A Stitch in Time May Save Lives: Turning Poor Bednets Into Good Ones
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|ClinicalTrials.gov Identifier: NCT00169117|
Recruitment Status : Completed
First Posted : September 15, 2005
Last Update Posted : January 12, 2017
|Condition or disease||Intervention/treatment|
|Malaria||Behavioral: Songs/posters aimed at behaviour change|
Sleeping under an insecticide-treated net protects the sleeper from mosquito bites and is highly effective means of reducing the risk of malaria. Recent studies in The Gambia and Kenya have shown that untreated bednets in good condition can also protect against malaria (51% protection against parasitaemia, 95% CIs 34-64%). However, most children in rural Gambia sleep under untreated nets in poor condition, often with a few holes, and do not close their nets properly at night. These children remain exposed to mosquito bites and the risk of malaria.
This pilot study examines whether subsistence farmers in rural Africa can be encouraged to repair their mosquito nets and use their bednets appropriately. Attitudes and practises on sewing and net use were examined in rural Gambia and an intervention developed to promote net repair. Songs and posters were used to emphasise the importance of repairing nets and their correct use, and served as aural and visual reminders to repair nets now rather than postpone this household chore. The intervention was aimed at effectively and cheaply turning a poor net into a good one.
The intervention was developed and implemented in two neighbouring villages in The Gambia, with each village composing their own songs. There was no formal control village. An internal comparison group was used in which the nets of responders and non-responders living within the same village were compared.The success of the intervention was assessed by: recording the number of nets repaired and used correctly for malarial prevention before and after the intervention; by counts of mosquitoes entering the nets classified according to number of holes and degree of repair; as well as by canvassing participants' opinions.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||772 participants|
|Intervention Model:||Single Group Assignment|
|Masking:||None (Open Label)|
|Official Title:||A Stitch in Time May Save Lives: Turning Poor Bednets Into Good Ones|
|Study Start Date :||June 2002|
|Primary Completion Date :||December 2002|
|Study Completion Date :||December 2002|
Behavioural intervention: Songs/posters aimed at behaviour change to increase repair and maintenance of mosquito nets
Behavioral: Songs/posters aimed at behaviour change
This was a behavioural intervention, using songs and posters composed/designed by community members which aimed at behaviour change to increase repair and maintenance of mosquito nets
- Number of bednets repaired (pre- vs post intervention) [ Time Frame: November 2003 ]
- Mean proportion of holes repaired/net (pre- vs post intervention) [ Time Frame: November 2003 ]
- Reduction in mosquitoes with a good net compared with a poor one (pre-intervention survey). [ Time Frame: November 2003 ]
- Reduction in mosquitoes with a good net compared with a repaired net (post-intervention survey) [ Time Frame: November 2003 ]
- Community acceptability [ Time Frame: November 2003 ]
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00169117
|Medical Research Council Laboratories|
|Principal Investigator:||Steven W Lindsay, PhD||University of Durham|
|Principal Investigator:||Sian E Clarke, PhD||London School of Hygiene and Tropical Medicine, University of London, UK|
|Principal Investigator:||Catherine Panter-Brick, PhD||University of Durham|