Possession of bed nets in Haut-Katanga (DRC): prevalence-elastic behaviour or performance of health care system delivery?

Health Place. 2013 Nov:24:275-85. doi: 10.1016/j.healthplace.2013.09.001. Epub 2013 Sep 19.

Abstract

This article provides an empirical multi-disciplinary strategy that enables to identify prevalence-elastic behaviours influencing the possession of mosquito nets and to assess the relative performance of health centers in promoting the possession of nets in Democratic Republic of Congo (DRC). We use a household survey conducted in 2009 in Haut Katanga, DRC. We combine these data with estimates on malaria prevalence from the Malaria Atlas project. Results show that households behave rationally with respect to the disease, meaning that the cause for a low possession of nets should be found elsewhere. They also show that health centers are not the most effective in promoting possession of bed nets, in areas where they are most needed for malaria control.

Keywords: Democratic Republic of Congo; Malaria; Prevention.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Community Health Centers*
  • Democratic Republic of the Congo / epidemiology
  • Empirical Research
  • Female
  • Health Behavior*
  • Health Promotion*
  • Humans
  • Insecticide-Treated Bednets / statistics & numerical data*
  • Malaria / epidemiology
  • Malaria / prevention & control
  • Male
  • Middle Aged
  • Regression Analysis
  • Surveys and Questionnaires
  • Young Adult