1) Percentage of households with at least one mosquito net.
2) Percentage of households with at least one insecticide-treated net (ITN).
3) Average number of mosquito nets per household.
4) Average number of insecticide-treated nets (ITNs) per household.
5) Percentage of households with at least one mosquito net for every 2 persons who stayed in the household last night.
6) Percentage of households with at least one insecticide-treated net (ITN) for every 2 persons who stayed in the household last night.
Coverage:
Population base: Surveyed households (HR file)
Time period: Current status at time of survey
Numerators:
1) Number of households surveyed with at least one mosquito net (treated or untreated) (hv227 = 1)
2) Number of households surveyed with at least one ITN (any of hml10_1 – hml10_7 = 1)
3) Sum of the number of mosquito nets (hml1)
4) Sum of the number of ITNs (sum of nets with hml10_1 – hm10_7 = 1)
5) Number of households surveyed with at least one mosquito net (treated or untreated) for every 2 persons who stayed in the household the night prior to the survey, in households with at least one de facto person who stayed in the household the night prior to the survey (hv013 > 0 & hml1/hv013 >= 0.5)
6) Number of households surveyed with at least one ITN for every 2 persons who stayed in the household the night prior to the survey, in households with at least one de facto person who stayed in the household the night prior to the survey (hv013 > 0 & (sum of hml10_1 – hml10_7 = 1)/hv013 >= 0.5)
Denominator:
a) Numerators 1-4: Number of surveyed households
b) Numerators 5-6: Number of households with at least one de facto person who stayed in the household the night prior to the survey (hv013 > 0)
Variables: HR file.
hv013 |
Number of de facto members |
hv227 |
Has mosquito bed net for sleeping |
hml1 |
Number of mosquito bed nets |
hml10_1 – _7 |
Insecticide-Treated Net (ITN) |
hv005 |
Household sample weight |
For percentages, numerator divided by denominator, multiplied by 100. For average, numerator divided by denominator.
Households with missing information on ownership of nets are considered not to own nets. For the average number of mosquito nets, missing information on the total number of nets is counted as one net if the household reports at least one net (hv227 = 1). Nets with missing information on type are considered not to be ITNs.
ITN ownership indicators are highly influenced by the timing since the last ITN mass distribution campaign in a country. Some surveys collect information on more than 7 nets. Please check variable hml10_#.
An insecticide-treated net (ITN) is a factory-treated net that does not require any further treatment. Prior to 2018, this was known as a long-lasting insecticidal net (LLIN).
Burgert, C. R., S.E.K. Bradley, E. Eckert, and F. Arnold. 2012. Improving Estimates of Insecticide-Treated Mosquito Net Coverage from Household Surveys: Using Geographic Coordinates to Account for Endemicity and Seasonality. DHS Analytical Studies No. 32. Calverton, Maryland, USA: ICF International. https://dhsprogram.com/publications/publication-AS32-Analytical-Studies.cfm
Fullman, N., R. Burstein, S. S. Lim, C. Medlin, and E. Gakidou. 2013. "Nets, spray or both? The effectiveness of insecticide-treated nets and indoor residual spraying in reducing malaria morbidity and child mortality in sub-Saharan Africa." Malaria journal 12(1): 62. https://malariajournal.biomedcentral.com/articles/10.1186/1475-2875-12-62
Kilian, A., H. Koenker, E. Baba, E.O. Onyefunafoa, R.A. Selby, K. Lokko, and M. Lynch. 2013. "Universal coverage with insecticide-treated nets–applying the revised indicators for ownership and use to the Nigeria 2010 malaria indicator survey data." Malaria journal 12(1): 314. https://www.ncbi.nlm.nih.gov/pubmed/24020332
Lim, S. S., N. Fullman, A. Stokes, N. Ravishankar, F. Masiye, C. JL Murray, and E. Gakidou. 2011. "Net benefits: a multicountry analysis of observational data examining associations between insecticide-treated mosquito nets and health outcomes." PLoS medicine 8(9): e1001091 http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001091
Taylor, C., L. Florey, and Y. Ye. 2017. "Equity trends in ownership of insecticide-treated nets in 19 sub-Saharan African countries." Bulletin of the World Health Organization 95(5): 322.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5418821/
Wanzira, H., H. Katamba, and D. Rubahika. 2016. "Use of long-lasting insecticide-treated bed nets in a population with universal coverage following a mass distribution campaign in Uganda." Malaria journal 15(1): 311. https://malariajournal.biomedcentral.com/articles/10.1186/s12936-016-1360-0
DHS-8 Tabulation plan: Table 12.1
API Indicator IDs:
ML_NETP_H_MOS, ML_NETP_H_ITN, ML_NETP_H_LLN, ML_NETP_H_MNM, ML_NETP_H_MNI, ML_NETP_H_MNL, ML_NETP_H_MS2, ML_NETP_H_IT2, ML_NETP_H_LL2
Household Survey Indicators for Malaria Control Indicator 1: Proportion of households with at least one ITN
Household Survey Indicators for Malaria Control Indicator 2: Proportion of households with at least one ITN for every two people
MICS6 Indicator TC.21a: Household availability of insecticide treated nets (ITNs) – at least one ITN
MICS6 Indicator TC.21b: Household availability of insecticide treated nets (ITNs) – at least one ITN for every two people