Hien Hervé, Hien Aristide S, Bacyè Fidèle Y, Badolo Hermann, Tiono Alfred, Diallo Cheick O, Somda Serge M A, Bazié Hermann, Guira Matilibou, Meda Nicolas
Institut de Recherches en Sciences de la Santé, Centre national de la recherche scientifique et technologique, Ouagadougou, Burkina Faso.
Institut National de Santé Publique, Ouagadougou, Burkina Faso.
PLoS One. 2025 Aug 22;20(8):e0325580. doi: 10.1371/journal.pone.0325580. eCollection 2025.
Insecticide-treated nets (ITNs) are crucial for preventing malaria and other vector-borne diseases, effectively reducing transmission and mortality rates. However, their uptake remains low, influenced by textile preferences, with polyester nets being favored for comfort, despite their shorter lifespan compared to other materials. A study in Burkina Faso aimed to understand community preferences for ITN fabrics across different environmental contexts to improve malaria control strategies. Using a mixed-methods approach, the study surveyed and interviewed urban and rural communities in three climatic zones of Burkina Faso to identify socio-economic, environmental, and cultural factors shaping ITN material preferences. The study found that 95.2% (95% CI: 94.6-95.7) of participants had a preference for a specific ITN fabric, with 93% (95% CI: 92.3-93.6) favoring polyester over polyethylene, citing superior comfort, breathability, and protection. Regional differences emerged, with rural areas and the Humid savannah-Sahelian zone showing a stronger preference for polyester nets, especially in larger sizes. The study recommended that malaria control programs prioritize polyester-based nets, offer larger sizes for rural populations, use smaller mesh sizes, and adopt rectangular designs to improve coverage and comfort. Urban populations emphasized comfort and efficacy, while rural areas focused more on durability and size. Factors like ease of maintenance, comfort, and local climate were significant in shaping preferences. The study concluded that tailoring ITN distribution strategies to regional needs such as adjusting net size and mesh could improve malaria control efforts. These insights can guide the optimization of malaria prevention programs, enhancing their effectiveness and long-term sustainability in diverse settings.
经杀虫剂处理的蚊帐（ITN）对于预防疟疾和其他媒介传播疾病至关重要，能有效降低传播率和死亡率。然而，由于受纺织品偏好影响，其使用率仍然较低。尽管聚酯蚊帐的使用寿命比其他材料短，但因其舒适度高而受到青睐。布基纳法索的一项研究旨在了解不同环境背景下社区对ITN织物的偏好，以改进疟疾控制策略。该研究采用混合方法，对布基纳法索三个气候区的城乡社区进行了调查和访谈，以确定影响ITN材料偏好的社会经济、环境和文化因素。研究发现，95.2%（95%置信区间：94.6 - 95.7）的参与者对特定的ITN织物有偏好，其中93%（95%置信区间：92.3 - 93.6）的人因舒适度、透气性和防护性更好而更喜欢聚酯蚊帐而非聚乙烯蚊帐。出现了区域差异，农村地区和湿润稀树草原 - 萨赫勒地区对聚酯蚊帐的偏好更强，尤其是较大尺寸的蚊帐。该研究建议疟疾控制项目优先考虑使用聚酯基蚊帐，为农村人口提供更大尺寸的蚊帐，采用更小的网眼尺寸，并采用矩形设计以提高覆盖率和舒适度。城市人口强调舒适度和有效性，而农村地区则更关注耐用性和尺寸。维护便捷性、舒适度和当地气候等因素在形成偏好方面具有重要意义。研究得出结论，根据区域需求调整ITN分发策略，如调整蚊帐尺寸和网眼，可以改善疟疾控制工作。这些见解可以指导优化疟疾预防项目，提高其在不同环境中的有效性和长期可持续性。
