@article{fdi:010062562,
  title = {{I}nsecticide-treated nets ownership and utilization among under-five children following the 2010 mass distribution in {B}urkina {F}aso},
  author = {{D}iabate, {S}. and {D}ruetz, {T}. and {B}onnet, {E}mmanuel and {K}ouanda, {S}. and {R}idde, {V}. and {H}addad, {S}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {P}eriodic mass distributions contribute significantly to universal access to insecticide-treated nets ({ITN}s). {H}owever, due to the limited number of nets distributed, needs remain unsatisfied, particularly in large households. {M}ethods: {T}his study was conducted in {K}aya health district following the 2010 mass distribution of {ITN}s in {B}urkina {F}aso. {D}ata were collected on the socio-economic and geo-spatial characteristics and {ITN} possession and utilization levels of 2,004 households. {T}he study explored: 1) {ITN} access, in terms of intra-household saturation with {ITN}s (households with at least one {ITN} for every two members) correctly installed and in very good physical condition; and 2) factors influencing the decision to place under-five children under a net. {P}articular attention was given to vector control activities undertaken by mothers. {R}esults: {O}f the 2,004 households, 90% possessed at least one {ITN}. {H}owever, intra-household saturation with {ITN}s was below 60% in small households and below 20% in large ones (>6 members). {C}rude proportion ratios comparing possession and levels of intra-household saturation with {ITN}s varied between 1.5 (small households) and 7.8 (large households). {T}he proportions of households with {ITN}s for every two members that were correctly hung or in very good physical condition ranged from 0% to 6.5% in large households and 27.8% to 40.7% in small ones. {ITN} use to protect under-five children was lower in large households; it was significantly higher when there was at least one {ITN} for every two members. {I}n large households, it was significantly higher when a child had experienced an episode of any illness in the previous two weeks and when the mother had taken actions to control vector proliferation. {I}n small households, {ITN} use was significantly higher in families with agricultural land and children aged 12-23 months. {C}onclusion: {O}wnership rates were high, but real access to bed nets remained limited. {T}he allocation process disadvantages large families. {R}eal access to bed nets implies they are available, properly installed, and in good condition. {M}ore post-campaign awareness-raising activities targeting preventive practices in households could foster more effective {ITN} use.},
  keywords = {{M}alaria ; {U}nder-five children ; {S}aturation with bed nets ; {V}ector control ; {B}urkina {F}aso ; {BURKINA} {FASO}},
  booktitle = {},
  journal = {{M}alaria {J}ournal},
  volume = {13},
  numero = {},
  pages = {art. 353 [8 ]},
  ISSN = {1475-2875},
  year = {2014},
  DOI = {10.1186/1475-2875-13-353},
  URL = {https://www.documentation.ird.fr/hor/fdi:010062562},
}