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| Sponsors and Collaborators: |
Gates Malaria Partnership University of Durham Medical Research Council Laboratories, Gambia |
| Information provided by: | Gates Malaria Partnership |
| ClinicalTrials.gov Identifier: | NCT00169117 |
Purpose
Although the use of mosquito nets has increased in Africa, many of the nets used are in a poor state, and not an effective barrier against mosquitoes. 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 The 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.
| Condition | Intervention |
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Malaria |
Behavioral: Songs/posters aimed at behaviour change |
| MedlinePlus related topics: | Malaria |
| Study Type: | Interventional |
| Study Design: | Prevention, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Efficacy Study |
| Official Title: | A Stitch in Time May Save Lives: Turning Poor Bednets Into Good Ones |
| Enrollment: | 772 |
| Study Start Date: | June 2002 |
| Study Completion Date: | December 2002 |
| Primary Completion Date: | December 2002 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
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1: Experimental
Behavioural intervention: Songs/posters aimed at behaviour change to increase repair and maintenance of mosquito nets
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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
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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.
Eligibility
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contacts and Locations| Gambia | |||||
| Medical Research Council Laboratories | |||||
| Farafenni, Gambia | |||||
| Gates Malaria Partnership |
| University of Durham |
| Medical Research Council Laboratories, Gambia |
| 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 |
More Information
Click here to see details of other malaria studies funded by the Gates Malaria Partnership
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Lomas H, Panter-Brick C, Clarke S, Lindsay S, Pinder M & Walraven G. (2004). A community intervention to repair bed nets for malaria prevention in the Gambia [abstract]. Annals of Human Biology, 31(1): 116
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| Study ID Numbers: | DIF8 |
| First Received: | September 13, 2005 |
| Last Updated: | February 7, 2008 |
| ClinicalTrials.gov Identifier: | NCT00169117 |
| Health Authority: | Gambia: Department of State for Health and Social Welfare |
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