Assessment of household ownership of bed nets in areas with and without artemisinin resistance containment measures in Myanmar  

作　　者：Thae Maung Maung Tin Oo Khin Thet Wai Thaung Hlaing Philip Owiti Binay Kumar Hemant Deepak Shewade Rony Zachariah Aung Thi 

机构地区：[1]Department of Medical Research,Ministry of Health and Sports,Yangon,Myanmar [2]Department of Public Health,Ministry of Health and Sports,Nay Pyi Taw,Myanmar [3]Academic Model Providing Access to Healthcare(AMPATH),Eldoret,Kenya [4]Gavi,the Vaccine Alliance,Geneva,Switzerland [5]International Union Against Tuberculosis and Lung Disease(The Union),South-East Asia Regional Office,New Delhi,India [6]Medecins Sans Frontieres,Brussels Operational Centre,Luxembourg city,Luxembourg [7]National Malaria Control Program,Ministry of Health and Sports,Nay Pyi Taw,Myanmar

出　　处：《Infectious Diseases of Poverty》2018年第1期199-205,共7页贫困所致传染病（英文）

基　　金：The program was funded by the World Health Organization/Special Programme for Research and Training in Tropical Diseases(WHO/TDR)Impact grant to two TDR alumni from the DMR;The funders had no role in study design,data collection and analysis,decision to publish,or preparation of the paper.

摘　　要：Background:Myanmar lies in the Greater Mekong Subregion where there is artemisinin-resistant Plasmodium falciparum malaria.As the artemisinin compound is the pillar of effective antimalarial therapies,containing the spread of artemisinin resistance is a national and global priority.The use of insecticide-treated bed nets/long-lasting insecticidal nets(ITNs/LLINs)is the key intervention for ensuring the reduction of malaria transmission and the spread of resistant strains,and for eventually eliminating malaria.This study aimed at assessing household ownership of,access to,and utilization of bed nets in areas of Myanmar with and without artemisinin resistance containment measures.Methods:Secondary data from a nationwide community-based malaria survey conducted by the National Malaria Control Program in 2014 were analyzed.Based on evidence of artemisinin resistance,Myanmar was divided into tiers 1,2,and 3:townships in tiers 1 and 2 were aggregated as the Myanmar Artemisinin Resistance Containment(MARC)areas and were compared with tier 3 townships,which were defined as non-MARC areas.The chi-square test was used to compare groups,and the level of significance was set at P≤0.05.Results:Of the 6328 households assessed,97.2%in both MARC and non-MARC areas had at least one bed net(any type),but only 63%of households had ITNs/LLINs.Only 44%of households in MARC areas and 24%in non-MARC areas had adequate numbers of ITNs/LLINs(one ITN/LLIN per two persons,P<0.001).Nearly 44%of household members had access to ITNs/LLINs.Regarding the utilization of ITNs/LLINs,45%of household members used them in MARC areas and 36%used them in non-MARC areas(P<0.001,desired target=100%).Utilization of ITNs/LLINs among children aged below five years and pregnant women(high malaria risk groups)was low,at 44%and 42%,respectively.Conclusions:This study highlights the nationwide shortfalls in the ownership of,access to,and utilization of ITNs/LLINs in Myanmar,which is of particular concern in terms of containing the spread of artemisinin resist

关 键 词：MALARIA Insecticide-treated bed nets Long-lasting insecticidal nets Myanmar artemisinin resistance containment Bed nets ownership Bed nets access Bed nets utilization Myanmar 

分 类 号：R53[医药卫生—内科学]