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Evidence of high bed net usage from a list randomization experiments in rural Gambia.
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Label: BACKGROUND NlmCategory: BACKGROUND content:
Recording behaviours that have the potential to impact health
can be doubly challenging if the behaviour takes place in
private spaces that cannot be observed directly, and where
respondents answer what they think the recorder may want to
hear. Sleeping under a long-lasting insecticidal net (LLIN) is
an important intervention for malaria prevention, yet it is
difficult to gauge the extent to which coverage (how many nets
are in the community) differs from usage (how many people
actually sleep under a net). List randomization, a novel method
which partially obscures respondents' answers to sensitive
questions, was employed to estimate LLIN usage in The Gambia. -
Label: METHODS NlmCategory: METHODS content: "802
heads-of-household from 15 villages were recruited into a
randomized controlled trial assessing the effect of a housing
intervention on malaria. These houses were randomly assigned to
a housing intervention versus control, with stratification by
village so as to ensure balance between arms. From these, 125
households (63 intervention, 52 control) were randomly selected
for participation in the list randomization experiment, along
with 68 households from the same villages but which were not
part of the housing improvement study, resulting in a total of
196 households for the list randomization experiment.
Approximately half (n\xE2\x80\x89=\xE2\x80\x8997) of the 196
study participants were randomly assigned to the control group
and received a four-question list about non-sensitive
behaviours; the intervention group
(n\xE2\x80\x89=\xE2\x80\x8999) received the same list, with the
addition of one question on a sensitive behaviour: whether or
not they had used a bed net the previous night. Participants
were read the list of questions and then said how many of the
statements were true. Bed net usage was estimated by calculating
the difference in means between the number of affirmative
responses between the two groups." - Label: RESULTS NlmCategory:
RESULTS content: The mean number of affirmative responses in the
control group was 2.60 of four statements (95% confidence
interval, 95% CI 2.50-2.70), compared with 3.68 (95% CI
3.59-3.78) in the intervention group. Such difference (1.08; 95%
CI 94.9-100%) suggests near universal bed net usage. - Label:
CONCLUSIONS NlmCategory: CONCLUSIONS content: Bed net usage by
household heads in these rural villages was found to be high.
Though not entirely unexpected given other studies' estimates of
high bed net usage in the area, the list randomization method
should be further validated in an area with lower coverage.
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BREW, Joe, PINDER, Margaret, ALESSANDRO, Umberto d', LINDSAY, Steven w., JONES, Caroline, SICURI, Elisa. Evidence of high bed net usage from a list randomization
experiments in rural Gambia.. _Malaria Journal_. 2020. Vol. vol 19. [consulta: 29 de gener de 2026]. ISSN: 1475-2875. [Disponible a: https://hdl.handle.net/2445/183108]