Socio-Economic Factors and ITN Policies in Senegal, a Country Close to Malaria Elimination

Bikundi, Elvire Mfueni;Robert, Annie;Bouland, Catherine;Akotionga, Edouard;Coppieters, Yves;et.al.
(2022) Journal of infectious diseases and epidemiology — Vol. 8, n° 3, p. 254 [1-7] (2022)

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Authors
  • Bikundi, Elvire Mfueni
    Author
  • Robert, AnnieUCLouvain
    Author
  • Bouland, Catherine
    Author
  • Akotionga, Edouard
    Author
  • Coppieters, Yves
    Author
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Abstract
BACKGROUND : Malaria is a global public health problem with many cases each year in the world (241 million cases with 247,000 deaths (67% were under five children) in 2020. Most malaria cases occur in Sub-Saharan African countries (93%). OBJECTIVE : The objective of our study was to observe how is implemented ITN policies against malaria with a view on socio-economic factors, in Senegal, which is country close to malaria elimination. METHODS : Data used for analysis is from Demographics and Health Surveys 2019 for Senegal. Linear regression models were performed with an estimation of the mean number of persons using ITNs among groups (urban or rural areas, wealth level, highest education level in the household and age of household head) in each country. We evaluated the importance of co-factors in the relationship between the number of ITNs (insecticide-treated nets) in a household and the number of household members by calculating the R-squared. RESULTS : Senegal has 58.7%) of households in which all children under 5 sleep under ITNs. We found R-squared (R2 = 0.36) for the relationship between the number of ITNs in a household and household size. When wealth level, age of head of household, area of residence (rural or urban), education level in the household and number of bedrooms in the household were controlled for, we found R2 = 0.38. We found that Senegal's national malaria program is decentralized with entomological monitoring in all districts, which is normal considering the intervention stage in the fight against malaria. CONCLUSION : Our study present ITN health policies (possession and use) according some socio-economic factors in Senegal, which has succeeded in maintaining low malaria prevalence (in Senegal). Being close to elimination, Senegal required more active malaria surveillance than passive surveillance. These results merit a review in the context of each African country.
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Citations

Bikundi, E. M., Robert, A., Bouland, C., Akotionga, E., Sougou, N. M., & Coppieters, Y. (2022). Socio-Economic Factors and ITN Policies in Senegal, a Country Close to Malaria Elimination. Journal of infectious diseases and epidemiology, 8(3), 254 [1-7]. https://doi.org/10.23937/2474-3658/1510254 (Original work published 2022)