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Research Article
SUPARAT PHUANUKOONNON
Mahidol University Faculty of Tropical Medicine
Corresponding Author
ORCiD: https://orcid.org/0000-0003-4670-4006
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
With the goal for malaria elimination in Thailand set for 2024, increased coverage and utilization of bed net, especially insecticide-treated net (ITN) or long-lasting insecticidal net (LLIN) is a key strategy. This study aims to provide the necessary information about bed net ownership and utilization among the population at risk of malaria living along the Thai-Myanmar border in Tak province.
Methods
A cross-sectional study was conducted using a mixed-method approach in 331 households from 5 hamlets in the villages of the Thai-Myanmar border. The research tools included a questionnaire, bed net inspection, and semi-structured interviews. Log-binomial regression was used to explore the sociodemographic factors associated with bed net utilization. The qualitative analysis employed a thematic analysis approach.
Results
This survey found that 98.5% of households had at least one bed net per household, and 74.3% had at least one ITN/LLIN. However, only 30.8% of households reached the standard policy set by the Minister of Public Health of one ITN/LLINs per two persons. Most residents used bed net (92.1% used in the previous night and 80.9% used every day). For those using bed nets, however, 61.9% used ITNs or LLINs the night before and 53.1% used them every day. Nonetheless, the usage rates of bed nets (any type) in the previous night among children and pregnant women were high, reaching 95.3% and 90.0%, respectively. Three explanatory variables including “not stay overnight in the forest”, “preference of free bed nets”, and “sufficient numbers of bed nets to cover all sleeping spaces”, showed statistically significant association with bed net use every day. The major reasons for the regular use of bed nets in both household and the forest were to prevent mosquito biting. The reasons for not using bednets in the household were discomfort feelings from heat, perception of unnecessity due to low mosquito density, whereas the reason for not using bednets in the forest was inconvenience.
Conclusion
Despite that overall coverage and usage of bed nets was high, only one third reached the standard level specified by the policy. Overnight in the forest, the dissatisfaction with the quality of free bed nets, insufficient number of bed nets, discomfort from heat, perception of no benefits of bed nets due to low mosquito density, and inconvenience were factors influencing bed net use. Maintaining high coverage and utility rate of bed nets should be a priority for the malaria high-risk population.
Keywords
Malaria, bed net, Long-lasting insecticide net, Karen ethnic, Forest goers, Thailand
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View the published article at Malaria Journal.
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Editorial decision: Major Revision
On 21 May, 2021
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Received 20 May, 2021
Reviewer #2 agreed
On 24 Apr, 2021
Review #1 received
Received 24 Apr, 2021
Reviewer #1 agreed
On 24 Apr, 2021
Reviews received
Received 24 Apr, 2021
Reviewers invited
Invitations sent on 13 Apr, 2021
Editor invited
On 11 Apr, 2021
First submitted
On 08 Apr, 2021
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A new preprint design is coming!
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See the published version of this preprint at Malaria Journal.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research Article
SUPARAT PHUANUKOONNON
Mahidol University Faculty of Tropical Medicine
Corresponding Author
ORCiD: https://orcid.org/0000-0003-4670-4006
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at Malaria Journal.
Version 1
Posted 14 Apr, 2021
No community comments so far
Editorial decision: Major Revision
On 21 May, 2021
Review #2 received
Received 20 May, 2021
Reviewer #2 agreed
On 24 Apr, 2021
Review #1 received
Received 24 Apr, 2021
Reviewer #1 agreed
On 24 Apr, 2021
Reviews received
Received 24 Apr, 2021
Reviewers invited
Invitations sent on 13 Apr, 2021
Editor invited
On 11 Apr, 2021
First submitted
On 08 Apr, 2021
Editor assigned
On 07 Apr, 2021
Submission checks complete
On 07 Apr, 2021
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at Malaria Journal.
Background
With the goal for malaria elimination in Thailand set for 2024, increased coverage and utilization of bed net, especially insecticide-treated net (ITN) or long-lasting insecticidal net (LLIN) is a key strategy. This study aims to provide the necessary information about bed net ownership and utilization among the population at risk of malaria living along the Thai-Myanmar border in Tak province.
Methods
A cross-sectional study was conducted using a mixed-method approach in 331 households from 5 hamlets in the villages of the Thai-Myanmar border. The research tools included a questionnaire, bed net inspection, and semi-structured interviews. Log-binomial regression was used to explore the sociodemographic factors associated with bed net utilization. The qualitative analysis employed a thematic analysis approach.
Results
This survey found that 98.5% of households had at least one bed net per household, and 74.3% had at least one ITN/LLIN. However, only 30.8% of households reached the standard policy set by the Minister of Public Health of one ITN/LLINs per two persons. Most residents used bed net (92.1% used in the previous night and 80.9% used every day). For those using bed nets, however, 61.9% used ITNs or LLINs the night before and 53.1% used them every day. Nonetheless, the usage rates of bed nets (any type) in the previous night among children and pregnant women were high, reaching 95.3% and 90.0%, respectively. Three explanatory variables including “not stay overnight in the forest”, “preference of free bed nets”, and “sufficient numbers of bed nets to cover all sleeping spaces”, showed statistically significant association with bed net use every day. The major reasons for the regular use of bed nets in both household and the forest were to prevent mosquito biting. The reasons for not using bednets in the household were discomfort feelings from heat, perception of unnecessity due to low mosquito density, whereas the reason for not using bednets in the forest was inconvenience.
Conclusion
Despite that overall coverage and usage of bed nets was high, only one third reached the standard level specified by the policy. Overnight in the forest, the dissatisfaction with the quality of free bed nets, insufficient number of bed nets, discomfort from heat, perception of no benefits of bed nets due to low mosquito density, and inconvenience were factors influencing bed net use. Maintaining high coverage and utility rate of bed nets should be a priority for the malaria high-risk population.
Figure 1
Figure 2
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