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1

Habonimana, Desire, Gabriel Ndayisaba, and Gideon Nimako. "PO 7167 IMPROVING USE OF LONG-LASTING INSECTICIDAL NETS IN KAYANGE COMMUNITY OF NORTH-WESTERN BURUNDI: A QUALITY IMPROVEMENT STUDY." BMJ Global Health 4, Suppl 3 (2019): A20.1—A20. http://dx.doi.org/10.1136/bmjgh-2019-edc.49.

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BackgroundThe use of long-lasting insecticidal nets (LLINs) for malaria prevention is a cost-effective intervention. WHO recommends universal coverage and use of LLINs. In lower- and middle-income countries, LLINs are provided free of charge but are either not used or misused. Our study sought to improve LLIN use in Kayange community of north-western Burundi by using a model for improvement (MFI).MethodsA one-group, pre/post-test study was conducted. LLIN weekly use was assessed for four weeks before intervention and for another four weeks after intervention. The study was conducted in 96 hous
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Habimana, Amos, Joseph Gikunju, Dennis Magu, and Malachie Tuyizere. "Assessing Knowledge and Factors Associated to Long Lasting Insecticide Nets use among pregnant women in southern Rwanda." Rwanda Journal of Medicine and Health Sciences 3, no. 1 (2020): 60–70. http://dx.doi.org/10.4314/rjmhs.v3i1.8.

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Background
 Around 443,000 pregnant women are at risk of malaria each year in Rwanda. LLINs are freely distributed to women at health centers during antenatal care visit and vaccination services.
 Methods
 A cross-sectional design was used to explore pregnant women’s knowledge and factors associated to LLINs use in five cells of Tumba sector. Data was collected through interviews and questionnaires. The data was analyzed using SPSS 21. Bivariate and multivariate analyses were performed with Chi-square test to assess the association between LLINs ownership and utilization of LLIN
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Fernández Montoya, Lucia, Celso Alafo, Helena Martí-Soler, et al. "An evaluation of LLIN ownership, access, and use during the Magude project in southern Mozambique." PLOS ONE 18, no. 3 (2023): e0282209. http://dx.doi.org/10.1371/journal.pone.0282209.

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The Magude Project assessed the feasibly of eliminating malaria in a low transmission setting in southern Mozambique using a package of interventions. This study measured the ownership, access and use of long-lasting insecticide treated nets (LLINs) and inequalities in these indicators across household wealth, size and population subgroups, to understand the protection that LLINs provided during the project. Data were obtained from various household surveys. At least 31% of the nets distributed during the 2014 and 2017 campaigns were lost during the first year post-distribution. Most nets (77.
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Ekanem, Anyiekere Morgan, Mbuotidem Ibanga Akpan, Charity Nkemjika Onwe, et al. "Predictors of Daily Utilization of Long-Lasting Insecticidal Nets for Malaria Prevention in Pregnancy among Antenatal Care Recipients in Southern Nigeria." Saudi Journal of Medicine 8, no. 07 (2023): 381–86. http://dx.doi.org/10.36348/sjm.2023.v08i07.002.

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Malaria remains a significant public health concern, particularly among pregnant women in sub-Saharan Africa. Long Lasting Insecticidal Nets (LLINs) have been recognized as an effective preventive measure against malaria transmission. However, the utilization of LLINs among pregnant women remains suboptimal. This study aimed to assess the level of daily LLIN utilization and identify its predictors among pregnant women receiving antenatal care in a tertiary healthcare centre in Southern Nigeria. A cross-sectional study was conducted among antenatal recipients at the University of Uyo Teaching H
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Nuwamanya, Simpson, Noel Kansiime, Emmanuel Aheebwe, et al. "Utilization of Long-Lasting Insecticide Treated Nets and Parasitaemia at 6 Months after a Mass Distribution Exercise among Households in Mbarara Municipality, Uganda: A Cross-Sectional Community Based Study." Malaria Research and Treatment 2018 (August 1, 2018): 1–10. http://dx.doi.org/10.1155/2018/4387506.

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Background. Utilization of long-lasting insecticide treated nets (LLINs) after free and mass distribution exercise has not been adequately studied. The objectives of this study were to assess ownership and utilization of LLINs following a mass distribution campaign in a Ugandan urban municipality. Methods. We conducted a cross-sectional study in western Uganda among households with children under 5 years, at 6 months after a mass LLIN distribution exercise. We administered a questionnaire to measure LLIN ownership and utilization. We also measured parasitaemia among children under five years.
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Abraham, Ochanya Olivia, Christopher Aondongu Mbakaren, and Joshua Msonter Abraham. "An Assessment of Perception and Use of Long-Lasting Insecticidal Net Among Undergraduates of the College of Health Sciences, Benue State University, Makurdi, Nigeria." Journal of Complementary and Alternative Medical Research 26, no. 3 (2025): 35–55. https://doi.org/10.9734/jocamr/2025/v26i3633.

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Background: Malaria remains a significant public health concern in Nigeria, with LLINs playing a crucial role in malaria prevention efforts. However, the perception and practice of sleeping under LLINs remain understudied. Studying LLIN usage among undergraduate, can provide a unique perspective on the challenges and opportunities associated with malaria prevention on campus. Aims: To assess perception and use of LLINs among undergraduates of the College of Health Sciences, Benue State University Makurdi. Study design: Cross sectional descriptive study design. Place and Duration of Study: CHS,
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Glozah, Franklin N., Philip Teg-Nefaah Tabong, Eva Bazant, et al. "Implementation and effectiveness outcomes of Community Health Advocacy Teams to improve long-lasting insecticide net distribution and use in six districts in Ghana: A one-group pre-post-test study." PLOS Global Public Health 4, no. 4 (2024): e0002123. http://dx.doi.org/10.1371/journal.pgph.0002123.

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Malaria remains a leading cause of illness and death especially among children and pregnant women in Ghana. Despite the efforts made by the National Malaria Elimination Programme (NMEP), including distribution of Long-Lasting Insecticide Nets (LLINs) to households through periodic Point Mass Distribution (PMD) campaigns and continuous channels (antenatal, schools and postnatal), there is a gap between access and use of LLINs in Ghana. An effective and functional community-based group that would seek to improve the effectiveness of LLIN distribution before, during, after PMD Campaigns and conti
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Sodeinde, Kolawole, Oghogho Omoregie, Oluwaseun Onifade, Aderinsola Faturoti, and Olusegun Adebisi. "Knowledge, Attitude, Ownership and Utilisation of Long-Lasting Insecticide-Treated Net Among Women of Childbearing Age Accessing Care in a Private Tertiary Hospital in Ogun State, Nigeria." Global South Health Horizons 1, no. 1 (2025): 36–45. https://doi.org/10.63950/gshh.2025.1.1.4.

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Introduction: Ownership and use of long-lasting insecticide-treated nets (LLIN) are crucial for effective malaria control. However, a disparity exists between the two. This study assessed the knowledge, attitudes, ownership, and use of LLIN among women of childbearing age. Methods: A descriptive cross-sectional study involving 400 women selected through purposive sampling. Ownership and utilisation of LLIN were assessed with “Yes” or “No” responses. Aggregate scores for knowledge and attitude were calculated, categorising as having good or poor knowledge/attitude, using the mean scores as the
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Kombate, Gountante, M’belou Mazimna, Kamba Andre-Marie Soubeiga, Diederick E. Grobbee, and Marianne A. B. van der Sande. "Dynamics in ownership, access and use of long-lasting insecticidal nets in Togo: Evidence from three population-based surveys." PLOS Global Public Health 5, no. 4 (2025): e0004393. https://doi.org/10.1371/journal.pgph.0004393.

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Malaria remains a major public health problem in many countries in Sub Saharan Africa, including Togo, particularly among children under 5 years of age. Therefore, several mass distribution campaigns of long-lasting insecticide-treated bed nets (LLINs), which constitute an essential preventive strategy, have been conducted. The aim of this study is to assess progress in terms of equity of ownership, access and use of LLINs in a context of universal coverage among households in Togo.Data from the Togo Multiple Indicator Cluster Survey (TMICS) of 2010, the Togo Demographic and Health Survey (TDH
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Fru, Paulette Ngum, Frederick Nchang Cho, Andrew N. Tassang, Celestina Neh Fru, Peter Nde Fon, and Albert Same Ekobo. "Ownership and Utilisation of Long-Lasting Insecticidal Nets in Tiko Health District, Southwest Region, Cameroon: A Cross-Sectional Study." Journal of Parasitology Research 2021 (February 2, 2021): 1–10. http://dx.doi.org/10.1155/2021/8848091.

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Introduction. Malaria is and remains a serious health concern in Africa. In Cameroon, where malaria is endemic and a major public health problem, the major control measure put in place is the use of long-lasting insecticidal nets (LLINs). In the Tiko Health District (THD), the challenges have been to assess and to evaluate the ownership and utilisation of LLINs. This study sought to assess the ownership and utilisation rates of LLINs in the THD. Methodology. A cross-sectional survey involving 418 households was conducted in four health areas in the THD. A structured questionnaire was used to c
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Arroz, Jorge. "PO 7151 COMPARING TWO BED NET DELIVERY MODELS IN’RURAL DISTRICTS OF MOZAMBIQUE." BMJ Global Health 4, Suppl 3 (2019): A19.3—A19. http://dx.doi.org/10.1136/bmjgh-2019-edc.48.

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BackgroundThe use of long-lasting insecticidal nets (LLINs) is associated with a reduction in malaria transmission. In 2015, a new delivery strategy (intervention) for universal coverage campaign was tested and compared with standard strategy (control). The objective is to compare two bed net delivery models in rural districts of Mozambique.MethodsTwo districts served as intervention, and two as control. The following study design was used: 1) before and after; and 2) cost-effectiveness analysis. Three core implementation strategies were tested: 1) use of coupons during household registration,
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Azizi, Salum, Jackline Martin, Njelembo J. Mbewe, et al. "Evaluation of Durability as a Function of Fabric Strength and Residual Bio-Efficacy for the Olyset Plus and Interceptor G2 LLINs after 3 Years of Field Use in Tanzania." Tropical Medicine and Infectious Disease 8, no. 8 (2023): 379. http://dx.doi.org/10.3390/tropicalmed8080379.

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Long-lasting insecticidal nets (LLINs) are prone to reduction in insecticide content and physical strength due to repeated washes and usage. The significant loss to these features jeopardizes their protection against bites from malaria vectors. Insecticide washout is attributed to routine use, friction, and washing, while fabric damage is associated with routine use in households. To maintain coverage and cost-effectiveness, nets should maintain optimal bio-efficacy and physical strength for at least 3 years after distribution. In this study, the bio-efficacy and fabric strength of Olyset plus
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Carnevale, P. "Beware the Plasmodial Infection Indicators: Plasmodium Falciparum Prevalence and Parasitaemia During two Years in Symptomless below 5 years old Children of Two Villages with long-Lasting Insecticide Treated Nets and two Villages without Nets in Angol." Clinical Medical Reviews and Reports 5, no. 05 (2023): 01–09. https://doi.org/10.31579/2690-8794/175.

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Forty parasitological cross-sectional surveys (CSS) were regularly done during two consecutive years in four villages around Balombo town (Benguela Province, Angola) to assess the influence of a full coverage with long lasting insecticide treated net (LLIN) PermaNet© 2.0 on plasmodial infection of under 5 years old symptomless children (“U5”). Two villages received LLIN following a two steps process: 1rst year 1 LLIN per house; 2nd year: 1 LLIN per sleeping unit (= everything regularly used for sleeping) while two close villages remained as control for these two years. Overall P. falciparum in
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Rek, John, Alex Musiime, Maato Zedi, et al. "Non-adherence to long-lasting insecticide treated bednet use following successful malaria control in Tororo, Uganda." PLOS ONE 15, no. 12 (2020): e0243303. http://dx.doi.org/10.1371/journal.pone.0243303.

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Indoor residual spraying (IRS) and long-lasting insecticide-treated bednets (LLINs) are common tools for reducing malaria transmission. We studied a cohort in Uganda with universal access to LLINs after 5 years of sustained IRS to explore LLIN adherence when malaria transmission has been greatly reduced. Eighty households and 526 individuals in Nagongera, Uganda were followed from October 2017 –October 2019. Every two weeks, mosquitoes were collected from sleeping rooms and LLIN adherence the prior night assessed. Episodes of malaria were diagnosed using passive surveillance. Risk factors for
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Kumar, Gaurav, and VP Ojha. "Impact of full coverage of population with Long-Lasting Insecticidal Nets (LLINs) on malaria vector density in Gadchiroli district of Maharashtra, India." Journal of Vector Borne Diseases 61, no. 2 (2024): 281–84. http://dx.doi.org/10.4103/jvbd.jvbd_178_21.

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Background & objectives: Long-lasting insecticidal nets (LLINs) are a major weapon in the fight against malaria. But protection of each family member is not possible with current distribution system with 80% coverage. Therefore, we hypothesized that the distribution of LLIN to every member of a household will be more effective at reducing vector density and ultimately malaria in endemic areas like district Gadchiroli of Maharashtra, India. Methods: The three sub centers Kulbhati, Pannemara and Yerkad of Murumgaon Primary Health Center of Gadchiroli district were selected for the study base
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Hayes, Christopher C., and Coby Schal. "Repellency and toxicity of long-lasting insecticide-treated bed nets (LLINs) to bed bugs." PLOS ONE 20, no. 1 (2025): e0313595. https://doi.org/10.1371/journal.pone.0313595.

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Vector control is essential for eliminating malaria, a vector-borne parasitic disease responsible for over half a million deaths annually. Success of vector control programs hinges on community acceptance of products like long-lasting insecticide-treated nets (LLINs). Communities in malaria-endemic regions often link LLIN efficacy to their ability to control indoor pests such as bed bugs (Cimex lectularius L. and Cimex hemipterus (F.)) (Hemiptera: Cimicidae). Despite this, little is known about the potential repellent effects and toxicity of LLINs to bed bugs. Herein, we demonstrate for the fi
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Epstein, Adrienne, Samuel Gonahasa, Jane Frances Namuganga, et al. "Evaluating the impact of two next-generation long-lasting insecticidal nets on malaria incidence in Uganda: an interrupted time-series analysis using routine health facility data." BMJ Global Health 10, no. 3 (2025): e017106. https://doi.org/10.1136/bmjgh-2024-017106.

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IntroductionMalaria remains a significant public health challenge globally, particularly in sub-Saharan Africa, where progress has stalled in recent years. Long-lasting insecticidal nets (LLINs) are a critical preventive tool against malaria. This study investigated the effectiveness of newer-generation LLINs following a universal coverage campaign in Uganda.MethodsHealth facility data collected 36 months prior to LLIN distribution and 24 months after LLIN distribution were used from 64 sites that took part in a cluster-randomised trial comparing two newer-generation LLINs (pyrethroid-piperony
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Gunderson, Annika K., Rapheal Mbusa, Emmanuel Baguma, et al. "Targeted distribution of long-lasting insecticidal nets by community health workers to sustain household coverage: A pilot feasibility study in Western Uganda." PLOS Global Public Health 5, no. 1 (2025): e0003660. https://doi.org/10.1371/journal.pgph.0003660.

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Universal coverage is defined by the World Health Organization as 1 long-lasting insecticidal net (LLIN) for 2 people in a household. While Uganda has been a leader in the distribution of LLINs, there are concerns regarding the longevity of LLINs. The main aim of this study was to address the LLIN coverage gap that emerges in the period after mass distribution campaigns through the implementation of a novel LLIN distribution strategy utilizing the existing community healthcare worker (CHW) infrastructure. We conducted a pilot feasibility study in two villages randomized to be the control or in
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Koppula, Divya Teja, Ananganallur Nagarajan Shriram, Amala Ramasamy, Ashwani Kumar, and Manju Rahi. "Evaluation of long lasting insecticidal nets in experimental huts and WHO PQT/VCP compliance: A systematic review." PLOS ONE 20, no. 3 (2025): e0318673. https://doi.org/10.1371/journal.pone.0318673.

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Malaria control in highly endemic regions relies heavily on vector control tools, particularly LLINs. The effectiveness of LLINs varies by eco-epidemiological conditions and brands. A comprehensive review of WHO interim-approved LLIN brands is necessary to address this variability. This systematic review screened 145 articles, refining them to 27 eligible publications, to assess the efficacy of WHO-recommended LLINs, focusing on synthetic pyrethroids and synergists like Piperonyl Butoxide or Pyriproxyfen. The review demonstrated that LLINs impregnated with synthetic pyrethroids, especially whe
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Nkamedjie, Patrick P., Ghyslaine B. Dongho, Rodrigue B. Mabvouna, Gianluca Russo, and Martin S. Sobze. "Long lasting impregnated mosquito net (LLIN) utilisation, incidence of fever and therapeutic itineraries: the case of Mifi health district in western Cameroon." MalariaWorld Journal 8, no. 19 (2017): 1–4. https://doi.org/10.5281/zenodo.10781284.

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<strong>Background.</strong> Long Lasting Impregnated mosquito Net (LLIN) use is effective against malaria in endemic tropical areas. However, its utilisation remains limited. Among the most common clinical signs of malaria is fever and many studies have reported the existence of different local ways of handling fever; amongst which uncontrolled used of antimalarial drugs. We investigated LLINs use and its impact on fever outcomes and the various therapeutic measures used to deal with fever episodes. <strong>Materials and methods.</strong> Data was extracted from a cross sectional descriptive
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Chouaibou Seidou, Mouhamadou, France-Paraudie A. Kouadio, Christabelle G. Sadia, and Fodjo K. Behi. "Trapping and killing performance of a PermaNet 2.0 hybrid mosquito trapping bednet: an experimental hut evaluation." Wellcome Open Research 8 (December 8, 2023): 428. http://dx.doi.org/10.12688/wellcomeopenres.19759.2.

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Background Despite the huge global effort , there has been an increase in malaria morbidity and mortality in sub-Saharan Africa since 2015, from 212 million cases and 429,000 deaths in 2015 to 241 million cases and 627,000 deaths in 2020 mainly because of resistance to insecticide. Therefore, advancing innovative approaches is the only sustainable way to fight malaria. Methods Taking advantage of the behavior of mosquitoes around the net, which is almost 70-90% concentrated on the roof, we have developed a two-compartment mosquito bednet, the so-called T-Net for mass mosquito trapping and kill
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Chouaibou Seidou, Mouhamadou, France-Paraudie A. Kouadio, Christabelle G. Sadia, and Fodjo K. Behi. "Trapping and killing performance of a PermaNet 2.0 hybrid mosquito trapping bednet: an experimental hut evaluation." Wellcome Open Research 8 (October 6, 2023): 428. http://dx.doi.org/10.12688/wellcomeopenres.19759.1.

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Background: Despite the huge global effort, there has been an increase in malaria morbidity and mortality in sub-Saharan Africa since 2015, from 212 million cases and 429,000 deaths in 2015 to 241 million cases and 627,000 deaths in 2020 mainly because of resistance to insecticide. Therefore, advancing innovative approaches is the only sustainable way to fight malaria. Methods: Taking advantage of the behavior of mosquitoes around the net, which is almost 70-90% concentrated on the roof, we have developed a two-compartment mosquito bednet, the so-called T-Net for mass mosquito trapping and kil
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Mouhamadou, Chouaibou Seidou, France-Paraudie A. Kouadio, Christabelle G. Sadia, and Fodjo K. Behi. "Trapping and killing performance of a PermaNet 2.0 hybrid mosquito trapping bednet: an experimental hut evaluation." Wellcome Open Research 8 (March 26, 2024): 428. http://dx.doi.org/10.12688/wellcomeopenres.19759.3.

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Background Despite the huge global effort , there has been an increase in malaria morbidity and mortality in sub-Saharan Africa since 2015, from 212 million cases and 429,000 deaths in 2015 to 241 million cases and 627,000 deaths in 2020 mainly because of resistance to insecticide. Therefore, advancing innovative approaches is the only sustainable way to fight malaria. Methods Taking advantage of the behavior of mosquitoes around the net, which is almost 70-90% concentrated on the roof, we have developed a two-compartment mosquito bednet, the so-called T-Net for mass mosquito trapping and kill
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Chukwu, Chinedu, Herbert Onuoha, Kwala Adline Katty Okorafor, Oluwaseun Ojomo, Olugbenga A. Mokuolu, and Michael Ekholuenetale. "Geopolitical zones differentials in intermittent preventive treatment in pregnancy (IPTp) and long lasting insecticidal nets (LLIN) utilization in Nigeria." PLOS ONE 16, no. 7 (2021): e0254475. http://dx.doi.org/10.1371/journal.pone.0254475.

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Background The coverage of long lasting insecticidal nets (LLIN) and intermittent preventive treatment of malaria in pregnancy (IPTp) uptake for the prevention of malaria commonly vary by geography. Many sub-Saharan Africa (SSA) countries, including Nigeria are adopting the use of LLIN and IPTp to fight malaria. Albeit, the coverage of these interventions to prevent malaria across geographical divisions have been understudied in many countries. In this study, we aimed to explore the differentials in LLIN and IPTp uptake across Nigerian geopolitical zones. Methods We analyzed data from Nigeria
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Thawani, Neeta, Manisha A. Kulkarni, and Salim Sohani. "Factors Associated with Coverage and Usage of Long-Lasting Insecticidal Nets in Madagascar." Journal of Tropical Medicine 2009 (2009): 1–6. http://dx.doi.org/10.1155/2009/451719.

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In October 2007, long-lasting insecticidal nets (LLINs) were distributed in 59 of the 111 districts in Madagascar as part of a nationwide child survival campaign. A community-based cross-sectional survey was conducted six months post-campaign to evaluate net ownership, use and equity. Here, we examined the effects of socioeconomic factors on LLIN ownership and usage in districts with and without net distribution during the campaign. Our data demonstrated that in districts with LLIN distribution, LLIN ownership was similar across all wealth groups in households with at least one child under the
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Gonahasa, Samuel, Jane Frances Namuganga, Martha J. Nassali, et al. "LLIN Evaluation in Uganda Project (LLINEUP2) – Effect of long-lasting insecticidal nets (LLINs) treated with pyrethroid plus pyriproxyfen vs LLINs treated with pyrethroid plus piperonyl butoxide in Uganda: A cluster-randomised trial." PLOS Global Public Health 5, no. 2 (2025): e0003558. https://doi.org/10.1371/journal.pgph.0003558.

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Long-lasting insecticidal nets (LLINs) are the cornerstone of malaria control, but their effectiveness is threatened by pyrethroid resistance. We embedded a pragmatic, cluster-randomised trial into Uganda’s national LLIN distribution campaign in 2020–2021, comparing pyrethroid-piperonyl butoxide (PBO) LLINs to pyrethroid-pyriproxyfen LLINs. Target communities surrounding public health facilities (clusters, n=64), covering 32 districts were included. Clusters were randomised 1:1 in blocks of two by district to receive: (1) pyrethroid-PBO LLINs (PermaNet 3.0, n=32) or (2) pyrethroid-pyriproxyfen
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Moukénet, Azoukalné, Sol Richardson, Kebféné Moundiné, Jean Laoukolé, Ngarkodje Ngarasta, and Ibrahima Seck. "Knowledge and practices surrounding malaria and LLIN use among Arab, Dazagada and Fulani pastoral nomads in Chad." PLOS ONE 17, no. 4 (2022): e0266900. http://dx.doi.org/10.1371/journal.pone.0266900.

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Background Chadian pastoral nomads are highly exposed to malaria due to their lifestyle and their mobility between various endemic areas. To inform strategies to reduce nomads’ risk of malaria and associated morbidity and mortality, it is important to understand the factors associated to their knowledge of malaria transmission and prevention practices. Methods A cross–sectional study among Arab, Dazagada and Fulani pastoral nomadic groups was conducted in February and October 2021. A validated structured electronic questionnaire was administered to assess knowledge of malaria. Attitudes and ma
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Lukole, Eliud, Jackie Cook, Jacklin F. Mosha, et al. "Protective efficacy of holed and aging PBO-pyrethroid synergist-treated nets on malaria infection prevalence in north-western Tanzania." PLOS Global Public Health 2, no. 10 (2022): e0000453. http://dx.doi.org/10.1371/journal.pgph.0000453.

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Two billion pyrethroid long-lasting insecticidal nets (LLINs) have been distributed since 2004 for malaria prevention in Sub-Saharan Africa. Current malaria control strategies rely on an assumed effective 3-year lifespan for LLINs. PBO synergist LLINs are a newly recommended class of net but there is limited information on their life span and long-term protective efficacy in communities. To assess their operational survival, a cohort of 390 PBO LLINs (Olyset Plus) and 367 standard pyrethroid LLIN (Olyset net) from 396 households were followed for 36 months in Western Tanzania. To assess the as
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Van Bortel, Wim, Joachim Mariën, Bart K. M. Jacobs, et al. "Long-lasting insecticidal nets provide protection against malaria for only a single year in Burundi, an African highland setting with marked malaria seasonality." BMJ Global Health 7, no. 12 (2022): e009674. http://dx.doi.org/10.1136/bmjgh-2022-009674.

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BackgroundLong-lasting insecticidal nets (LLINs) are one of the key interventions in the global fight against malaria. Since 2014, mass distribution campaigns of LLINs aim for universal access by all citizens of Burundi. In this context, we assess the impact of LLINs mass distribution campaigns on malaria incidence, focusing on the endemic highland health districts. We also explored the possible correlation between observed trends in malaria incidence with any variations in climate conditions.MethodsMalaria cases for 2011—2019 were obtained from the National Health Information System. We devel
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Adekunle, N. O., O. H. Mogaji, Y. R. Oladunjoye, et al. "Coverage and usage of insecticidal treated bed-nets for preventing malaria in four peri-urban communities of Ijebu-North, Southwest Nigeria." African Journal of Pure and Applied Sciences 3, no. 2 (2022): 255–62. http://dx.doi.org/10.33886/ajpas.v3i2.297.

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Sleeping under insecticidal treated bed-nets has been proven as an effective tool towards preventing mosquito bites and malaria but the burden of malaria cases seems to be on the increase. This study therefore assessed the limiting factors associated with ownership and usage of Long-Lasting Insecticidal Nets (LLINs) in four periurban communities in Ogun State, Nigeria. A total of 499 residents above age 15, were recruited and interviewed at the healthcare facilities in the selected communities using a well-structured questionnaire. Data obtained were analyzed using SPSS 25.0 version for descri
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E. C, Amaechi, Nwachukwu P. C, Lawal K. A, Mosadoluwa H. O, Nwadike C. C, and Ezekiel O. O. "The Impact of Long Lasting Insecticidal-Treated Nets on Malaria Parasitaemia among out Patients in Shonga, Edu Local Government Area, Kwara State." Biological and Environmental Sciences Journal for the Tropics 21, no. 2 (2024): 174–79. http://dx.doi.org/10.4314/bestj.v21i2.19.

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Malaria persists as a critical public health issue in Nigeria. Use of long-lasting insecticidal nets (LLINs) is a widely used intervention tool for malaria control and intervention in most malaria endemic areas.The study was aimed at evaluating the impact of long-lasting insecticidal treated nets (LLINs) on malaria parasitaemia among out-patients in Shonga, Edu Local Government Area, Kwara State, conducted between January and July 2023. Blood samples of 318 out-patients comprising 143 males and 175 females were analyzed using Giemsa-stained thick and thin blood films. Additionally, structured
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Sabo, Abdulwali, Usman Sunusi Usman, Umar Ibrahim, et al. "Assessment of Knowledge, Attitude, and Utilization of Long-Lasting Insecticidal Nets in Jigawa State: a cross-sectional study." KIU Journal of Health Sciences 4, no. 1 (2024): 144–55. http://dx.doi.org/10.59568/kjhs-2024-4-1-14.

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Background: The sharing of long-lasting insecticide nets (LLINs), and utilization, alongside knowledge and attitude of the communities towards malaria, are vital to Malaria prevention, treatment, and control. This study intends to investigate the current state of knowledge, attitude, and usage of LLINs in Chamo town of Jigawa State, Nigeria. Methods: The study employed a cross-sectional survey with a semi-structured interview questionnaire. Results: Of the total 471 respondents interviewed, comprising males (39.7%) and females (60.3%). The respondents had a mean age of 35.2 (SD = 12.6), and mo
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Garg, Samir, Vishnu Gupta, Kavita Patel, et al. "Assessing afebrile malaria and bed-net use in a high-burden region of India: Findings from multiple rounds of mass screening." PLOS ONE 18, no. 7 (2023): e0287667. http://dx.doi.org/10.1371/journal.pone.0287667.

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A key obstacle in the fight against malaria is afebrile malaria. It remains undiagnosed and, therefore, is invisible to the health system. Apart from being a serious illness, it contributes to increased transmission. Existing studies in India have not adequately reported afebrile malaria and its determinants, including the use of long-lasting insecticide-treated nets (LLINs). This study used six waves of mass screening, which were conducted by the state government in the high-malaria-burden region of Chhattisgarh, a state in India, in 2020, 2021, and 2022. Each round of data collection include
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Aweis, Ahmed, Abdinur A. Salad, Fathi A. Araye, et al. "Long-lasting insecticidal nets (LLINs) use among household members for protection against mosquito bite in Mogadishu districts." PLOS Global Public Health 3, no. 3 (2023): e0000724. http://dx.doi.org/10.1371/journal.pgph.0000724.

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Understanding long-lasting insecticidal nets (LLINs) utilization is important in monitoring and quantifying the impact of past and current prevention and control efforts of malaria. A cross-sectional study was carried out on a sample of 409 households in Mogadishu, to estimate the LLIN use and assess barriers to its utilization. A standardized questionnaire was used to collect data on demographics, malaria-related knowledge, and the use of preventive measures. LLINs use was assessed using multivariable generalized estimating equations with adjustment for clustering of study participants within
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Sternberg, Eleanore D., Kija R. Ng’habi, Issa N. Lyimo, et al. "Eave tubes for malaria control in Africa: initial development and semi-field evaluations in Tanzania." Malaria Journal 15, no. 1 (2016): 447. https://doi.org/10.1186/s12936-016-1499-8.

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<strong>Background: </strong>Presented here are a series of preliminary experiments evaluating “eave tubes”—a technology that combines house screening with a novel method of delivering insecticides for control of malaria mosquitoes.<strong>Methods: </strong>Eave tubes were first evaluated with overnight release and recapture of mosquitoes in a screened compartment containing a hut and human sleeper. Recapture numbers were used as a proxy for overnight survival. These trials tested physical characteristics of the eave tubes (height, diameter, angle), and different active ingredients (bendiocarb
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Rowland, Mark. "All Nets are Equal, But Some Nets are More Equal Than Others." Outlooks on Pest Management 31, no. 1 (2020): 2–4. http://dx.doi.org/10.1564/v31_feb_01.

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Much of the dramatic decline in malaria in sub-Saharan Africa since 2000 is due to the massive investment in long-lasting insecticide treated nets (LLIN). According to the latest figures from the World Health Organization (WHO), over half of Africa's population now has access to LLIN, increasing from 33% in 2010 to 57% in 2019 (WHO 2019). In 2018 alone, 197 million LLINs were delivered to Africa by manufacturers. Despite this, LLIN coverage has improved only marginally since 2015. The malaria burden worldwide has fallen only slightly from an estimated 231 million cases of malaria in 2017 to 22
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Endriyas, Misganu, Tarekegn Solomon, Taye Gari, Teka Samuel, and Bernt Lindtjørn. "A decline in the coverage and utilization of long-lasting insecticidal nets in Southern Ethiopia: A repeated cross-sectional study." PLOS One 20, no. 4 (2025): e0322342. https://doi.org/10.1371/journal.pone.0322342.

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Background Despite ongoing interventions like long-lasting insecticidal nets (LLIN) distribution and indoor residual spraying, malaria is increasing in Ethiopia. LLIN ownership and utilization vary from time to time and place to place; thus, local evidence of LLIN ownership and use is required. Hence, this study aimed to investigate LLIN ownership, access within household, use, and associated factors using repeated indicators measures. Methods A community-based cross-sectional study with repeated measures was conducted in the Sidama region, southern Ethiopia. The first survey was conducted in
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Duguay, Claudia, Manfred Accrombessi, Ludovic K. N’Tcha, et al. "Community-level impacts of the coronavirus pandemic on malaria prevention and health-seeking behaviours in rural Benin: A mixed methods study." PLOS Global Public Health 3, no. 5 (2023): e0001881. http://dx.doi.org/10.1371/journal.pgph.0001881.

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Globally, negative impacts of the COVID-19 pandemic on malaria prevention and control efforts have been caused by delayed distributions of long-lasting insecticidal nets (LLIN), decreased outpatient attendance, and disruptions to malaria testing and treatment. Using a mixed methods approach, we aimed to evaluate the impact of COVID-19 on community-level malaria prevention and health-seeking practices in Benin more than one year after the start of the COVID-19 pandemic. We collected data through community-based cross-sectional surveys with 4200 households and ten focus group discussions (FGDs).
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González, A. Oscar E., Carmen Perez, Tania Blanco, et al. "Pilot introduction of long-lasting insecticidal nets and hammock nets in the indigenous Comarca of Guna Yala, Panama." Malaria Journal 23, no. 1 (2024). https://doi.org/10.1186/s12936-024-05208-2.

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Abstract Background After almost 70 years of using indoor residual spraying (IRS) as the primary intervention for malaria vector control, the Republic of Panama wanted to evaluate the operational feasibility and acceptability of distributing long-lasting insecticidal hammock nets (LLIHNs) and long-lasting insecticidal nets (LLINs) in the country. Methods A pilot study conducted in 2019 distributed LLINs and LLIHNs to cover all sleeping spaces in 15 high burden localities of the indigenous Comarca of Guna Yala and measured retention, coverage, use and physical deterioration, washing and drying
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Phok, Sochea, Kemi Tesfazghi, Andy Tompsett, et al. "Behavioural determinants of malaria risk, prevention, and care-seeking behaviours among forest-goers in Cambodia." Malaria Journal 21, no. 1 (2022). http://dx.doi.org/10.1186/s12936-022-04390-5.

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Abstract Background Cambodia has made significant progress towards achieving malaria elimination by 2025. Cases continue to decrease and are primarily concentrated in forested areas. Forest-goers are most at risk of malaria due to their proximity to the forest, poor sleeping conditions, frequent mobility, and distance from health services. Consistent use of long-lasting insecticidal nets or hammock nets (LLINs/LLIHNs), early diagnosis and treatment of cases are central to reducing disease burden. The aim of this study was to understand forest-goers’ knowledge, attitudes, and practices related
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Kwiringira, Andrew, Carol Nanziri, Edirisa Juniour Nsubuga, et al. "Ownership and use of long-lasting insecticidal nets three months after a mass distribution campaign in Uganda, 2021." Malaria Journal 21, no. 1 (2022). http://dx.doi.org/10.1186/s12936-022-04401-5.

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Abstract Background Uganda conducted its third mass long-lasting insecticidal net (LLIN) distribution campaign in 2021. The target of the campaign was to ensure that 100% of households own at least one LLIN per two persons and to achieve 85% use of distributed LLINs. LLIN ownership, use and associated factors were assessed 3 months after the campaign. Methods A cross-sectional household survey was conducted in 14 districts from 13 to 30 April, 2021. Households were selected using multistage sampling. Each was asked about LLIN ownership, use, duration since received to the time of interview, an
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Zhou, Guofa, Ming-chieh Lee, Xiaoming Wang, Daibin Zhong, Elizabeth Hemming-Schroeder, and Guiyun Yan. "An Adaptive Intervention Trial Design for Finding the Optimal Integrated Strategies for Malaria Control and Elimination in Africa: A Model Simulation Study." American Journal of Tropical Medicine and Hygiene, September 7, 2021. http://dx.doi.org/10.4269/ajtmh.20-0254.

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There are a number of available and emerging malaria intervention tools that require innovative trial designs to find the optimal combinations at given epidemiologic settings. We simulated intervention strategies based on adaptive interventions, which included long-lasting insecticidal nets (LLINs), piperonyl butoxide–treated LLINs (PBO-LLINs), indoor residual spraying (IRS), and long-lasting microbial larviciding (LLML). The aims were to determine if PBO-LLINs or LLIN+IRS combination is more effective for initial interventions than LLINs and to identify the most effective intervention. We use
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Millat-Martínez, Pere, Rebecca Gabong, Núria Balanza, et al. "Coverage, determinants of use and repurposing of long-lasting insecticidal nets two years after a mass distribution in Lihir Islands, Papua New Guinea: a cross-sectional study." Malaria Journal 20, no. 1 (2021). http://dx.doi.org/10.1186/s12936-021-03867-z.

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Abstract Background Universal coverage with long-lasting insecticidal nets (LLINs) is an essential component of malaria control programmes. Three-yearly mass distribution of LLINs in Papua New Guinea (PNG) has been successful in reducing infection transmission since 2009, but malaria prevalence ramped up from 2015 onwards. Although LLIN universal coverage is mostly achieved during these campaigns, it may not be related with net use over time. Uses given to LLINs and non-compliance of this strategy were evaluated. Methods A knowledge, attitude and practice (KAP) cross-sectional study was conduc
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Babalola, Obafemi J., Mohammed N. Sambo, Suleiman H. Idris, Ike-Oluwapo O. Ajayi, Olufemi Ajumobi, and Patrick Nguku. "Factors associated with utilization of LLINs among women of child-bearing age in Igabi, Kaduna State, Nigeria." Malaria Journal 18, no. 1 (2019). http://dx.doi.org/10.1186/s12936-019-3046-x.

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Abstract Background The long-lasting insecticidal nets (LLIN) are effective against prevention of malaria and its utilization has been proven to save lives. Despite the mass distribution of LLIN, Nigeria remains the country with the highest malaria burden in Africa. The awareness of LLIN in Nigeria is high, but the utilization is low. The aim of this work is to describe factors associated with the utilization of LLIN among women of child-bearing age (WCBA) in Igabi, Kaduna, Nigeria. Methods A cross-sectional survey was conducted among 630 WCBA selected using a multi-stage sampling at 63 random
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Tia, Jean-Philippe B., Emile S. F. Tchicaya, Julien Z. B. Zahouli, et al. "Combined use of long-lasting insecticidal nets and Bacillus thuringiensis israelensis larviciding, a promising integrated approach against malaria transmission in northern Côte d'Ivoire." Malaria Journal 23, no. 1 (2024). http://dx.doi.org/10.1186/s12936-024-04953-8.

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Abstract Background The recent reduction in malaria burden in Côte d’Ivoire is largely attributable to the use of long-lasting insecticidal nets (LLINs). However, this progress is threatened by insecticide resistance and behavioral changes in Anopheles gambiae sensu lato (s.l.) populations and residual malaria transmission, and complementary tools are required. Thus, this study aimed to assess the efficacy of the combined use of LLINs and Bacillus thuringiensis israelensis (Bti), in comparison with LLINs. Methods This study was conducted in the health district of Korhogo, northern Côte d'Ivoir
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Endriyas, Misganu, Mekidim Kassa, Yilma Chisha, et al. "Low long-lasting insecticidal net use in malaria elimination areas in Southern Ethiopia: results from community based cross-sectional study." Malaria Journal 23, no. 1 (2024). http://dx.doi.org/10.1186/s12936-024-04909-y.

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Abstract Background Despite remarkable progress in malaria burden reduction, malaria continues to be a major public health problem globally. Ethiopia has been distributing long-lasting insecticidal nets (LLINs) for free and nationwide distribution was completed in 2016. However, evidence suggests that the utilization of LLINs varies from setting to setting and from time to time due to different factors, and up-to-date evidence is required for LLIN related decision-making. Hence, this study was designed to assess LLIN utilization and its determinants in the Southern Nations, Nationalities, and
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Afagbedzi, Seth Kwaku, Yakubu Alhassan, Ernest Kenu, et al. "Universal coverage and utilization of free long-lasting insecticidal nets for malaria prevention in Ghana: a cross-sectional study." Frontiers in Public Health 11 (May 25, 2023). http://dx.doi.org/10.3389/fpubh.2023.1140604.

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BackgroundMalaria continues to be one of the leading causes of mortality and morbidity, especially among children and pregnant women. The use of Long-Lasting Insecticide Nets (LLINs) has been recognized and prioritized as a major intervention for malaria prevention in Ghana. This study aims to establish the factors influencing the universal coverage and utilization of LLINs in Ghana.MethodsThe data used for this study was from a cross-sectional survey carried out to assess LLINs ownership and use in 9 out of the 10 old regions of Ghana from October 2018 to February 2019 where free LLIN distrib
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Njatosoa, Ammy Fiadanana, Chiarella Mattern, Dolorès Pourette, et al. "Family, social and cultural determinants of long-lasting insecticidal net (LLIN) use in Madagascar: secondary analysis of three qualitative studies focused on children aged 5–15 years." Malaria Journal 20, no. 1 (2021). http://dx.doi.org/10.1186/s12936-021-03705-2.

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Abstract Background Although it is accepted that long-lasting insecticidal net (LLIN) use is an effective means to prevent malaria, children aged 5 to 15 years do not appear to be sufficiently protected in Madagascar; the malaria prevalence is highest in this age group. The purpose of this research is to summarize recent qualitative studies describing LLIN use among the Malagasy people with a focus on children aged 5–15 years. Methods Qualitative data from three studies on malaria conducted between 2012 and 2016 in 10 districts of Madagascar were analysed. These studies cover all malaria epide
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Hiruy, Honelgn Nahusenay, Ayele Zewde, Seth R. Irish, et al. "The effect of long-lasting insecticidal nets (LLINs) physical integrity on utilization." Malaria Journal 20, no. 1 (2021). http://dx.doi.org/10.1186/s12936-021-03976-9.

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Abstract Background In Ethiopia, despite improvements in coverage and access, utilization of long-lasting insecticidal nets (LLINs) remains a challenge. Different household-level factors have been identified as associated with LLIN use. However, the contribution of LLIN physical integrity to their utilization is not well investigated and documented. This study aimed to assess the association between the physical integrity of LLINs and their use. Methods This study employed a nested case-control design using secondary data from the Ethiopian LLIN durability monitoring study conducted from May 2
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Okiring, Jaffer, Samuel Gonahasa, Martha Nassali, et al. "LLIN Evaluation in Uganda Project (LLINEUP2)—Factors associated with coverage and use of long‑lasting insecticidal nets following the 2020–21 national mass distribution campaign: a cross-sectional survey of 12 districts." Malaria Journal 21, no. 1 (2022). http://dx.doi.org/10.1186/s12936-022-04302-7.

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Abstract Background In 2020–2021, long-lasting insecticidal nets (LLINs) were distributed nationwide in Uganda during the COVID-19 pandemic. A cross-sectional survey was conducted in 12 districts to evaluate the impact of the campaign 1–5 months after LLIN distribution. Methods During April–May 2021, households were randomly selected from target areas (1–7 villages) surrounding 12 government-run health facilities established as Malaria Reference Centres; at least 50 households were enrolled per cluster. Outcomes included household ownership of LLINs distributed through the universal coverage c
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