[ La campagne de distribution de MILD en milieu scolaire dans 4 provinces de la République Démocratique du Congo: Evaluation et prospective d’avenir ]
Volume 72, Issue 1, April 2024, Pages 40–48
Nono Koka Ngombe1
1 Institut Supérieur de Techniques Médicales de Tshela (ISTM, TSHELA), RD Congo
Original language: French
Copyright © 2024 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Introduction: The main vector control tool in most malaria-endemic countries is insecticide-treated mosquito nets (ITNs). In the DRC, the rapid loss of coverage in the months following mass campaigns as a result of reduced durability and quality of LLINs within a year, has led to a strategy of distributing LLINs through schools to maintain coverage. This study aims to evaluate the results of the campaign’s implementation in the 4 provinces that have organized school-based distribution of LLINs. Methodology: This is a cross-sectional study conducted in 104 EPST sub-divisions in 4 DRC provinces (Equateur, Kongo Central, Lomami and Maindombe) that organized school-based distribution of LLINs between November 2021 and June 2022. The sample was exhaustive of all pupils in primary grades one to six, then of schools, COPAs and administrative staff. SPSS Statistics 22 software was used for bivariate variables and P-value calculation with a significance level below 0.05, Excel 2019 for univariate variables. Results: The average duration of the process was 6 months ± 3 months in the 4 provinces. Only Equateur province served 100% of LLINs. Male students were served more than female students, and the proportion of LLINs served to students decreased from first to sixth grade in all 4 provinces. There was no significant difference between the statistical data and the student reports. In addition, a significant difference was noted for schools and students between the state and distribution data. Discussion: A baseline survey is not a prerequisite for the distribution of LLINs in schools, as the statistical data and the baseline survey were almost identical. Hence the statistical data remain valid for planning and also for implementation. Conclusion: We suggest eliminating the inventory stage to reduce the average duration of the school-based LLIN distribution process to less than 3 months.
Author Keywords: School campaign evaluation, Equateur, Kongo Central, Lomami and Maindombe provinces, DRC.
Volume 72, Issue 1, April 2024, Pages 40–48
Nono Koka Ngombe1
1 Institut Supérieur de Techniques Médicales de Tshela (ISTM, TSHELA), RD Congo
Original language: French
Copyright © 2024 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Introduction: The main vector control tool in most malaria-endemic countries is insecticide-treated mosquito nets (ITNs). In the DRC, the rapid loss of coverage in the months following mass campaigns as a result of reduced durability and quality of LLINs within a year, has led to a strategy of distributing LLINs through schools to maintain coverage. This study aims to evaluate the results of the campaign’s implementation in the 4 provinces that have organized school-based distribution of LLINs. Methodology: This is a cross-sectional study conducted in 104 EPST sub-divisions in 4 DRC provinces (Equateur, Kongo Central, Lomami and Maindombe) that organized school-based distribution of LLINs between November 2021 and June 2022. The sample was exhaustive of all pupils in primary grades one to six, then of schools, COPAs and administrative staff. SPSS Statistics 22 software was used for bivariate variables and P-value calculation with a significance level below 0.05, Excel 2019 for univariate variables. Results: The average duration of the process was 6 months ± 3 months in the 4 provinces. Only Equateur province served 100% of LLINs. Male students were served more than female students, and the proportion of LLINs served to students decreased from first to sixth grade in all 4 provinces. There was no significant difference between the statistical data and the student reports. In addition, a significant difference was noted for schools and students between the state and distribution data. Discussion: A baseline survey is not a prerequisite for the distribution of LLINs in schools, as the statistical data and the baseline survey were almost identical. Hence the statistical data remain valid for planning and also for implementation. Conclusion: We suggest eliminating the inventory stage to reduce the average duration of the school-based LLIN distribution process to less than 3 months.
Author Keywords: School campaign evaluation, Equateur, Kongo Central, Lomami and Maindombe provinces, DRC.
Abstract: (french)
Introduction: Le principal outil de lutte antivectorielle dans la plupart des pays d’endémie palustre est les moustiquaires imprégnées d’insecticide (MILD). En RDC, la déperdition rapide de la couverture pendant les mois qui suivent les campagnes de masse consécutive à la durabilité et à la qualité de la MILD réduites en une année, d’où la stratégie de distribution des MILD à travers les écoles pour maintenir la couverture. Cette étude vise à évaluer les résultats de la mise en œuvre de la campagne dans les 4 provinces ayant organisées la distribution de MILD en milieu scolaire. Méthodologie: C’est une étude transversale conduite dans 104 sous-divisions de l’EPST des 4 provinces de la RDC (Equateur, Kongo Central, Lomami et Maindombe) ayant organisé la distribuée de MILD en milieu scolaire entre Novembre 2021 à Juin 2022. L’échantillon était exhaustif de tous les élèves de première à sixième primaire puis des écoles, COPA et des administratifs. Le logiciel SPSS Statistics 22 était utilisée pour les variables bivariés et calcul de P-value avec un degré de signification inférieur à 0,05, Excel 2019 pour les variables unies variées. Résultats: La durée moyenne du processus était de 6 mois ± 3 mois dans les 4 provinces. Seule la province de l’Equateur a servi 100% de MILD. Les élèves de sexe masculin étaient plus servis que les élèves de sexe féminin et la proportion de MILD servis aux élèves était décroissant de première en sixième année dans les 4 provinces. Aucune différence significative entre les données statistiques et des états de lieux pour les éleves. En plus, une différence significative était notée pour les écoles et des élèves entre les données des états de lieux et de distribution. Discussion: Les états de lieux n’est pas une condition obligatoire pour distribution la MILD en milieu scolaire car les données statistiques et des états de lieux étaient presque les mêmes. D’où les données statistiques restent valables pour la planification et aussi pour la mise en œuvre. Conclusion: Nous suggérons la suppression de l’étape des états de lieux pour réduire la durée moyenne du processus de la distribution de MILD en milieu scolaire à moins de 3 mois.
Author Keywords: Evaluation Campagne en milieu scolaire, provinces Equateur, Kongo Central, Lomami et Maindombe, RDC.
How to Cite this Article
Nono Koka Ngombe, “The school-based LLIN distribution campaign in 4 provinces of the Democratic Republic of Congo: Evaluation and future prospects,” International Journal of Innovation and Scientific Research, vol. 72, no. 1, pp. 40–48, April 2024.
