Community-Effectiveness of the Distribution of Insecticide-Treated Bed Nets Through Social Marketing Antenatal Care Services in Malaria Control in Rural Burkina Faso

Study Overview
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Brief Summary
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The study aims at assessing which of two distribution channels for insecticide treated bendnets (ITNs), social marketing vs. social marketing coupled with free distribution through ante-natal care, is most effective in reaching groups at high risk of malaria, i.e. pregnant women and children under 5.

Detailed Description
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The hypothesis that insecticide-treated bed net (ITN) effects may not be long-lasting in young children living in areas of intense malaria transmission due to interactions with the immunologi-cal development has now been refuted in a number of studies including the D4 study. The highly controversial question remains how African programmes can best reach a sustainable high coverage with ITNs in young children and pregnant women. Against this background it is planned to implement a cluster randomised controlled trial in Nouna Health District in Burkina Faso. Twenty-two peripheral health centres and their catchment areas will be randomised to (1) ITN provision to the general population through social marketing and (2) ITN provision to the general population through social marketing plus free provision to all pregnant women through antenatal services. The primary outcomes are ITN coverage in households and ITN use during pregnancy and infancy.

Conditions
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Malaria

Intervention / Treatment
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* Procedure: ITN distribution channel


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being one of 25 primary health facility catchment areas in the Nouna Health District, Burkina Faso Exclusion Criteria: Being outside one of 25 primary health facility catchment areas in the Nouna Health District, Burkina Faso

Ages Eligible for Study
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Minimum Age: 0 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Educational/Counseling/Training
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Intervention/Treatment |
| --- |
|Procedure: ITN distribution channel|nan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| ITN coverage in households 12 and 24 months after the start of the interventions |  |  | 
| ITN use during pregnancy and infancy |  |  | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Costs per malaria case and per DALY prevented |  |  | 
| Self-reported information on ANC visits |  |  | 
| Insecticide content on ITN and mortality of vector mosquitoes over time |  |  | 
| Acceptance of health staff and population |  |  | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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malaria, insecticide-treated bednets, africa, social marketing, ante-natal care, ITN coverage, ITn use