Gunasekaran K, Sahu S S, Vijayakumar K N, Jambulingam P
Vector Control Research Centre, Medical Complex, Indira Nagar, Pondicherry 605 006, India.
Acta Trop. 2009 Nov;112(2):149-55. doi: 10.1016/j.actatropica.2009.07.013. Epub 2009 Jul 22.
Long lasting insecticide treated nets (LLINs) that require no re-treatment have been advocated as an effective tool against malaria transmission. However, success of this community based intervention measure largely depends on its acceptability and proper usage by the target population, besides assuring access to bed nets. To determine the acceptability of LLIN, its usage and people's willingness to buy the net, a study was conducted in two tribal districts viz., Malkangiri (with ongoing ITN programme) and Koraput (no ITN programme) of Orissa State, India. Both qualitative and quantitative data collection methods were used to collect information regarding the objective of the study. A total of 2457 LLINs (Olyset Nets) were distributed in the selected villages of these districts at free of cost. In the study villages of Malkangiri, 58% of the households had either ITNs (73%) or other types of mosquito nets aside from the LLINs and in the villages of Koraput, only 8% had other nets, as majority (96%) informed that buying nets from market was not affordable to them. Physical verification of the nets during the house visits revealed that 75.4% and 83% (in ITNs and non-ITNs villages, respectively) of the LLINs and 76% of the other nets (including ITNs) were used by the respondents, the night before the survey as nets were in a hanging position at the time of the visit. Majority of the respondents (76-98%) felt that reduction of mosquito bites as the main perceived benefit of using the LLINs. About 55% and 67% of the respondents from non-ITNs and ITNs areas, respectively, expressed their willingness to buy the LLINs. Among them, 76.8% and 94.7% offered to pay INR<100 for a net and also ready to buy it by cash payment. Social marketing of LLINs at a subsidized price or free supply to the deserving sections of people (socially/economically poor and/or under-privileged) and ensuring the availability of nets during harvesting season could encourage people to buy and use LLINs.
长效驱虫蚊帐（LLINs）无需再次处理，已被视为对抗疟疾传播的有效工具。然而，除了确保获得蚊帐外，这项基于社区的干预措施的成功很大程度上取决于目标人群对其的接受程度和正确使用情况。为了确定长效驱虫蚊帐的可接受性、使用情况以及人们购买蚊帐的意愿，在印度奥里萨邦的两个部落地区，即马尔康吉里（正在实施驱虫蚊帐项目）和科拉普特（未实施驱虫蚊帐项目）开展了一项研究。研究采用了定性和定量数据收集方法来收集与研究目标相关的信息。在这些地区的选定村庄免费分发了总共2457顶长效驱虫蚊帐（奥力赛蚊帐）。在马尔康吉里的研究村庄中，58%的家庭除了长效驱虫蚊帐外，还拥有驱虫蚊帐（73%）或其他类型的蚊帐；而在科拉普特的村庄中，只有8%的家庭拥有其他蚊帐，因为大多数人（96%）表示从市场购买蚊帐对他们来说负担不起。在入户访问期间对蚊帐进行实地核查发现，在调查前一晚，75.4%和83%（分别在使用驱虫蚊帐和未使用驱虫蚊帐的村庄）的长效驱虫蚊帐以及76%的其他蚊帐（包括驱虫蚊帐）被受访者使用，因为访问时蚊帐处于悬挂状态。大多数受访者（76 - 98%）认为减少蚊虫叮咬是使用长效驱虫蚊帐的主要益处。分别来自未使用驱虫蚊帐地区和使用驱虫蚊帐地区的约55%和67%的受访者表示愿意购买长效驱虫蚊帐。其中，76.8%和94.7%的受访者愿意为一顶蚊帐支付100印度卢比以下，并准备用现金购买。以补贴价格对长效驱虫蚊帐进行社会营销或向应得人群（社会/经济贫困和/或弱势群体）免费供应，并确保在收获季节有蚊帐供应，可能会鼓励人们购买和使用长效驱虫蚊帐。
