PMID- 22545723
OWN - NLM
STAT- MEDLINE
DCOM- 20120718
LR  - 20211021
IS  - 1471-2458 (Electronic)
IS  - 1471-2458 (Linking)
VI  - 12
DP  - 2012 May 22
TI  - Examining equity in access to long-lasting insecticide nets and artemisinin-based 
      combination therapy in Anambra State, Nigeria.
PG  - 315
LID - 10.1186/1471-2458-12-315 [doi]
AB  - BACKGROUND: In 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. METHODS: A 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. RESULTS: It 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. CONCLUSIONS: The 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.
FAU - Mbachu, Chinyere O
AU  - Mbachu CO
AD  - Health Policy Research Group, Department of Pharmacology and Therapeutics, 
      College of Medicine, University of Nigeria, and Department of Community Medicine, 
      University of Nigeria Teaching Hospital, Enugu, Enugu State, Nigeria. 
      chinyere23@yahoo.com
FAU - Onwujekwe, Obinna E
AU  - Onwujekwe OE
FAU - Uzochukwu, Benjamin S C
AU  - Uzochukwu BS
FAU - Uchegbu, Eloka
AU  - Uchegbu E
FAU - Oranuba, Joseph
AU  - Oranuba J
FAU - Ilika, Amobi L
AU  - Ilika AL
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20120522
PL  - England
TA  - BMC Public Health
JT  - BMC public health
JID - 100968562
RN  - 0 (Antimalarials)
RN  - 0 (Artemisinins)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Antimalarials/economics/*therapeutic use
MH  - Artemisinins/economics/*therapeutic use
MH  - Caregivers
MH  - Chi-Square Distribution
MH  - Child
MH  - Cross-Sectional Studies
MH  - Drug Therapy, Combination/economics/statistics & numerical data
MH  - Female
MH  - *Health Knowledge, Attitudes, Practice
MH  - Health Services Accessibility/economics/*statistics & numerical data
MH  - Humans
MH  - Insecticide-Treated Bednets/economics/*statistics & numerical data
MH  - Lot Quality Assurance Sampling
MH  - Malaria/drug therapy/*prevention & control
MH  - Male
MH  - Middle Aged
MH  - Nigeria
MH  - Ownership/statistics & numerical data
MH  - Pregnancy
MH  - Pregnant Women/*psychology
MH  - Quality Assurance, Health Care
MH  - Residence Characteristics
MH  - Social Class
MH  - Surveys and Questionnaires
MH  - Time Factors
PMC - PMC3358243
EDAT- 2012/05/02 06:00
MHDA- 2012/07/19 06:00
PMCR- 2012/05/22
CRDT- 2012/05/02 06:00
PHST- 2011/10/11 00:00 [received]
PHST- 2012/04/30 00:00 [accepted]
PHST- 2012/05/02 06:00 [entrez]
PHST- 2012/05/02 06:00 [pubmed]
PHST- 2012/07/19 06:00 [medline]
PHST- 2012/05/22 00:00 [pmc-release]
AID - 1471-2458-12-315 [pii]
AID - 10.1186/1471-2458-12-315 [doi]
PST - epublish
SO  - BMC Public Health. 2012 May 22;12:315. doi: 10.1186/1471-2458-12-315.