TITLE

Assessment of a national voucher scheme to deliver insecticide-treated mosquito nets to pregnant women

AUTHOR(S)
Marchant, Tanya; Schellenberg, David; Nathan, Rose; Armstrong-Schellenberg, Joanna; Mponda, Hadji; Jones, Caroline; Sedekia, Yovitha; Bruce, Jane; Hanson, Kara
PUB. DATE
February 2010
SOURCE
CMAJ: Canadian Medical Association Journal;2/9/2010, Vol. 182 Issue 2, p152
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: The benefits of a health-related intervention may be compromised by the challenges of delivering the intervention on a large scale. We analyzed the process involved in the Tanzania National Voucher Scheme, a system for delivering insecticide-treated mosquito nets to pregnant women. We aimed to identify potential ways to equitably improve overall coverage of the intervention. Methods: We defined five steps in the process. We collected data from a multistage cluster survey of nationally representative households conducted in 2007 across 21 districts in Tanzania. Using these data, we multiplied the rate of success of each step cumulatively to estimate the overall success of the system. Results: The rate of coverage for use of insecticide-treated nets among pregnant women was 23% (95% confidence interval [CI] 19%-27%). We observed large differences in coverage by socio-economic status, from 7% (95% CI 4%- 13%) among participants in the poorest households to 48% (95% CI 38%-59%) among those in the richest households. The rate of success of each step in the process was high (60%-98%). However, the cumulative rate of success for the process as a whole was low (30%). The largest and most inequitable reduction in coverage occurred in the step involving treatment of nets with insecticide. Interpretation: The cumulative effect of modest attrition at several steps in the process substantially diminished the overall rate of coverage for all women, but most markedly among the poorest participants. Analysis of the process suggests that delivery of nets treated with long-lasting insecticide rather than untreated nets packaged with an insecticide-treatment kit could result in an improvement in coverage of 22 percentage points, from 30% to 52%.
ACCESSION #
47997724

 

Related Articles

  • Multilevel analysis of individual and community level factors associated with institutional delivery in Ethiopia. Mekonnen, Zeleke A.; Lerebo, Wondwossen T.; Gebrehiwot, Tesfay G.; Abadura, Samir A. // BMC Research Notes;Aug2015, Vol. 8 Issue 1, p1 

    Background: Improving maternal health is one of the eight millennium development goals to reduce maternal mortality (MM) by three quarters between 1990 and 2015. Institutional delivery is considered to be the most critical intervention in reducing MM and ensuring safe motherhood. However, the...

  • Achieving progress and impact at the clinic level. Brieger, William R. // Africa Health;Mar2011, Vol. 33 Issue 3, p14 

    The article cites several issues that document progress and impact in the reduction of malaria in Africa. It highlights the World Malaria Report of 2010 which showed that by the end of 2010, about 289 million insecticide-treated nets (ITNs) would have been delivered to sub-Saharan Africa. It...

  • From home delay to institutional neglect: an emerging trend in obstructed labour. Abiodun, O. M.; Aboyeji, A. P. // Tropical Doctor;Jul2008, Vol. 38 Issue 3, p195 

    Analysis of 146 patients managed for obstructed labour at a referral tertiary hospital in South West Nigeria shows that labour became obstructed in a lower cadre health facility among majority (76.7%) of the women. This calls for improved maternity service delivery in our locality.

  • Social Capital as a Determinant of Pregnant Mother’s Place of Delivery: Experience from Kongwa District in Central Tanzania. Semali, Innocent Antony; Leyna, Germana Henry; Mmbaga, Elia John; Tengia-Kessy, Anna // PLoS ONE;10/1/2015, Vol. 10 Issue 10, p1 

    Introduction: Maternal ill health contributes highly to the global burden of diseases in countries South of Sahara including Tanzania. Ensuring that all deliveries take place in health facilities and hence attended by skilled health personnel is one of the strategies advocated by global and...

  • MDs urged to pursue alcohol screening of pregnant patients. Milne, David // CMAJ: Canadian Medical Association Journal;3/18/2003, Vol. 168 Issue 6, p756 

    Reports that a U.S. study determined that screening for harmful alcohol use during pregnancy is feasible in busy obstetrical clinics and acceptable to women. Specifics of the study, which appeared in 'Alcoholism: Clinical and Experimental Research'; Percent of women in the survey who still...

  • Type of Health Facility and Utilization of Antenatal Care Services Among Ghanaian Women. Tenkorang, Eric // Population Research & Policy Review;Oct2016, Vol. 35 Issue 5, p631 

    This study examined if differences exist in the number and timing of antenatal care (ANC) visits for users of public and private health care facilities in Ghana. Also, the study explored if such variations could be attributed to health-provider factors or the selective socioeconomic...

  • THE INFLUENCE OF PREGNANCY ON THE USE AND ACCEPTANCE OF PROBIOTICS. Ramsay, Natasha; Tremellen, Kelton P.; Pearce, Karma L. // International Journal of Probiotics & Prebiotics;Feb-May2014, Vol. 9 Issue 1/2, p39 

    This study aimed to determine Australasian womens general knowledge of probiotics, their use, acceptance and motivations to consume probiotics and whether these variables changed during pregnancy. 493 women aged 20-42 years were surveyed online using Survey Monkey. Consumer preference and...

  • Is 'Opt-Out HIV Testing' a real option among pregnant women in rural districts in Kenya? Ujiji, Opondo Awiti; Rubenson, Birgitta; Ilako, Festus; Marrone, Gaetano; Wamalwa, David; Wangalwa, Gilbert; Ekström, Anna Mia // BMC Public Health;2011, Vol. 11 Issue 1, p151 

    Background: An 'opt-out' policy of routine HIV counseling and testing (HCT) is being implemented across sub- Saharan Africa to expand prevention of mother-to-child transmission (PMTCT). Although the underlying assumption is that pregnant women in rural Africa are able to voluntarily consent to...

  • A risk assessment for pregnancy using the World Health Organization classifying form in primary health-care facilities in Enugu, Nigeria. Aniebue, U. U.; Aniebue, P. N. // Tropical Doctor;Jul2008, Vol. 38 Issue 3, p135 

    We present a cross-sectional survey of the pattern of high-risk pregnancies in randomly selected primary health-care facilities in Enugu, Nigeria, using the World Health Organization's classifying form. None of the 10 maternity homes studied had a standard risk screening tool. The age of the 299...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics