长效驱虫蚊帐（LLINs）利用率低，给埃塞俄比亚消除疟疾规划带来挑战：系统评价和荟萃分析。

Under utilization of long-lasting insecticidal nets (LLINs) is challenging malaria elimination program in Ethiopia: a systematic review and meta-analysis.

机构信息

Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

Department of Health Promotion, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie City, Ethiopia.

出版信息

BMC Public Health. 2024 Mar 15;24(1):815. doi: 10.1186/s12889-024-18344-w.

DOI:10.1186/s12889-024-18344-w

PMID:38491483

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10941431/

Abstract

BACKGROUND

Malaria is one of the most common causes of morbidity and mortality in developing countries including Ethiopia. Mass distribution of insecticide-treated nets and indoor residual spray for high malaria risk groups are the major prevention measures in different countries. Achievement of the malaria elimination plan is highly determined by the level of effective utilization of intervention measures. However, there is scarce information showing the national level of insecticide-treated nets utilization.

OBJECTIVE

To estimate the pooled prevalence of insecticide-treated nets utilization in Ethiopia, 2023.

METHOD

A Systematic Review and Meta-analysis employed to assess the utilization of long-lasting insecticidal nets in Ethiopia. Published articles were searched from Google Scholar, PubMed, Web Sciences, CINAHIL, EMBASE, and Scopus. The collected articles were screened for data extraction and further analysis using preferred reporting items for systematic review and meta-analysis (PRISMA) flow chart. The quality of each study was assessed using the Jonna Briggs Institute (JBI) checklist. The data were extracted using Microsoft Excel and exported to STATA version 17.0 for analysis. The overall pooled prevalence of long-lasting insecticidal nets utilization was determined using a random effects model.

RESULT

Out of 1657 articles reviewed, only 21 of them were eligible for final analysis. All of the included studies were used to estimate the pooled prevalence of long-lasting insecticidal net utilization. The point prevalence of LLIN utilization ranged from 14.23 to 91.9%. The Meta-analysis estimated that the overall pooled prevalence of insecticidal nets utilization among all study participants in Ethiopia was 56.26% (95%CI: 44.04-68.48%). Subgroup analysis revealed that insecticidal nets utilization was relatively highest in the Amhara region [63.0, 95%CI (37.0-89.0%)] and during 2020-2023 [61, 95% CI (53.0-69.0%)].

CONCLUSION

Long-lasting insecticidal nets utilization in Ethiopia is lower than the national target plan. Hence, it needs extra follow-up and intervention to enhance its utilization.

摘要

背景

疟疾是包括埃塞俄比亚在内的发展中国家发病率和死亡率的主要原因之一。在不同国家，大规模分发经杀虫剂处理的蚊帐和室内滞留喷洒是针对高疟疾风险人群的主要预防措施。消除疟疾计划的实现高度取决于干预措施的有效利用程度。然而，关于国家层面上经杀虫剂处理的蚊帐利用情况的信息却很少。

目的

评估 2023 年埃塞俄比亚经杀虫剂处理的蚊帐利用的总流行率。

方法

系统评价和荟萃分析用于评估埃塞俄比亚长效驱虫蚊帐的利用情况。从 Google Scholar、PubMed、Web Sciences、CINAHIL、EMBASE 和 Scopus 中搜索已发表的文章。通过 Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) 流程图筛选收集的文章以进行数据提取和进一步分析。使用 Jonna Briggs Institute (JBI) 清单评估每项研究的质量。使用 Microsoft Excel 提取数据，并将其导出到 STATA 版本 17.0 进行分析。使用随机效应模型确定长效驱虫蚊帐总体利用的总流行率。

结果

在审查的 1657 篇文章中，只有 21 篇符合最终分析条件。所有纳入的研究都用于估计长效驱虫网利用的总流行率。长期使用驱虫网的点流行率范围为 14.23%至 91.9%。荟萃分析估计，埃塞俄比亚所有研究参与者中，驱虫网的总体利用流行率为 56.26%（95%CI：44.04-68.48%）。亚组分析显示，驱虫网的利用在阿姆哈拉地区相对较高[63.0%，95%CI（37.0-89.0%）]，并且在 2020-2023 年期间[61.0%，95%CI（53.0-69.0%）]。