Last data update: Sep 16, 2024. (Total: 47680 publications since 2009)
Records 1-2 (of 2 Records) |
Query Trace: Mutabazi M [original query] |
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Integrating water treatment into antenatal care: impact on use of maternal health services and household water treatment by mothers-rural Uganda, 2013
Matanock A , Anderson T , Ayers T , Likicho L , Wamimbi R , Lu X , Emeetai T , Kakande C , Mutabazi M , Quick R . Am J Trop Med Hyg 2016 94 (5) 1150-6 To increase maternal health service use and household water treatment (HWT), free water treatment kits were provided at first antenatal care (ANC) visits and free water treatment sachet refills at were provided follow-up ANC visits, delivery, and postnatal visits in 46 health facilities in rural Uganda. We evaluated the impact by surveying 226 women in the initiative (intervention group) and 207 women who received ANC before the initiative began (comparison group). There were no differences in the percentage of intervention and comparison group women with ≥ 4 ANC visits; however, a higher percentage of intervention group women reported treating their drinking water (31.7% versus 19.7%, P < 0.01), and had free chlorine residual in stored water (13.5% versus 3.4%, P < 0.02) than comparison group women. The intervention did not appear to motivate increased maternal health service use but demonstrated improvements in HWT. |
Monitoring long-lasting insecticidal net (LLIN) durability to validate net serviceable life assumptions, in Rwanda
Hakizimana E , Cyubahiro B , Rukundo A , Kabayiza A , Mutabazi A , Beach R , Patel R , Tongren JE , Karema C . Malar J 2014 13 344 BACKGROUND: To validate assumptions about the length of the distribution-replacement cycle for long-lasting insecticidal nets (LLINs) in Rwanda, the Malaria and other Parasitic Diseases Division, Rwanda Ministry of Health, used World Health Organization methods to independently confirm the three-year LLIN serviceable life span recommendation of WHO. METHODS: Approximately 3,000 coded LLINs, distributed as part of a national campaign, were monitored in six sites, by means of six-monthly visits to selected houses. Two indicators, survivorship/attrition, a measure of the number of nets remaining, and fabric integrity, the proportion of remaining nets in either 'good', 'serviceable' or 'needs replacement' condition, based on holes in the net material, were tracked. To validate the assumption that the intervention would remain effective for three years, LLIN coverage, calculated using either survivorship, or integrity, by removing nets in the 'needs replacement' category from the survivorship total, was compared with the predicted proportion of nets remaining, derived from a net loss model, that assumes an LLIN serviceable life of three years. RESULTS: After two years, there was close agreement between estimated LLIN survivorship at all sites, 75% (range 64-84%), and the predicted proportion of nets remaining, 75%. However, when integrity was considered, observed survivorship at all sites, declined to 42% (range 10-54%). CONCLUSIONS: More than half, 58%, of the LLINs fell into the 'needs replacement' category after two years. While these nets were counted for survivorship, they were judged to be of little-to-no benefit to a user. Therefore, when integrity was taken into account, survivorship was significantly lower than predicted, suggesting that net serviceable life was actually closer to two, rather than three years, and, by extension, that the impact of the intervention during year three of the LLIN distribution-replacement cycle could be well below that seen in years one and two. |
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