The Carter Center, P. O. Box 13373, Woreda 17, Kebele 19, Addis Ababa, Ethiopia.
J Trop Med. 2010;2010. doi: 10.1155/2010/750978. Epub 2010 Sep 23.
Following recent large scale-up of malaria control interventions in Ethiopia, this study aimed to compare ownership and use of long-lasting insecticidal nets (LLIN), and the change in malaria prevalence using two population-based household surveys in three regions of the country. Each survey used multistage cluster random sampling with 25 households per cluster. Household net ownership tripled from 19.6% in 2006 to 68.4% in 2007, with mean LLIN per household increasing from 0.3 to 1.2. Net use overall more than doubled from 15.3% to 34.5%, but in households owning LLIN, use declined from 71.7% to 48.3%. Parasitemia declined from 4.1% to 0.4%. Large scale-up of net ownership over a short period of time was possible. However, a large increase in net ownership was not necessarily mirrored directly by increased net use. Better targeting of nets to malaria-risk areas and sustained behavioural change communication are needed to increase and maintain net use.
继最近在埃塞俄比亚大规模扩大疟疾控制干预措施之后，本研究旨在比较该国三个地区两次基于人群的家庭调查中长效驱虫蚊帐（LLIN）的拥有和使用情况，以及疟疾患病率的变化。每个调查都使用多阶段集群随机抽样，每个集群有 25 户家庭。家庭蚊帐拥有率从 2006 年的 19.6%增加到 2007 年的 68.4%，平均每户 LLIN 从 0.3 增加到 1.2。总的来说，蚊帐使用率从 15.3%增加到 34.5%，但在拥有 LLIN 的家庭中，使用率从 71.7%下降到 48.3%。寄生虫血症从 4.1%下降到 0.4%。在短时间内大规模增加蚊帐的拥有量是可能的。然而，蚊帐拥有量的大幅增加并不一定直接反映在使用率的增加上。需要更好地将蚊帐瞄准疟疾风险地区，并持续进行行为改变沟通，以增加和维持蚊帐的使用。
