Cohort trial reveals community impact of insecticide-treated nets on malariometric indices in urban Ghana

The efficacy of insecticide-treated nets (ITNs) in prevention of malaria and anaemia has been shown in rural settings, but their impact in urban settings is unknown. We carried out an ITN intervention in two communities in urban Accra, Ghana, where local malaria transmission is known to occur. There...

Full description

Bibliographic Details
Main Authors: Klinkenberg, Eveline, Onwona-Agyeman, K.A., McCall, P.J., Wilson, M.D., Bates, I., Verhoeff, F.H., Barnish, G., Donnelly, M.J.
Format: Journal Article
Language:Inglés
Published: Oxford University Press 2010
Subjects:
Online Access:https://hdl.handle.net/10568/40512
_version_ 1855524240175923200
author Klinkenberg, Eveline
Onwona-Agyeman, K.A.
McCall, P.J.
Wilson, M.D.
Bates, I.
Verhoeff, F.H.
Barnish, G.
Donnelly, M.J.
author_browse Barnish, G.
Bates, I.
Donnelly, M.J.
Klinkenberg, Eveline
McCall, P.J.
Onwona-Agyeman, K.A.
Verhoeff, F.H.
Wilson, M.D.
author_facet Klinkenberg, Eveline
Onwona-Agyeman, K.A.
McCall, P.J.
Wilson, M.D.
Bates, I.
Verhoeff, F.H.
Barnish, G.
Donnelly, M.J.
author_sort Klinkenberg, Eveline
collection Repository of Agricultural Research Outputs (CGSpace)
description The efficacy of insecticide-treated nets (ITNs) in prevention of malaria and anaemia has been shown in rural settings, but their impact in urban settings is unknown. We carried out an ITN intervention in two communities in urban Accra, Ghana, where local malaria transmission is known to occur. There was evidence for a mass or community effect, despite ITN use by fewer than 35% of households. Children living within 300 m of a household with an ITN had higher haemoglobin concentrations (0.5 g/dl higher, P = 0.011) and less anaemia (odds ratio 2.21, 95% CI 1.08-4.52, P = 0.031 at month 6), than children living more than 300 m away from a household with an ITN, although malaria parasitaemias were similar. With urban populations growing rapidly across Africa, this study shows that ITNs will be an effective tool to assist African countries to achieve their Millennium Development Goals in urban settings.
format Journal Article
id CGSpace40512
institution CGIAR Consortium
language Inglés
publishDate 2010
publishDateRange 2010
publishDateSort 2010
publisher Oxford University Press
publisherStr Oxford University Press
record_format dspace
spelling CGSpace405122025-06-17T08:23:38Z Cohort trial reveals community impact of insecticide-treated nets on malariometric indices in urban Ghana Klinkenberg, Eveline Onwona-Agyeman, K.A. McCall, P.J. Wilson, M.D. Bates, I. Verhoeff, F.H. Barnish, G. Donnelly, M.J. malaria waterborne diseases anemia community involvement urban areas The efficacy of insecticide-treated nets (ITNs) in prevention of malaria and anaemia has been shown in rural settings, but their impact in urban settings is unknown. We carried out an ITN intervention in two communities in urban Accra, Ghana, where local malaria transmission is known to occur. There was evidence for a mass or community effect, despite ITN use by fewer than 35% of households. Children living within 300 m of a household with an ITN had higher haemoglobin concentrations (0.5 g/dl higher, P = 0.011) and less anaemia (odds ratio 2.21, 95% CI 1.08-4.52, P = 0.031 at month 6), than children living more than 300 m away from a household with an ITN, although malaria parasitaemias were similar. With urban populations growing rapidly across Africa, this study shows that ITNs will be an effective tool to assist African countries to achieve their Millennium Development Goals in urban settings. 2010-07 2014-06-13T14:47:49Z 2014-06-13T14:47:49Z Journal Article https://hdl.handle.net/10568/40512 en Limited Access Oxford University Press Klinkenberg, Eveline; Onwona-Agyeman, K. A.; McCall, P. J.; Wilson, M. D.; Bates, I.; Verhoeff, F. H.; Barnish, G.; Donnelly, M. J. 2010. Cohort trial reveals community impact of insecticide-treated nets on malariometric indices in urban Ghana. Transactions of the Royal Society of Tropical Medicine and Hygiene, 104(7): 496-503. doi: https://doi.org/10.1016/j.trstmh.2010.03.004
spellingShingle malaria
waterborne diseases
anemia
community involvement
urban areas
Klinkenberg, Eveline
Onwona-Agyeman, K.A.
McCall, P.J.
Wilson, M.D.
Bates, I.
Verhoeff, F.H.
Barnish, G.
Donnelly, M.J.
Cohort trial reveals community impact of insecticide-treated nets on malariometric indices in urban Ghana
title Cohort trial reveals community impact of insecticide-treated nets on malariometric indices in urban Ghana
title_full Cohort trial reveals community impact of insecticide-treated nets on malariometric indices in urban Ghana
title_fullStr Cohort trial reveals community impact of insecticide-treated nets on malariometric indices in urban Ghana
title_full_unstemmed Cohort trial reveals community impact of insecticide-treated nets on malariometric indices in urban Ghana
title_short Cohort trial reveals community impact of insecticide-treated nets on malariometric indices in urban Ghana
title_sort cohort trial reveals community impact of insecticide treated nets on malariometric indices in urban ghana
topic malaria
waterborne diseases
anemia
community involvement
urban areas
url https://hdl.handle.net/10568/40512
work_keys_str_mv AT klinkenbergeveline cohorttrialrevealscommunityimpactofinsecticidetreatednetsonmalariometricindicesinurbanghana
AT onwonaagyemanka cohorttrialrevealscommunityimpactofinsecticidetreatednetsonmalariometricindicesinurbanghana
AT mccallpj cohorttrialrevealscommunityimpactofinsecticidetreatednetsonmalariometricindicesinurbanghana
AT wilsonmd cohorttrialrevealscommunityimpactofinsecticidetreatednetsonmalariometricindicesinurbanghana
AT batesi cohorttrialrevealscommunityimpactofinsecticidetreatednetsonmalariometricindicesinurbanghana
AT verhoefffh cohorttrialrevealscommunityimpactofinsecticidetreatednetsonmalariometricindicesinurbanghana
AT barnishg cohorttrialrevealscommunityimpactofinsecticidetreatednetsonmalariometricindicesinurbanghana
AT donnellymj cohorttrialrevealscommunityimpactofinsecticidetreatednetsonmalariometricindicesinurbanghana