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document
Households with young children and use of freely distributed bednets in rural Madagascar . BACKGROUND Malaria infections are the leading cause of death for children in Madagascar . Insecticide-treated bednets offer effective prevention , but it is unclear how well free bednet distribution programs reach young children . METHODS We conducted a secondary analysis of a free bednet distribution program in Madagascar from 2007-2008 . Interviews were performed at baseline and 6 months . Principal components analysis was used to construct a wealth and malaria knowledge index . Coverage efficiency was calculated as coverage of children per bednet owned . Univariable and multivariable regressions were used to determine predictors of bednet use . RESULTS Bednet use , among the 560 households in the study , increased from 6 to 91 % after 6 months . Coverage efficiency increased from 1.29 to 1.56 children covered per bednet owned . In multivariable analysis , having a child under 5 years of age was the only variable associated with bednet use ( OR 9.10 ; p=0.001 ) , yielding a 99 % likelihood of using a bednet ( 95 % CI 96.4 to 99.9 % ) versus 82 % ( 95 % CI 72.2 to 88.4 % ) in households without young children . CONCLUSION This free bednet distribution program achieved high levels of adherence after 6 months . Household presence of children was associated with bednet use , but not household income or education , suggesting that distribution to priority groups may help overcome traditional barriers to adoption in some settings .
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Intervention_Other
bednets
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Intervention_Other
Insecticide-treated bednets
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Intervention_Educational
free bednet distribution programs
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Intervention_Other
free bednet distribution program
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Intervention_Educational
Interviews
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Intervention_Other
coverage of children per bednet owned
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Intervention_Other
bednet
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Intervention_Other
free bednet distribution program
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Outcome_Other
Bednet use
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Outcome_Other
Coverage efficiency
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Participant_Age
young children
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Participant_Age
children
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Participant_Age
young children
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Participant_Sample-size
560
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Participant_Age
under 5 years