Examining equity in access to long-lasting insecticide nets and artemisinin-based combination therapy in Anambra state, NigeriaReport as inadecuate




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BMC Public Health

, 12:315

Global health

Abstract

BackgroundIn order to achieve universal health coverage, the government of Anambra State, southeast Nigeria has distributed free Long-lasting Insecticide treated Nets LLINs to the general population and delivered free Artemisinin-based Combination Therapy ACT to pregnant women and children less than 5 years. However, the levels of coverage with LLINS and ACTs is not clear, especially coverage of different socio-economic status SES population groups. This study was carried out to determine the level of coverage and access to LLINs and ACTs amongst different SES groups.

MethodsA questionnaire was used to collect data from randomly selected households in 19 local government areas of the State. Selected households had a pregnant woman and-or a child less than 5 years. The lot quality assurance sampling LQAS methodology was used in sampling. The questionnaire explored the availability and utilization of LLINs and ACTs from 2394 households. An asset-based SES index was used to examine the level of access of LLINS and ACTs to different SES quintiles.

ResultsIt was found that 80.5 % of the households had an LLIN and 64.4 % of the households stated that they actually used the nets the previous night. The findings showed that 42.3 % of pregnant women who had fever within the past month received ACTs, while 37.5 % of children ≪5 years old who had malaria in the past month had received ACTs. There was equity in ownership of nets for the range 1–5 nets per household. No significant SES difference was found in use of ACTs for treatment of malaria in children under five years old and in pregnant women.

ConclusionsThe free distribution of LLINs and ACTs increased household coverage of both malaria control interventions and bridged the equity gap in access to them among the most vulnerable groups.

KeywordsMalaria Equity Long-lasting insecticide nets LLIN ACT Artemisinin-based combination therapy Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-12-315 contains supplementary material, which is available to authorized users.

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Author: Chinyere O Mbachu - Obinna E Onwujekwe - Benjamin SC Uzochukwu - Eloka Uchegbu - Joseph Oranuba - Amobi L Ilika

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