distribution systems of insecticide-treated bed nets for malaria control in rural burkina faso cluster-randomized controlled trial配电系统控制疟疾的蚊帐在农村布基纳法索集群随机对照试验.pdfVIP

Distribution Systems of Insecticide-Treated Bed Nets for Malaria Control in Rural Burkina Faso: Cluster- Randomized Controlled Trial ¨ 1 1 1 2 1 Olaf Muller *, Manuela De Allegri , Heiko Becher , Justin Tiendrebogo , Claudia Beiersmann , Maurice 2 3 2 1 Ye , Bocar Kouyate , Ali Sie , Albrecht Jahn ´ 1 Department of Tropical Hygiene and Public Health, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany, 2 Centre de Recherche en Sante de Nouna, Nouna, Burkina Faso, 3 Centre National de Recherche et de la Formation au Paludisme, Ouagadougou, Burkina Faso Abstract Background: Insecticide-impregnated bed nets (ITNs) have been shown to be a highly effective tool against malaria in the endemic regions of sub-Saharan Africa (SSA). There are however different opinions about the role of ITN social marketing and ITN free distribution in the roll-out of ITN programmes. The objective of this study was to evaluate the effects of free ITN distribution through antenatal care services in addition to an ITN social marketing programme in an area typical for rural SSA. Methods: A cluster-randomised controlled ITN trial took place in the whole Kossi Province in north-western Burkina Faso, an area highly endemic for malaria. Twelve clusters were assigned to long-term ITN (Serena brand) social marketing plus free ITN (Serena brand) distribution to all pregnant women attending governmental antenatal care services (group A), and 13 clusters to ITN social marketing only (group B). The intervention took place during the rainy season of 2006 and therea