Publication:
Impregnated Nets Cannot Fully Substitute for DDT : Field Effectiveness of Malaria Prevention in Solomon Islands

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dc.contributor.authorOver, Mead
dc.contributor.authorBakote'e, Bernard
dc.contributor.authorVelayudhan, Raman
dc.contributor.authorWilikai, Peter
dc.contributor.authorGraves, Patricia M.
dc.date.accessioned2014-05-09T17:59:17Z
dc.date.available2014-05-09T17:59:17Z
dc.date.issued2003-05
dc.description.abstractThe incidence of malaria in Solomon Islands has been declining since 1992, but there is a large geographical variation between areas in the incidence level and the rate of decline. The authors used a mix of control interventions, including DDT residual house spraying and insecticide-treated mosquito nets. Data on monthly incidence and control activities performed from January 1993 to August 1999 were gathered for 41 out of the 110 malaria zones in the country. Monthly reports on the number of fevers seen at outpatient health clinics in the same zones over the same period were also extracted from the clinical health information system. The authors used multivariate random effects regression, including calendar month as an instrumental variable, to investigate the relationship between the number of malaria or fever cases and the control measures applied by month and zone, while adjusting for rainfall and proximity to water. The results showed that DDT house spraying, insecticide treatment of nets, and education about malaria were all independently associated with reduction in incident cases of malaria or fever, while larviciding with temephos was not. This was true for confirmed malaria cases even when a variable representing the passage of time was included in the models. The results show how much each method used was contributing to malaria control in Solomon Islands and how it can be used to design the most cost-effective package of interventions. The evidence suggests that impregnated bednets cannot easily replace DDT spraying without substantial increase in incidence, but impregnated nets do permit a substantial reduction in the amount of DDT spraying.en
dc.identifierhttp://documents.worldbank.org/curated/en/2003/05/2360826/impregnated-nets-cannot-fully-substitute-ddt-field-effectiveness-malaria-prevention-solomon-islands
dc.identifier.doi10.1596/1813-9450-3044
dc.identifier.urihttps://hdl.handle.net/10986/18205
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesPolicy Research Working Paper;No. 3044
dc.rightsCC BY 3.0 IGO
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectADULT MOSQUITO
dc.subjectADULT MOSQUITOES
dc.subjectAIR
dc.subjectALTERNATIVE APPROACH
dc.subjectANOPHELINE MOSQUITOES
dc.subjectCLINICAL MALARIA
dc.subjectCLINICS
dc.subjectCOMMUNITY PARTICIPATION
dc.subjectDOWNPOURS
dc.subjectENVIRONMENTAL FACTORS
dc.subjectEPIDEMIOLOGY
dc.subjectFAMILIES
dc.subjectHEALTH EDUCATION
dc.subjectHEALTH INFORMATION
dc.subjectHEALTH INTERVENTIONS
dc.subjectHEALTH POLICY
dc.subjectHOSPITALS
dc.subjectHOUSE SPRAYING
dc.subjectIMPREGNATED BEDNETS
dc.subjectIMPREGNATED MOSQUITO NETS
dc.subjectIMPREGNATED NETS
dc.subjectINFECTIVE BITES
dc.subjectINSECTICIDE TREATMENT
dc.subjectINSECTICIDE-TREATED BEDNETS
dc.subjectINSECTICIDE-TREATED MOSQUITO NETS
dc.subjectINSECTICIDE-TREATED NETS
dc.subjectINTERVENTION
dc.subjectLARVAL BREEDING SITES
dc.subjectLARVAL CONTROL
dc.subjectLARVAL DEVELOPMENT
dc.subjectMALARIA
dc.subjectMALARIA CASES
dc.subjectMALARIA CONTROL
dc.subjectMALARIA CONTROL ACTIVITIES
dc.subjectMALARIA CONTROL MEASURES
dc.subjectMALARIA ERADICATION
dc.subjectMALARIA ERADICATION POLICY
dc.subjectMALARIA ERADICATION PROGRAM
dc.subjectMALARIA INCIDENCE
dc.subjectMALARIA MORBIDITY
dc.subjectMALARIA PREVENTION
dc.subjectMALARIA RESEARCH
dc.subjectMALARIA SEASON
dc.subjectMALARIA TRANSMISSION
dc.subjectMALARIA TREATMENT
dc.subjectMALARIA-ENDEMIC AREAS
dc.subjectMIXED INFECTIONS
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectMORTALITY RATES
dc.subjectOLD CHILDREN
dc.subjectPARASITE PREVALENCE
dc.subjectPOPULATION GROWTH
dc.subjectPROGRAMS
dc.subjectPUBLIC HEALTH
dc.subjectRADIO
dc.subjectRAINFALL
dc.subjectSTAGNANT POOLS
dc.subjectTOTAL POPULATION
dc.subjectTRANSMISSION RATES
dc.subjectTREATED NETS
dc.subjectVECTOR POPULATIONS
dc.subjectVECTOR-BORNE DISEASES
dc.subjectWORLD HEALTH ORGANIZATION MALARIA
dc.subjectMOSQUITOES
dc.subjectDDT
dc.subjectEDUCATION PROGRAMS
dc.subjectDATA GATHERING
dc.subjectHEALTH INFORMATION
dc.subjectCONTROL SYSTEMS
dc.subjectECONOMIC ANALYSIS
dc.subjectINSECTICIDES
dc.subjectWORLD HEALTH ORGANIZATION
dc.subjectMALARIA
dc.titleImpregnated Nets Cannot Fully Substitute for DDT : Field Effectiveness of Malaria Prevention in Solomon Islandsen
dspace.entity.typePublication
okr.crossref.titleImpregnated Nets Cannot Fully Substitute for DDT: Field Effectiveness of Malaria Prevention in Solomon Islands
okr.date.doiregistration2025-04-10T10:50:41.737630Z
okr.doctypePublications & Research::Policy Research Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2003/05/2360826/impregnated-nets-cannot-fully-substitute-ddt-field-effectiveness-malaria-prevention-solomon-islands
okr.globalpracticeHealth, Nutrition, and Population
okr.guid773051468776360771
okr.identifier.doi10.1596/1813-9450-3044
okr.identifier.externaldocumentum000094946_03052804040537
okr.identifier.internaldocumentum2360826
okr.identifier.reportWPS3044
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2003/06/06/000094946_03052804040537/Rendered/PDF/multi0page.pdfen
okr.region.administrativeEast Asia and Pacific
okr.region.countrySolomon Islands
okr.topicHealth, Nutrition and Population::Malaria
okr.topicHealth Monitoring and Evaluation
okr.topicHealth, Nutrition and Population::Health Indicators
okr.topicEarly Child and Children's Health
okr.topicHealth, Nutrition and Population::Public Health Promotion
okr.topicDisease Control and Prevention
okr.topicClimate Change
okr.unitPublic Services, Development Research Group
okr.volume1
relation.isSeriesOfPublication26e071dc-b0bf-409c-b982-df2970295c87
relation.isSeriesOfPublication.latestForDiscovery26e071dc-b0bf-409c-b982-df2970295c87
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