| Community reactions to the introduction of permethrin-treated bed nets for malaria control during a randomized controlled trial in western Kenya. | |
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MedLine Citation:
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PMID: 12749496 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Prior to implementation of a randomized controlled trial of insecticide (permethrin)-treated bed nets (ITNs) in western Kenya, ethnographic studies were conducted to understand local perceptions of disease, sleeping patterns, and other factors that might affect use of ITNs. Educational activities took place prior to distribution, but immediately after distribution in Asembo only approximately half of the ITNs were in use. A qualitative study was then conducted to identify the community's perceptions about ITNs and the ITN project. While participants ranked malaria as important and recognized that malaria prevention could be beneficial, they believed ITNs would be only partly effective due to the perception that malaria has multiple causes. Concerns expressed included fear of the insecticide, thought by some to be a toxic family planning aid, the taking of blood during clinical studies, and the mixing up of family ITNs during net re-treatment, which would violate cultural taboos. Attempts were made to allay fears by improved communication on these subjects and modification of the study design. |
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Authors:
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Jane A Alaii; H W van den Borne; S Patrick Kachur; Karen Shelley; Halima Mwenesi; John M Vulule; William A Hawley; Bernard L Nahlen; Penelope A Phillips-Howard |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
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Title: The American journal of tropical medicine and hygiene Volume: 68 ISSN: 0002-9637 ISO Abbreviation: Am. J. Trop. Med. Hyg. Publication Date: 2003 Apr |
Date Detail:
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Created Date: 2003-05-16 Completed Date: 2003-07-08 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0370507 Medline TA: Am J Trop Med Hyg Country: United States |
Other Details:
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Languages: eng Pagination: 128-36 Citation Subset: AIM; IM |
Affiliation:
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Center for Vector Biology and Control Research, Kenya Medical Research Institute, Kisumu, Kenya. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Attitude to Health* Bedding and Linens* Female Health Surveys Humans Insecticides / pharmacology Kenya Malaria / prevention & control* Medical History Taking / methods Permethrin / pharmacology* Rural Health Sleep / physiology Socioeconomic Factors |
| Chemical | |
Reg. No./Substance:
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0/Insecticides; 52645-53-1/Permethrin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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