# name
Sleeping arrangements and mass distribution of bed nets in six districts in central and northern Mozambique

# metadata.dc.description.abstract[].value
OBJECTIVE: Universal coverage with insecticide-treated bed nets
                is a cornerstone of modern malaria control. Mozambique has
                developed a novel bed net allocation strategy, where the number
                of bed nets allocated per household is calculated on the basis
                of household composition and assumptions about who sleeps with
                whom. We set out to evaluate the performance of the novel
                allocation strategy. METHODS: 1,994 households were visited
                during household surveys following two universal coverage bed
                net distribution campaigns in Sofala and Nampula Provinces in
                2010-2013. Each sleeping space was observed for the presence of
                a bed net, and the sleeping patterns for each household were
                recorded. The observed coverage and efficiency were compared to
                a simulated coverage and efficiency had conventional allocation
                strategies been used. A composite indicator, the product of
                coverage and efficiency, was calculated. Observed sleeping
                patterns were compared with the sleeping pattern assumptions.
                RESULTS: In households reached by the campaign, 93% (95% CI:
                93-94%) of sleeping spaces in Sofala and 84% (82-86%) in Nampula
                were covered by campaign bed nets. The achieved efficiency was
                high, with 92% (91-93%) of distributed bed nets in Sofala and
                93% (91-95%) in Nampula covering a sleeping space. Using the
                composite indicator, the novel allocation strategy outperformed
                all conventional strategies in Sofala and was tied for best in
                Nampula. The sleeping pattern assumptions were completely
                satisfied in 66% of households in Sofala and 56% of households
                in Nampula. The most common violation of the sleeping pattern
                assumptions was that male children 3-10 years of age tended not
                to share sleeping spaces with female children 3-10 or 10-16
                years of age. CONCLUSIONS: The sleeping pattern assumptions
                underlying the novel bed net allocation strategy are generally
                valid, and net allocation using these assumptions can achieve
                high coverage and compare favorably with conventional allocation
                strategies. This article is protected by copyright. All rights
                reserved.

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Tropical Medicine & International Health, 2015, vol. 20, num. 12, p. 1685-1695

# metadata.dc.source[].value
Articles publicats en revistes (ISGlobal)

# metadata.dc.title[].value
Sleeping arrangements and mass distribution of bed nets in six districts in central and northern Mozambique