Malaria Transmission in Southern Zambia

N-player mosquito net game: Individual and social rationality in the misuse of insecticide-treated nets

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