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Qualitative study on the use and maintenance of long-lasting insecticidal nets (LLINs) in Bouaké (Côte d'Ivoire), 17 months after the last mass distribution campaign

N’Guessan Gnagoran Kouakou Daniel, Coulibaly Fangala Hamidou, Barreaux Antoine, Yapo Roseline Josée, Adou Kouassi Arsène, Tia Emmanuel, Fournet Florence. 2022. Qualitative study on the use and maintenance of long-lasting insecticidal nets (LLINs) in Bouaké (Côte d'Ivoire), 17 months after the last mass distribution campaign. Malaria Journal, 21:228, 10 p.

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Résumé : Background: The use of long-lasting insecticide-treated nets (LLINs) is one of the main malaria prevention method promoted by the World Health Organization (WHO) in Côte d'Ivoire. LLIN-coverage has reached 95% since 2015 and nearly 16 million LLINs were distributed in 2017. Despite these efforts, malaria incidence at the national level remains high (120‰ in 2012 to 164‰ in 2017) although this could be partly explained by increased screening efforts. This study aimed at determining what preventative measures were used against mosquito bites, as well as LLIN maintenance practices used by the inhabitants of the city of Bouaké, capital city of the Gbêkê region with a malaria incidence of 257‰ in 2017. Methods: A descriptive qualitative investigation took place in Bouaké, in four neighbourhoods that were selected through purposive sampling based on their social composition. Data were collected using an interview guide based on convenience sampling. Results: The results of the study reveal that LLINs are the most reported used malaria prevention measure (66.4%). Environmental health (28.8%) came second in their declarations, smoke coils (23.5%) third and aerosol cans (18.8%) last. The percentage of respondents who answered that they had slept under an LLIN the previous night was 53%. 57.7% reported that they wash their LLINs, 12.1% that they do not wash them, and 4% that they replace dirty LLINs with new ones. The LLINs washing methods described by the respondents did not comply with the WHO recommendations and there was no mention of LLINs repairs. Conclusion: Despite mass distributions of LLINs in Côte d'Ivoire, this key malaria control tool remains under-used by the population. Regarding LLIN maintenance, more than half of the population reports that they wash their nets while not complying with recommended practices or repairing them.

Mots-clés Agrovoc : prévention des maladies, malaria, filet, lutte anti-insecte, durée d'utilisation du matériel, utilisation, enquête, analyse de données

Mots-clés géographiques Agrovoc : Côte d'Ivoire

Mots-clés complémentaires : moustiquaire imprégnée d’insecticide de longue durée

Mots-clés libres : Malaria, LLIN, Côte d'Ivoire, Maintenance, Mosquito control

Classification Agris : S50 - Santé humaine

Champ stratégique Cirad : CTS 4 (2019-) - Santé des plantes, des animaux et des écosystèmes

Auteurs et affiliations

  • N’Guessan Gnagoran Kouakou Daniel, Université Alassane Ouattara (CIV) - auteur correspondant
  • Coulibaly Fangala Hamidou, Université Alassane Ouattara (CIV)
  • Barreaux Antoine, CIRAD-BIOS-UMR INTERTRYP (FRA) ORCID: 0000-0001-5822-761X
  • Yapo Roseline Josée, Université Alassane Ouattara (CIV)
  • Adou Kouassi Arsène, IRD (FRA)
  • Tia Emmanuel, Université Alassane Ouattara (CIV)
  • Fournet Florence, IRD (FRA)

Source : Cirad-Agritrop (https://agritrop.cirad.fr/601682/)

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