Showing papers by "Greg Fegan published in 1996"
TL;DR: Evaluation results showed that, overall, 83% of the bednets surveyed has been impregnated, and 77% of children under the age of five years and 78% of women of childbearing age were reported to be sleeping underImpregnated bednets.
Abstract: On the basis of pilot studies indicating that bednets impregnated with the insecticide Permethrin are an effective acceptable method of malaria control the Gambian government introduced the National Impregnated Bednet Program (NIBP) in 1992. Implementation activities included sensitization sessions with government officials representatives of nongovernmental organizations local health care workers and village leaders; an IEC campaign involving posters t-shirts radio programming and a videotape; staff training; and supply ordering and distribution. A compound-by-compound impregnation strategy was used and women were instructed not to wash the nets until the end of the rainy season (5 months). At the end of 5 months a cross-sectional survey involving 6 compounds in 221 villages was conducted. Overall bednet use was 73% while that for bednet impregnation was 83%. 77% of children under 5 years old and 78% of women of childbearing age (those at greatest risk of malaria) were sleeping under impregnated nets in program villages. During the first year of the intervention a 25% reduction was achieved in all-cause mortality in children 1-9 years old living in treated villages. Although the insecticide was provided free of charge by the government continued subsidy is not feasible and some form of cost recovery must be developed.
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