

@mastersthesis {6341,
	title = {Towards sustainable malaria control services in {Kenya}: insecticide treated nets},
	year = {2004},
	note = {U180907},
	school = {The University of Liverpool (United Kingdom)},
	type = {phdPh.{D}.},
	address = {Ann Arbor},
	abstract = {Both Employer-based and Community-based approaches have been used to promote the use and re-treatment of nets in Kenya, but re-treatment rates have remained disappointingly low. To investigate reasons for low re-treatment, the scope of ITN use and re-treatment coverage in different population groups was assessed; different options of improving people{\textquoteright}s acceptance of re-treatment services was reviewed; the acceptance of conventional and alternative methods of payment for re-treatment services was analysed; the suitability of guidelines for use by employers in ITN programmes was tested and options for introducing ITNs with high wash resistance were assessed. The study applied both qualitative (focus group discussions and in depth interviews) and quantitative (formal household interview survey) methods for data collection. It was found that net coverage was higher in employer-based sites in comparison to community-based sites (54.3\%Vs 35\%; p{\textless}0.001). Re-treatment rates were highly influenced by education, economic ability and the availability of nets and insecticides. Price reductions motivated people to re-treat nets. It was concluded that methods used for the re-treatment of nets should be acceptable to communities and available at different times and outlets; information on re-treatment should be provided continuously through different media; distribution and supply systems should link suppliers to the local systems through organised community groups (OCGs) and cooperative societies, in addition to shopkeepers. Methods of payment for re-treatment provided through OCGs should be tailored to suit community preferences. Interestingly, it was observed the widespread untargeted delivery of subsidised nets by a large international NGO negatively affected sales by organised community groups and commercial companies marketing nets. Finally, it became clear that long lasting insecticidal nets (LLINs) were widely accepted as crucial for the future of malaria vector control but uptake will depend on their affordability. These findings have led to the formulation of recommendations for implementing measures to increase net usage and re-treatment in Kenya and in Africa, generally.},
	keywords = {0353:Organismal biology, Bibliographies, Biological sciences, DXN076617, Organismal biology, Psychology{\textendash}Abstracting, Statistics},
	url = {http://search.proquest.com/docview/301662671?accountid=14270},
	author = {Wacira, D G}
}
