Abstract
BackgroundThe Roll Back Malaria Initiative has identified the under-fives as one of the high risk groups for malaria, and one of the strategies to fight malaria in this group is increasing mosquito net use. This implies that there must be selective targeting at the household level such that the children are protected. However, the Roll Back Malaria preferences must be reconciled with those at the household level to take into account household level preferences.MethodsThis paper is based on the 2000–2001 Uganda Demographic and Health Survey data in which information on mosquito net ownership and use was collected. The patterns of household mosquito net ownership and use for children under five years of age were examined using both bi-variate and multivariate analysis.ResultsThe preferences at the household level seem to be different; children use mosquito nets primarily because they happen to share a bed with their parents. A child who shares a bed with the mother is 21 times more likely to use a mosquito net than his/her counterpart.ConclusionIncreasing mosquito net coverage such that 60% (the target for the RBM) of households have at least one mosquito net will not necessarily protect the under-fives. Either the coverage will have to be expanded or appropriate targeting strategies designed.
Highlights
The Roll Back Malaria Initiative has identified the under-fives as one of the high risk groups for malaria, and one of the strategies to fight malaria in this group is increasing mosquito net use
The Data set The paper is based on the 2000–2001 Uganda Demographic and Health Survey (UDHS)
Mosquito nets are less available in households in the western region than in the other regions. Comparing this to malaria endemicity in the country, out of the ten districts in the western region, seven are considered non-endemic, the country is considered endemic to malaria
Summary
The Roll Back Malaria Initiative has identified the under-fives as one of the high risk groups for malaria, and one of the strategies to fight malaria in this group is increasing mosquito net use. This implies that there must be selective targeting at the household level such that the children are protected. The health burden of malaria is immense. Malaria-related illness kills at least one million people each year, and most of these deaths are among African children [1]. Malaria has severe negative effects on maternal health and birth outcomes.
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