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Volume 19, Number 7—July 2013


Reducing Visceral Leishmaniasis by Insecticide Impregnation of Bed-Nets, Bangladesh

Dinesh MondalComments to Author , M. Mamun Huda, Mithun Kumar Karmoker, Debashis Ghosh, Greg Matlashewski, Shah Golam Nabi, and Axel Kroeger
Author affiliations: International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh (D. Mondal, M.M. Huda, M.K. Karmoker, D. Ghosh); World Health Organization, Geneva, Switzerland (G. Matlashewski, A. Kroeger); Directorate General of Health Services of the Government of Bangladesh, Dhaka (S.G. Nabi); Liverpool School of Tropical Medicine, Liverpool, UK (A. Kroeger)

Main Article

Table 2

Estimation of protection of households by the VL intervention using longitudinal logistic regression model with and without adjustment for confounders, Bangaladesh, 2006–2010*

Model; parameter Odds ratio (95% CI) Estimated protection by intervention at household level, % (95% CI) p value
Simple, without adjustment for confounders; intervention
0.13 (0.030–0.557)
87 (44.3–97.0)
Full model, with adjustments for confounders
Intervention 0.13 (0.03–0.56) 87 (44.3–97.0) 0.006
Family size >5 persons 1.75 (0.99–3.11) 0.054
HH head occupation, labor 2.38 (1.37–4.12) 0.002
Precarious (mud/thatched) house 4.64 (0.56–38.69) 0.156
HH head without any knowledge of VL symptom 0.25 (0.13–0.46) <0.001
HH head without any knowledge of VL transmission 0.57 (0.33–0.98) 0.042
Having bed-net at home 0.49 (0.12–1.98) 0.319
Use of bed-net for protection against mosquito bites 2.57 (0.81–8.21) 0.109

*The intervention effect and covariates are tested in 2 different panel logistic regression models; simple not controlling for any covariates, full model controlling for confounders. VL, visceral leishmaniasis; HH, household.

Main Article