SUCCESSFUL INTEGRATION OF INSECTICIDE-TREATED BED NET DISTRIBUTION WITH MASS DRUG ADMINISTRATION IN CENTRAL NIGERIA

BRIAN G. BLACKBURN Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia; The Carter Center, Jos, Nigeria; The Carter Center, Atlanta, Georgia

Search for other papers by BRIAN G. BLACKBURN in
Current site
Google Scholar
PubMed
Close
,
ABEL EIGEGE Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia; The Carter Center, Jos, Nigeria; The Carter Center, Atlanta, Georgia

Search for other papers by ABEL EIGEGE in
Current site
Google Scholar
PubMed
Close
,
HABILA GOTAU Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia; The Carter Center, Jos, Nigeria; The Carter Center, Atlanta, Georgia

Search for other papers by HABILA GOTAU in
Current site
Google Scholar
PubMed
Close
,
GEORGE GERLONG Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia; The Carter Center, Jos, Nigeria; The Carter Center, Atlanta, Georgia

Search for other papers by GEORGE GERLONG in
Current site
Google Scholar
PubMed
Close
,
EMMANUEL MIRI Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia; The Carter Center, Jos, Nigeria; The Carter Center, Atlanta, Georgia

Search for other papers by EMMANUEL MIRI in
Current site
Google Scholar
PubMed
Close
,
WILLIAM A. HAWLEY Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia; The Carter Center, Jos, Nigeria; The Carter Center, Atlanta, Georgia

Search for other papers by WILLIAM A. HAWLEY in
Current site
Google Scholar
PubMed
Close
,
ELS MATHIEU Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia; The Carter Center, Jos, Nigeria; The Carter Center, Atlanta, Georgia

Search for other papers by ELS MATHIEU in
Current site
Google Scholar
PubMed
Close
, and
FRANK RICHARDS Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia; The Carter Center, Jos, Nigeria; The Carter Center, Atlanta, Georgia

Search for other papers by FRANK RICHARDS in
Current site
Google Scholar
PubMed
Close
Restricted access

In Africa anopheline mosquitoes transmit malaria and lymphatic filariasis (LF); insecticide-treated bed nets significantly reduce transmission of both. Insecticide-treated bed net provision to children under 5 (U5) and pregnant women (PW) is a major goal of malaria control initiatives, but use in Africa remains low because of cost and logistics. We therefore integrated insecticide-treated bed net distribution with the 2004 LF/onchocerciasis mass drug administration (MDA) program in Central Nigeria. Community volunteers distributed 38,600 insecticide-treated bed nets, while simultaneously treating 150,800 persons with ivermectin/albendazole (compared with 135,600 in 2003). This was subsequently assessed with a 30-cluster survey. Among surveyed households containing U5/PW, 80% (95% CI, 72–87%) owned ≥ 1 insecticide-treated bed net, a 9-fold increase from 2003. This first linkage of insecticide-treated bed net distribution with mass drug administration resulted in substantial improvement in insecticide-treated bed net ownership and usage, without adversely affecting mass drug administration coverage. Such integration allowed two programs to share resources while realizing mutual benefit, and is one model for rapidly improving insecticide-treated bed net coverage objectives.

Author Notes

  • 1

    Roll Back Malaria, World malaria report 2005. May 2005. Available at: http://rbm.who.int/wmr2005/. Accessed 6 Dec 2005.

    • PubMed
    • Export Citation
  • 2

    D’Alessandro U, Olaleye BO, McGuire W, Langerock P, Bennett S, Aikins MK, Thomson MC, Cham MK, Cham BA, Greenwood BM, 1995. Mortality and morbidity from malaria in Gambian children after introduction of an impregnated bednet programme. Lancet 345 :479–483.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3

    Nevill CG, Some ES, Mung’ala VO, Mutemi W, New L, Marsh K, Lengeler C, Snow RW, 1996. Insecticide-treated bednets reduce mortality and severe morbidity from malaria among children on the Kenyan coast. Trop Med Int Health 1 :139–146.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4

    Habluetzel A, Diallo DA, Esposito F, Lamizana L, Pagnoni F, Lengeler C, Traore C, Cousens SN, 1997. Do insecticide-treated curtains reduce all-cause child mortality in Burkina Faso? Trop Med Int Health 2 :855–862.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5

    Phillips-Howard PA, Nahlen BL, Kolczak MS, Hightower AW, ter Kuile FO, Alaii JA, Gimnig JE, Arudo J, Vulule JM, Odhacha A, Kachur SP, Schoute E, Rosen DH, Sexton JD, Oloo AJ, Hawley WA, 2003. Efficacy of permethrin-treated bed nets in the prevention of mortality in young children in an area of high perennial malaria transmission in western Kenya. Am J Trop Med Hyg 68 (4 Suppl):23–29.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6

    ter Kuile FO, Terlouw DJ, Phillips-Howard PA, Hawley WA, Friedman JF, Kariuki SK, Shi YP, Kolczak MS, Lal AA, Vulule JM, Nahlen BL, 2003. Reduction of malaria during pregnancy by permethrin-treated bed nets in an area of intense perennial malaria transmission in western Kenya. Am J Trop Med Hyg 68 (4 Suppl):50–60.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7

    World Health Organization, The Abuja Declaration and Plan of Action. Excerpt from: The African summit on Roll Back Malaria, Abuja, Nigeria, April 2000. Available at: http://www.rbm.who.int/docs/abuja_declaration.pdf. Accessed December 6, 2005.

    • PubMed
    • Export Citation
  • 8

    D’Alessandro U, Coosemans M, 2003. Is it feasible to give insecticide-treated bednets free to pregnant women? Lancet 362 :1515–1516.

  • 9

    Guyatt H, Ochola S, 2003. Use of bednets given free to pregnant women in Kenya. Lancet 362 :1549–1550.

  • 10

    Curtis C, Maxwell C, Lemnge M, Kilama WL, Steketee RW, Hawley WA, Bergevin Y, Campbell CC, Sachs J, Teklehaimanot A, Ochola S, Guyatt H, Snow RW, 2003. Scaling-up coverage with insecticide-treated nets against malaria in Africa: who should pay? Lancet Infect Dis 3 :304–307.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11

    Spencer S, Grant AD, Piola P, Tukpo K, Okia M, Garcia M, Salignon P, Genevier C, Kiguli J, Guthmann JP, 2004. Malaria in camps for internally-displaced persons in Uganda: evaluation of an insecticide-treated bed net distribution programme. Trans R Soc Trop Med Hyg 98 :719–727.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12

    Grabowsky M, Nobiya T, Ahun M, Donna R, Lengor M, Zimmerman D, Ladd H, Hoekstra E, Bello A, Baffoe-Wilmot A, Amofah G, 2005. Distributing insecticide-treated bednets during measles vaccination: a low-cost means of achieving high and equitable coverage. Bull World Health Organ 83 :195–201.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13

    Centers for Diseases Control and Prevention, 2005. Distribution of Insecticide-Treated Bednets During an Integrated Nationwide Immunization Campaign—Togo, West Africa, December 2004. MMWR 54 :994–996.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14

    The Global Alliance to Eliminate Lymphatic Filariasis. Available at: http://www.filariasis.org/index.pl?iid=1768. Accessed December 6, 2005.

    • PubMed
    • Export Citation
  • 15

    World Health Organization, 2002. Annual Report on Lymphatic Filariasis 2001. WHO, Geneva.

    • PubMed
    • Export Citation
  • 16

    Bogh C, Pedersen EM, Mukoko DA, Ouma JH, 1998. Permethrin-impregnated bed net effects on resting and feeding behaviour of lymphatic filariasis vector mosquitoes in Kenya. Med Vet Entomol 12 :52–59.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17

    Gimnig JE, Vulule JM, Lo TQ, Kamau L, Kolczak MS, Phillips-Howard PA, Mathenge EM, ter Kuile FO, Nahlen BL, High-tower AW, Hawley WA, 2003. Impact of permethrin-treated bed nets on entomologic indices in an area of intense year-round malaria transmission. Am J Trop Med Hyg 68 (4 Suppl):16–22.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18

    Pedersen EM, Mukoko DA, 2002. Impact of insecticide-treated materials on filaria transmission by the various species of vector mosquito in Africa. Ann Trop Med Parasitol 96 (Suppl 2):S91–S95.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19

    Ottesen EA, 2002. Major progress toward eliminating lymphatic filariasis. N Engl J Med 347 :1885–1886.

  • 20

    Manga L, 2002. Vector-control synergies, between ‘roll back malaria’ and the Global Programme to Eliminate Lymphatic Filariasis, in the African region. Ann Trop Med Parasitol 96 (Suppl 2):S129–S132.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21

    Hopkins DR, Eigege A, Miri ES, Gontor I, Ogah G, Umaru J, Gwomkudu CC, Mathai W, Jinadu M, Amadiegwu S, Oyenekan OK, Korve K, Richards FO Jr, 2002. Lymphatic filariasis elimination and schistosomiasis control in combination with onchocerciasis control in Nigeria. Am J Trop Med Hyg 67 :266–272.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22

    Bennett S, Woods T, Liyanage WM, Smith DL, 1991. A simplified general method for cluster-sample surveys of health in developing countries. World Health Stat Q 44 :98–106.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23

    Molyneux DH, Nantulya VM, 2004. Linking disease control programmes in rural Africa: a pro-poor strategy to reach Abuja targets and millennium development goals. BMJ 328 :1129–1132.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24

    Lindblade KA, Eisele TP, Gimnig JE, Alaii JA, Odhiambo F, ter Kuile FO, Hawley WA, Wannemuehler KA, Phillips-Howard PA, Rosen DH, Nahlen BL, Terlouw DJ, Adazu K, Vulule JM, Slutsker L, 2004. Sustainability of reductions in malaria transmission and infant mortality in western Kenya with use of insecticide-treated bednets: 4 to 6 years of follow-up. JAMA 291 :2571–2580.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25

    Alaii JA, Hawley WA, Kolczak MS, ter Kuile FO, Gimnig JE, Vulule JM, Odhacha A, Oloo AJ, Nahlen BL, Phillips-Howard PA, 2003. Factors affecting use of permethrin-treated bed nets during a randomized controlled trial in western Kenya. Am J Trop Med Hyg 68 (4 Suppl):137–141.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26

    Hawley WA, Phillips-Howard PA, ter Kuile FO, Terlouw DJ, Vulule JM, Ombok M, Nahlen BL, Gimnig JE, Kariuki SK, Kolczak MS, Hightower AW, 2003. Community-wide effects of permethrin-treated bed nets on child mortality and malaria morbidity in western Kenya. Am J Trop Med Hyg 68 (4 Suppl):121–127.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27

    Druilhe P, Tall A, Sokhna C, 2005. Worms can worsen malaria: towards a new means to roll back malaria. Trends Parasitol 21 :359–362.

Past two years Past Year Past 30 Days
Abstract Views 491 430 66
Full Text Views 336 5 1
PDF Downloads 109 6 1
 
 
 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save