scholarly journals Integrity, Use and Care of Long-Lasting Insecticidal Nets in Kirinyaga County, Kenya

2020 ◽  
Author(s):  
Mary Wanjiku Nyangi ◽  
Elizabeth Mumbi Kigondu ◽  
Beatrice Irungu ◽  
Margaret Nganga ◽  
Anthony Gachanja ◽  
...  

Abstract Background: Vector control is an essential component in prevention and control of malaria in malaria endemic areas. Insecticide treated nets is one of the standard tools recommended for malaria vector control. The objective of the study was to determine physical integrity and insecticidal potency of long-lasting insecticidal nets (LLINs) used in control of malaria vector in Kirinyaga County, Kenya.Method: The study targeted households in an area which had received LLINs during mass net distribution in 2016 from Ministry of Health. A total of 420 households were sampled using systematic sampling method, where the household heads consented to participate in the study. A semi-structured questionnaire was administered to assess care and use while physical examination was used to determine integrity. Chemical potency was determined by gas chromatography mass spectroscopy (GC-MS). Data analysis was done using Statistical Package for Social Sciences (SPSS) version 19. Results: After eighteen months of use, 96.9% (95% CI: 95.2% – 98.6%) of the distributed nets were still available. Regarding the net utilization, 94.1% of household heads reported sleeping under an LLIN the previous night. After physical examination, 49.9% (95% CI: 43% - 52.8%) of the bed nets had at least one hole. The median number of holes of any size was 2[interquartile range (IQR) 1-4], and most holes were located on the lower part of the nets, [median 3 (IQR 2-5)]. Only 15% of the nets with holes had been repaired. The median concentration for alpha-cypermethrin was 7.15mg/m2 (IQR 4.25-15.31) and 0.00mg/g (IQR 0.00-1.99) for permethrin. Based on pHI, Chi-square test varied significantly with the manufacturer (X (6, N=389) = 29.14, p = 0.04). There was no significant difference between nets with different number of washes (X2(2) = 4.55, p = 0.103).Conclusion: More than three-quarters of the nets supplied had survived and insecticidal potency was adequate in vector control. Studies for validated field evaluation of surface insecticidal content available to a mosquito after landing on a net to rest should be developed.

2020 ◽  
Author(s):  
Mary Wanjiku Nyangi ◽  
Elizabeth Mumbi Kigondu ◽  
Beatrice Irungu ◽  
Margaret Nganga ◽  
Anthony Gachanja ◽  
...  

Abstract Background: Vector control is an essential component in prevention and control of malaria in malaria endemic areas. Insecticide treated nets is one of the standard tools recommended for malaria vector control. The objective of the study was to determine physical integrity and insecticidal potency of long-lasting insecticidal nets (LLINs) used in control of malaria vector in Kirinyaga County, Kenya.Method: The study targeted households in an area which had received LLINs during mass net distribution in 2016 from Ministry of Health. A total of 420 households were sampled using systematic sampling method, where the household heads consented to participate in the study. A semi-structured questionnaire was administered to assess care and use while physical examination was used to determine integrity. Chemical potency was determined by gas chromatography mass spectroscopy (GC-MS). Data analysis was done using Statistical Package for Social Sciences (SPSS) version 19. Results: After eighteen months of use, 96.9% (95% CI: 95.2% – 98.6%) of the distributed nets were still available. Regarding the net utilization, 94.1% of household heads reported sleeping under an LLIN the previous night. After physical examination, 49.9% (95% CI: 43% - 52.8%) of the bed nets had at least one hole. The median number of holes of any size was 2[interquartile range (IQR) 1-4], and most holes were located on the lower part of the nets, [median 3 (IQR 2-5)]. Only 15% of the nets with holes had been repaired. The median concentration for alpha-cypermethrin was 7.15mg/m2 (IQR 4.25-15.31) and 0.00mg/g (IQR 0.00-1.99) for permethrin. Based on pHI, Chi-square test varied significantly with the manufacturer (X (6, N=389) = 29.14, p = 0.04). There was no significant difference between nets with different number of washes (X2(2) = 4.55, p = 0.103).Conclusion: More than three-quarters of the nets supplied had survived and insecticidal potency was adequate in vector control. 14.2% of the nets were too torn and required immediate replacement. Studies for validated field evaluation of surface insecticidal content available to a mosquito after landing on a net to rest should be developed.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mary Nyangi ◽  
Elizabeth Kigondu ◽  
Beatrice Irungu ◽  
Margaret Nganga ◽  
Anthony Gachanja ◽  
...  

Abstract Background Vector control is an essential component in prevention and control of malaria in malaria endemic areas. Insecticide treated nets is one of the standard tools recommended for malaria vector control. The objective of the study was to determine physical integrity and insecticidal potency of long-lasting insecticidal nets (LLINs) used in control of malaria vector in Kirinyaga County, Kenya. Method The study targeted households in an area which had received LLINs during mass net distribution in 2016 from Ministry of Health. A total of 420 households were sampled using systematic sampling method, where the household heads consented to participate in the study. A semi-structured questionnaire was administered to assess care and use while physical examination was used to determine integrity. Chemical concentration was determined by gas chromatography mass spectroscopy (GC-MS). Data analysis was done using Statistical Package for Social Sciences (SPSS) version 19. Results After 18 months of use, 96.9% (95% CI: 95.2–98.6%) of the distributed nets were still available. Regarding net utilization, 94.1% of household heads reported sleeping under an LLIN the previous night. After physical examination, 49.9% (95% CI: 43–52.8%) of the bed nets had at least one hole. The median number of holes of any size was 2[interquartile range (IQR) 1–4], and most holes were located on the lower part of the nets, [median 3 (IQR 2–5)]. Only 15% of the nets with holes had been repaired. The median concentration for α-cypermethrin was 7.15 mg/m2 (IQR 4.25–15.31) and 0.00 mg/g (IQR 0.00–1.99) for permethrin. Based on pHI, Chi-square test varied significantly with the manufacturer (X (6, N = 389) = 29.14, p = 0.04). There was no significant difference between nets with different number of washes (X2(2) = 4.55, p = 0.103). Conclusion More than three-quarters of the nets supplied had survived and insecticidal potency was adequate in vector control. Standard procedure for field evaluation of surface insecticidal content available to a mosquito after landing on a net to rest is recommended.


2021 ◽  
Author(s):  
Mary Wanjiku Nyangi ◽  
Elizabeth Mumbi Kigondu ◽  
Beatrice Irungu ◽  
Margaret Nganga ◽  
Anthony Gachanja ◽  
...  

Abstract Background: Vector control is an essential component in prevention and control of malaria in malaria endemic areas. Insecticide treated nets is one of the standard tools recommended for malaria vector control. The objective of the study was to determine physical integrity and insecticidal potency of long-lasting insecticidal nets (LLINs) used in control of malaria vector in Kirinyaga County, Kenya.Method: The study targeted households in an area which had received LLINs during mass net distribution in 2016 from Ministry of Health. A total of 420 households were sampled using systematic sampling method, where the household heads consented to participate in the study. A semi-structured questionnaire was administered to assess care and use while physical examination was used to determine integrity. Chemical concentration was determined by gas chromatography mass spectroscopy (GC-MS). Data analysis was done using Statistical Package for Social Sciences (SPSS) version 19. Results: After eighteen months of use, 96.9% (95% CI: 95.2% – 98.6%) of the distributed nets were still available. Regarding net utilization, 94.1% of household heads reported sleeping under an LLIN the previous night. After physical examination, 49.9% (95% CI: 43% - 52.8%) of the bed nets had at least one hole. The median number of holes of any size was 2[interquartile range (IQR) 1-4], and most holes were located on the lower part of the nets, [median 3 (IQR 2-5)]. Only 15% of the nets with holes had been repaired. The median concentration for alpha-cypermethrin was 7.15mg/m2 (IQR 4.25-15.31) and 0.00mg/g (IQR 0.00-1.99) for permethrin. Based on pHI, Chi-square test varied significantly with the manufacturer (X (6, N=389) = 29.14, p = 0.04). There was no significant difference between nets with different number of washes (X2(2) = 4.55, p = 0.103).Conclusion: More than three-quarters of the nets supplied had survived and insecticidal potency was adequate in vector control. Standard procedure for field evaluation of surface insecticidal content available to a mosquito after landing on a net to rest is recommended.


2020 ◽  
Author(s):  
Mary Wanjiku Nyangi ◽  
Elizabeth Mumbi Kigondu ◽  
Beatrice Irungu ◽  
Margaret Nganga ◽  
Anthony Gachanja ◽  
...  

Abstract Background: Vector control is an essential component in prevention and control of malaria in malaria endemic areas. Insecticide treated nets is one of the standard tools recommended for malaria vector control. The objective of the study was to determine physical integrity and insecticidal potency of long-lasting insecticidal nets (LLINs) used in control of malaria vector in Kirinyaga County, Kenya.Method: The study targeted households on an area which had received LLINs during the mass net distribution in 2016 from ministry of health. A total of 394 households were sampled using systematic sampling method with a random start, where the household heads consented to participate in the study. A semi-structured questionnaire was administered to assess physical integrity, care and use. Chemical potency was analysed in the laboratory by use of gas chromatography mass spectroscopy (GC-MS). Data analysis was done using Statistical Package for Social Sciences (SPSS) version 19. Results: After eighteen months of use, 97.8% (95% CI: 96.4% – 99.3%) of the distributed nets were still available. Regarding the net utilization, 93.7% of household heads reported sleeping under an LLIN the previous night. After physical examination, 47.9% (95% CI: 43% - 52.8%) of the bed nets had at least one hole. The median number of holes of any size was 2 [interquartile range (IQR) 1-4], and most holes were located on the lower part of the nets, [median 3 (IQR 2-5)]. Only 6.4% of the nets with holes had been repaired. The median concentration for alpha-cypermethrin was 7.15mg/m2 (IQR 4.25-15.31) and 0.00mg/g (IQR 0.00-1.99) for permethrin. Based on pHI Chi-square test results shows that net physical status varied significantly with the manufacturer There was no significant difference of chemical content between nets with different number of washes . Conclusion: The current study results shows that more than three-quarters of the nets supplied had survived and had insecticidal potency which was adequate in vector control. According to WHO classification 14.2% of nets supplied were too torn and required immediate replacement. In addition, studies for validated methods are needed to better understand field evaluation of surface insecticidal content available to a mosquito after landing on a bed net to rest.


2014 ◽  
Vol 56 (6) ◽  
pp. 493-497 ◽  
Author(s):  
Gabriel de Deus Vieira ◽  
Sergio de Almeida Basano ◽  
Tony Hiroshi Katsuragawa ◽  
Luís Marcelo Aranha Camargo

Mosquito nets treated with long-lasting insecticide (LLINs), when used in compliance with guidelines of the World Health Organization, may be effective for malaria vector control. In 2012, approximately 150,000 LLINs were installed in nine municipalities in the state of Rondônia. However, no studies have assessed their impact on the reduction of malaria incidence. This study analyzed secondary data of malaria incidence, in order to assess the impact of LLINs on the annual parasite incidence (API). The results showed no statistically significant differences in API one year after LLIN installation when compared to municipalities without LLINs. The adoption of measures for malaria vector control should be associated with epidemiological studies and evaluations of their use and efficiency, with the aim of offering convincing advantages that justify their implementation and limit malaria infection in the Amazon Region.


PLoS ONE ◽  
2013 ◽  
Vol 8 (9) ◽  
pp. e74929 ◽  
Author(s):  
Josiane Etang ◽  
Philippe Nwane ◽  
Michael Piameu ◽  
Blaise Manga ◽  
Daniel Souop ◽  
...  

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Filémon T. Tokponnon ◽  
Yolande Sissinto ◽  
Aurore Hounto Ogouyémi ◽  
Adicath Adéola Adéothy ◽  
Alioun Adechoubou ◽  
...  

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