Determinants of household demand for bed nets in a rural area of southern Mozambique

Title: Determinants of household demand for bed nets in a rural area of southern Mozambique
Authors: Chase, C
Sicuri, E
Sacoor, C
Nhalungo, D
Nhacolo, A
Alonso, PL
Menéndez, C
Item Type: Journal Article
Abstract: BACKGROUND: A key to making insecticide-treated nets (ITNs) a long-term, sustainable solution to the spread of malaria is understanding what drives their purchase and use. Few studies have analysed the determinants of demand for bed nets for malaria prevention at the household level, and in particular, how demand for nets compares with demand for other mosquito prevention methods. METHODS: This study uses a household survey to assess the determinants of demand for bed nets in an area of endemic malaria transmission in rural, southern Mozambique. The study looks at willingness to pay (WTP) for bed nets, net ownership, usage, and past purchase behaviour, alongside expenditure and frequency of use of alternate methods for malaria prevention. RESULTS: While overall net ownership in the sample is low, the evidence fails to suggest that poorer households are less likely to own bed nets, when controlling for covariates, nor does the likelihood of receiving a free net depend on socioeconomic status (SES). Formal schooling and market knowledge seem to indicate higher average willingness to pay, while use of alternate methods for malaria prevention, and receipt of Indoor Residual Spraying (IRS) are found to decrease demand for bed nets. CONCLUSION: For long-term sustainability of ITNs to be realized, results suggest that either full or partial subsidies may be necessary in some contexts to encourage households to obtain and use nets. Given the possible substitution effects of combined malaria control interventions, and the danger of not taking into consideration household preferences for malaria prevention, successful malaria control campaigns should invest a portion of their funds towards educating recipients of IRS and users of other preventive methods on the importance of net use even in the absence of mosquitoes.
Issue Date: 15-Jun-2009
Date of Acceptance: 15-Jun-2009
URI: http://hdl.handle.net/10044/1/41136
DOI: http://dx.doi.org/10.1186/1475-2875-8-132
ISSN: 1475-2875
Publisher: BioMed Central
Journal / Book Title: Malaria Journal
Volume: 8
Copyright Statement: This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Bedding and Linens
Family Characteristics
Humans
Malaria
Mosquito Control
Mozambique
Needs Assessment
Patient Acceptance of Health Care
Protective Devices
Rural Population
Humans
Malaria
Bedding and Linens
Protective Devices
Family Characteristics
Mosquito Control
Needs Assessment
Rural Population
Patient Acceptance of Health Care
Mozambique
Tropical Medicine
1108 Medical Microbiology
Publication Status: Published
Article Number: 132
Appears in Collections:Faculty of Medicine
Epidemiology, Public Health and Primary Care



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