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Long-lasting insecticidal nets in Zambia: a cross-sectional analysis of net integrity and insecticide content

Overview of attention for article published in Malaria Journal, June 2015
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Title
Long-lasting insecticidal nets in Zambia: a cross-sectional analysis of net integrity and insecticide content
Published in
Malaria Journal, June 2015
DOI 10.1186/s12936-015-0754-8
Pubmed ID
Authors

Allen S. Craig, Mbanga Muleba, Stephen C. Smith, Cecilia Katebe-Sakala, Gershom Chongwe, Busiku Hamainza, Batuke Walusiku, Megan Tremblay, Maureen Oscadal, Robert Wirtz, Kathrine R. Tan

Abstract

Long-lasting insecticidal nets (LLINs) are a mainstay of malaria prevention in Africa. More LLINs are available now than in any time previously due to increases in funding for malaria control. LLINs are expected to last three to five years before they need to be replaced. Reports of nets lasting less than three years are frequent in Zambia, which, if true, will increase the number of LLINs needed to maintain universal coverage. This study collected nets distributed during mass distribution campaigns. One net was collected from each participating home in 12 districts in 2010 and all nets were examined for holes. One household member was surveyed about net use and care. The study collected 713 polyester nets with a median age of 31 months (range 27-44 months, interquartile (IQR) range: 29-36 months), median number of holes was 17 (IQR: 5-33), and median total hole size was 88.3 sq cm (IQR: 14.5-360.4). The median total number of holes did differ by age of the net, from 27-44 months, but not in a linear fashion. The difference in the number of holes in the newest and oldest nets was not statistically significant. The mean deltamethrin level for all nets was 23 mg/sq m (≥8 mg/sq m is considered effective). There was a larger total hole area in the lower half of the nets (repeat measures ANOVA, F = 228.43, df = 2, p < 0.0001) compared to the upper half and roof of the net. Only 8.7 % of nets had evidence of repairs. At 27 - 30 months, LLINs already had a large total hole surface area that was equivalent to the oldest nets observed. Nets were often tucked under reed mats which may explain the finding that the largest hole area was found in the lower half of the net. Studies need to be conducted prospectively to determine when physical deterioration occurs and why nets are discarded. Re-enforcing the lower half of the sides of LLINs may help decrease holes.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 75 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 1%
Sudan 1 1%
Unknown 73 97%

Demographic breakdown

Readers by professional status Count As %
Student > Master 16 21%
Researcher 12 16%
Student > Ph. D. Student 10 13%
Student > Bachelor 10 13%
Other 4 5%
Other 9 12%
Unknown 14 19%
Readers by discipline Count As %
Medicine and Dentistry 15 20%
Agricultural and Biological Sciences 10 13%
Nursing and Health Professions 9 12%
Social Sciences 7 9%
Biochemistry, Genetics and Molecular Biology 3 4%
Other 13 17%
Unknown 18 24%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 June 2015.
All research outputs
#15,477,128
of 25,312,451 outputs
Outputs from Malaria Journal
#3,822
of 5,899 outputs
Outputs of similar age
#138,376
of 272,993 outputs
Outputs of similar age from Malaria Journal
#61
of 102 outputs
Altmetric has tracked 25,312,451 research outputs across all sources so far. This one is in the 37th percentile – i.e., 37% of other outputs scored the same or lower than it.
So far Altmetric has tracked 5,899 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.9. This one is in the 34th percentile – i.e., 34% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 272,993 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 102 others from the same source and published within six weeks on either side of this one. This one is in the 40th percentile – i.e., 40% of its contemporaries scored the same or lower than it.