National Center for Infectious Diseases, Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA.
Am J Trop Med Hyg. 2010 Nov;83(5):1014-9. doi: 10.4269/ajtmh.2010.09-0599.
In December 2004, Togo was the first country to conduct a nationwide free insecticide-treated net (ITN) distribution as part of its National Integrated Child Health Campaign. Community-based cross-sectional surveys were conducted one and nine months post-campaign as part of a multidisciplinary evaluation of the nationwide distribution of ITNs to children 9-59 months of age to evaluate ITN ownership, equity, and use. Our results demonstrated that at one month post-campaign, 93.1% of all eligible children received an ITN. Household ITN ownership and equity increased significantly post-campaign. Nine months post-campaign, 78.6% of households with a child eligible to participate in the campaign retained at least one campaign net. Use by eligible children was 43.5% at one month post-campaign (during the dry season) and 52.9% at nine months post-campaign (during the rainy season). Household ownership of at least one ITN increased from 8.0% pre-campaign to 62.5% one month post-campaign. Together, these findings demonstrate that in this setting, increased household ITN ownership, equity, and retention can be achieved on a national scale through free ITN distribution during an integrated campaign.
2004 年 12 月，多哥率先在全国范围内开展了一次免费驱虫蚊帐（ITN）分发活动，作为其国家儿童综合健康运动的一部分。作为对全国范围内向 9-59 个月龄儿童分发 ITN 的多学科评估的一部分，在运动后一个月和九个月进行了基于社区的横断面调查，以评估 ITN 的拥有率、公平性和使用情况。我们的结果表明，在运动后一个月，所有符合条件的儿童中有 93.1%收到了 ITN。家庭 ITN 拥有率和公平性在运动后显著提高。在运动后九个月，有符合条件的儿童参与运动的家庭中，有 78.6%保留了至少一顶运动蚊帐。在运动后一个月（旱季），符合条件的儿童的使用率为 43.5%，在运动后九个月（雨季），使用率为 52.9%。家庭至少拥有一顶 ITN 的比例从运动前的 8.0%增加到运动后一个月的 62.5%。总之，这些发现表明，在这种情况下，通过在综合运动期间免费分发 ITN，可以在全国范围内实现家庭 ITN 拥有率、公平性和保留率的提高。
