Increasing Coverage and Decreasing Inequity in Insecticide-Treated Bed Net Use among Rural Kenyan Children
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{"title"=>"Increasing coverage and decreasing inequity in insecticide-treated bed net use among rural Kenyan children", "type"=>"journal", "authors"=>[{"first_name"=>"Abdisalan M.", "last_name"=>"Noor", "scopus_author_id"=>"7103299616"}, {"first_name"=>"Abdinasir A.", "last_name"=>"Amin", "scopus_author_id"=>"7202593773"}, {"first_name"=>"Willis S.", "last_name"=>"Akhwale", "scopus_author_id"=>"16506189900"}, {"first_name"=>"Robert W.", "last_name"=>"Snow", "scopus_author_id"=>"56771582900"}], "year"=>2007, "source"=>"PLoS Medicine", "identifiers"=>{"pmid"=>"17713981", "doi"=>"10.1371/journal.pmed.0040255", "sgr"=>"34548436215", "arxiv"=>"NIHMS150003", "isbn"=>"1549-1676 (Electronic)", "scopus"=>"2-s2.0-34548436215", "issn"=>"15491277", "pui"=>"47358170"}, "id"=>"b21a86b1-de02-3081-abb4-5f9f0b0de6c9", "abstract"=>"Inexpensive and efficacious interventions that avert childhood deaths in sub-Saharan Africa have failed to reach effective coverage, especially among the poorest rural sectors. One particular example is insecticide-treated bed nets (ITNs). In this study, we present repeat observations of ITN coverage among rural Kenyan homesteads exposed at different times to a range of delivery models, and assess changes in coverage across socioeconomic groups.", "link"=>"http://www.mendeley.com/research/increasing-coverage-decreasing-inequity-insecticidetreated-bed-net-among-rural-kenyan-children", "reader_count"=>166, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>6, "Librarian"=>1, "Researcher"=>41, "Student > Doctoral Student"=>9, "Student > Ph. D. Student"=>27, "Student > Postgraduate"=>14, "Student > Master"=>39, "Other"=>5, "Student > Bachelor"=>14, "Lecturer"=>4, "Lecturer > Senior Lecturer"=>2, "Professor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>6, "Librarian"=>1, "Researcher"=>41, "Student > Doctoral Student"=>9, "Student > Ph. D. Student"=>27, "Student > Postgraduate"=>14, "Student > Master"=>39, "Other"=>5, "Student > Bachelor"=>14, "Lecturer"=>4, "Lecturer > Senior Lecturer"=>2, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>6, "Agricultural and Biological Sciences"=>35, "Arts and Humanities"=>2, "Business, Management and Accounting"=>3, "Computer Science"=>2, "Earth and Planetary Sciences"=>1, "Economics, Econometrics and Finance"=>7, "Engineering"=>1, "Environmental Science"=>9, "Nursing and Health Professions"=>8, "Biochemistry, Genetics and Molecular Biology"=>6, "Mathematics"=>4, "Medicine and Dentistry"=>50, "Physics and Astronomy"=>1, "Social Sciences"=>28, "Immunology and Microbiology"=>3}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>50}, "Social Sciences"=>{"Social Sciences"=>28}, "Physics and Astronomy"=>{"Physics and Astronomy"=>1}, "Mathematics"=>{"Mathematics"=>4}, "Unspecified"=>{"Unspecified"=>6}, "Environmental Science"=>{"Environmental Science"=>9}, "Arts and Humanities"=>{"Arts and Humanities"=>2}, "Engineering"=>{"Engineering"=>1}, "Earth and Planetary Sciences"=>{"Earth and Planetary Sciences"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>7}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>3}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>35}, "Computer Science"=>{"Computer Science"=>2}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>3}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>8}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>6}}, "reader_count_by_country"=>{"Canada"=>2, "United States"=>3, "Philippines"=>2, "Tanzania"=>1, "Brazil"=>1, "United Kingdom"=>5, "Ghana"=>1, "Kenya"=>4, "Nigeria"=>2}, "group_count"=>12}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/946946"], "description"=>"<p>The concentration curve below the line of perfect equality indicates that ITN use is concentrated among higher socioeconomic groups. When the curve is coincident on the line of perfect equality, then there is no wealth-related inequality in ITN use.</p>", "links"=>[], "tags"=>["inequality", "children", "sleeping", "itn", "homesteads", "districts"], "article_id"=>617291, "categories"=>["Biotechnology", "Infectious Diseases"], "users"=>["Abdisalan M Noor", "Abdinasir A Amin", "Willis S Akhwale", "Robert W Snow"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.0040255.g001", "stats"=>{"downloads"=>1, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Degree_of_Inequality_in_Children_Sleeping_under_an_ITN_in_2004_5_2005_6_and_2006_7_in_Homesteads_of_Different_Wealth_Status_in_the_Four_Districts_in_Kenya_/617291", "title"=>"Degree of Inequality in Children Sleeping under an ITN in 2004/5, 2005/6, and 2006/7 in Homesteads of Different Wealth Status in the Four Districts in Kenya", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2007-08-21 02:01:31"}
  • {"files"=>["https://ndownloader.figshare.com/files/947196"], "description"=>"<p>Delivery mechanisms included commercial social marketing, the PSI-MCH programme, and a free mass campaign.</p>", "links"=>[], "tags"=>["inequality", "socioeconomic", "targeting", "mechanisms", "districts", "kenya"], "article_id"=>617541, "categories"=>["Biotechnology", "Infectious Diseases"], "users"=>["Abdisalan M Noor", "Abdinasir A Amin", "Willis S Akhwale", "Robert W Snow"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.0040255.g003", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Degree_of_Inequality_in_Socioeconomic_Targeting_by_the_Three_Principal_Net_Delivery_Mechanisms_in_Four_Districts_in_Kenya_by_2006_7_/617541", "title"=>"Degree of Inequality in Socioeconomic Targeting by the Three Principal Net Delivery Mechanisms in Four Districts in Kenya by 2006/7", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2007-08-21 02:05:41"}
  • {"files"=>["https://ndownloader.figshare.com/files/947088"], "description"=>"<p>Proportion of Children Sleeping under an ITN in 2004/5, 2005/6, and 2006/7 in Homesteads of Different Wealth Status in Four Districts in Kenya</p>", "links"=>[], "tags"=>["children", "sleeping", "itn", "homesteads", "districts"], "article_id"=>617435, "categories"=>["Biotechnology", "Infectious Diseases"], "users"=>["Abdisalan M Noor", "Abdinasir A Amin", "Willis S Akhwale", "Robert W Snow"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.0040255.g002", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Proportion_of_Children_Sleeping_under_an_ITN_in_2004_5_2005_6_and_2006_7_in_Homesteads_of_Different_Wealth_Status_in_Four_Districts_in_Kenya_/617435", "title"=>"Proportion of Children Sleeping under an ITN in 2004/5, 2005/6, and 2006/7 in Homesteads of Different Wealth Status in Four Districts in Kenya", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2007-08-21 02:03:55"}
  • {"files"=>["https://ndownloader.figshare.com/files/466390"], "description"=>"<div><h3>Background</h3><p>Inexpensive and efficacious interventions that avert childhood deaths in sub-Saharan Africa have failed to reach effective coverage, especially among the poorest rural sectors. One particular example is insecticide-treated bed nets (ITNs). In this study, we present repeat observations of ITN coverage among rural Kenyan homesteads exposed at different times to a range of delivery models, and assess changes in coverage across socioeconomic groups.</p> <h3>Methods and Findings</h3><p>We undertook a study of annual changes in ITN coverage among a cohort of 3,700 children aged 0–4 y in four districts of Kenya (Bondo, Greater Kisii, Kwale, and Makueni) annually between 2004 and 2006. Cross-sectional surveys of ITN coverage were undertaken coincidentally with the incremental availability of commercial sector nets (2004), the introduction of heavily subsidized nets through clinics (2005), and the introduction of free mass distributed ITNs (2006). The changing prevalence of ITN coverage was examined with special reference to the degree of equity in each delivery approach. ITN coverage was only 7.1% in 2004 when the predominant source of nets was the commercial retail sector. By the end of 2005, following the expansion of heavily subsidized clinic distribution system, ITN coverage rose to 23.5%. In 2006 a large-scale mass distribution of ITNs was mounted providing nets free of charge to children, resulting in a dramatic increase in ITN coverage to 67.3%. With each subsequent survey socioeconomic inequity in net coverage sequentially decreased: 2004 (most poor [2.9%] versus least poor [15.6%]; concentration index 0.281); 2005 (most poor [17.5%] versus least poor [37.9%]; concentration index 0.131), and 2006 with near-perfect equality (most poor [66.3%] versus least poor [66.6%]; concentration index 0.000). The free mass distribution method achieved highest coverage among the poorest children, the highly subsidised clinic nets programme was marginally in favour of the least poor, and the commercial social marketing favoured the least poor.</p> <h3>Conclusions</h3><p>Rapid scaling up of ITN coverage among Africa's poorest rural children can be achieved through mass distribution campaigns. These efforts must form an important adjunct to regular, routine access to ITNs through clinics, and each complimentary approach should aim to make this intervention free to clients to ensure equitable access among those least able to afford even the cost of a heavily subsidized net.</p> </div>", "links"=>[], "tags"=>["decreasing", "inequity", "insecticide-treated", "kenyan", "children"], "article_id"=>151927, "categories"=>["Cancer", "Biotechnology"], "users"=>["Abdisalan M Noor", "Abdinasir A Amin", "Willis S Akhwale", "Robert W Snow"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.0040255", "stats"=>{"downloads"=>2, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Increasing_Coverage_and_Decreasing_Inequity_in_Insecticide_Treated_Bed_Net_Use_among_Rural_Kenyan_Children/151927", "title"=>"Increasing Coverage and Decreasing Inequity in Insecticide-Treated Bed Net Use among Rural Kenyan Children", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2007-08-21 00:32:07"}

PMC Usage Stats | Further Information

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Relative Metric

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