Malaria prevention in north-eastern Tanzania: patterns of expenditure and determinants of demand at the household level.

dc.contributor.authorMcElroy, Brendan
dc.contributor.authorWiseman, V.
dc.contributor.authorMatovu, F.
dc.contributor.authorMwengee, W.
dc.contributor.funderBill and Melinda Gates Foundationen
dc.date.accessioned2016-08-23T08:41:14Z
dc.date.available2016-08-23T08:41:14Z
dc.date.issued2009-05-07
dc.date.updated2012-11-12T16:25:01Z
dc.description.abstractObjective. This study aims to provide a better understanding of the amounts spent on different malaria prevention products and the determinants of these expenditures. Methods. 1,601 households were interviewed about their expenditure on malaria mosquito nets in the past five years, net re-treatments in the past six months and other expenditures prevention in the past two weeks. Simple random sampling was used to select villages and streets while convenience sampling was used to select households. Expenditure was compared across bed nets, aerosols, coils, indoor spraying, using smoke, drinking herbs and cleaning outside environment. Findings. 68% of households owned at least one bed net and 27% had treated their nets in the past six months. 29% were unable to afford a net. Every fortnight, households spent an average of US $0.18 on nets and their treatment, constituting about 47% of total prevention expenditure. Sprays, repellents and coils made up 50% of total fortnightly expenditure (US$0.21). Factors positively related to expenditure were household wealth, years of education of household head, household head being married and rainy season. Poor quality roads and living in a rural area had a negative impact on expenditure. Conclusion. Expenditure on bed nets and on alternative malaria prevention products was comparable. Poor households living in rural areas spend significantly less on all forms of malaria prevention compared to their richer counterparts. Breaking the cycle between malaria and poverty is one of the biggest challenges facing malaria control programmes in Africa.en
dc.description.sponsorshipBill & Melinda Gates Foundation (Gates Malaria Partnership at the London School of Hygiene and Tropical Medicine)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationMcElroy B., Wiseman V., Matovu F. and Mwengee W. (2009) 'Malaria prevention in north-eastern Tanzania: patterns of expenditure and determinants of demand at the household level'. Malaria Journal, 8:95. DOI: 10.1186/1475-2875-8-95en
dc.identifier.doi10.1186/1475-2875-8-95
dc.identifier.endpage95-10en
dc.identifier.issn1475-2875
dc.identifier.journaltitleMalaria Journalen
dc.identifier.startpage95-1en
dc.identifier.urihttps://hdl.handle.net/10468/3016
dc.identifier.volume8en
dc.language.isoenen
dc.publisherBiomed Centralen
dc.rights© 2009 McElroy et al; licensee 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.en
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en
dc.subjectMalariaen
dc.subjectTanzaniaen
dc.subjectMalaria controlen
dc.subjectHealthcare disparitiesen
dc.subjectMosquito netsen
dc.subjectBed netsen
dc.subjectExpenditureen
dc.titleMalaria prevention in north-eastern Tanzania: patterns of expenditure and determinants of demand at the household level.en
dc.typeArticle (peer-reviewed)en
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