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Published in: Malaria Journal 1/2021

Open Access 01-12-2021 | Malaria | Research

A retail audit of mosquito control products in Busia County, western Kenya

Authors: Prisca A. Oria, Vincent Moshi, Julius I. Odero, Sheila Ekodir, April Monroe, Steven A. Harvey, Eric Ochomo, Danielle Piccinini Black

Published in: Malaria Journal | Issue 1/2021

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Abstract

Background

Approximately 70% of Kenya’s population is at risk for malaria. The core vector control methods in Kenya are insecticide-treated mosquito nets (ITNs) and indoor residual spraying, with supplementary larval source management. In 2015, 21% of ITNs were accessed through the private retail sector. Despite the private sector role in supplying mosquito control products (MCPs), there is little evidence on the availability, sales trends, and consumer preferences for MCPs other than ITNs. This study, a component of a larger research programme focused on evaluating a spatial repellent intervention class for mosquito-borne disease control, addressed this evidence gap on the role of the private sector in supplying MCPs.

Methods

A cross-sectional survey was deployed in a range of retail outlets in Busia County to characterize MCP availability, sales trends, and distribution channels. The questionnaire included 32 closed-ended and four open-ended questions with short answer responses. Descriptive analysis of frequency counts and percentages was carried out to glean insights about commercially available MCPs and the weighted average rank was used to determine consumer preferences for MCPs. Open-ended data was analysed thematically.

Results

Retail outlets that stocked MCPs commonly stocked mosquito coils (73.0%), topical repellents (38.1%), aerosol insecticide sprays (23.8%) and ITNs (14.3%). Overall, retailers reported the profits from selling MCPs were adequate and they overwhelmingly planned to continue stocking the products. Of respondents who stocked MCPs, 96.8% responded that sales increased during long rains and 36.5% that sales also surged during short rains. ITNs and baby-size nets were often delivered by the wholesaler. Retailers of aerosol sprays, mosquito coils, and topical repellents either collected stock from the wholesaler or products were delivered to them. Other commercially available MCPs included insecticide incense sticks, electric mosquito strikers, insecticide soaps, electrically heated insecticide mats, and electric insecticide emanators, indicating a well-established market.

Conclusions

The wide range of MCPs in local retail outlets within the study area suggests the need and demand for mosquito control tools, in addition to ITNs, that are affordable, easy to use and effective. The presence of a wide range of MCPs, is a promising sign for the introduction of a spatial repellent intervention class of products that meets consumer needs and preferences.
Literature
1.
go back to reference WHO. World malaria report 2020. Geneva: World Health Organization; 2020. WHO. World malaria report 2020. Geneva: World Health Organization; 2020.
2.
go back to reference National Malaria Control Programme. Kenya National Bureau of Statistics, ICF International. Kenya malaria indicator survey 2015. Nairobi, 2016. National Malaria Control Programme. Kenya National Bureau of Statistics, ICF International. Kenya malaria indicator survey 2015. Nairobi, 2016.
3.
go back to reference Malaria Consortium DNMP. President’s Malaria Initiative. VectorLink integrated vector control strategy for malaria control-Kenya 2020–2024. Nairobi, 2019. Malaria Consortium DNMP. President’s Malaria Initiative. VectorLink integrated vector control strategy for malaria control-Kenya 2020–2024. Nairobi, 2019.
4.
go back to reference Kahindi SC, Muriu S, Derua YA, Wang X, Zhou G, Lee M-C, et al. Efficacy and persistence of long-lasting microbial larvicides against malaria vectors in western Kenya highlands. Parasit Vectors. 2018;11:438.CrossRef Kahindi SC, Muriu S, Derua YA, Wang X, Zhou G, Lee M-C, et al. Efficacy and persistence of long-lasting microbial larvicides against malaria vectors in western Kenya highlands. Parasit Vectors. 2018;11:438.CrossRef
5.
go back to reference Derua YA, Kahindi SC, Mosha FW, Kweka EJ, Atieli HE, Wang X, et al. Microbial larvicides for mosquito control: impact of long lasting formulations of Bacillus thuringiensis var. israelensis and Bacillus sphaericus on non-target organisms in western Kenya highlands. Ecol Evol. 2018;8:7563–73.CrossRef Derua YA, Kahindi SC, Mosha FW, Kweka EJ, Atieli HE, Wang X, et al. Microbial larvicides for mosquito control: impact of long lasting formulations of Bacillus thuringiensis var. israelensis and Bacillus sphaericus on non-target organisms in western Kenya highlands. Ecol Evol. 2018;8:7563–73.CrossRef
6.
go back to reference Zhou G, Li JS, Ototo EN, Atieli HE, Githeko AK, Yan G. Evaluation of universal coverage of insecticide-treated nets in western Kenya: field surveys. Malar J. 2014;13:351.CrossRef Zhou G, Li JS, Ototo EN, Atieli HE, Githeko AK, Yan G. Evaluation of universal coverage of insecticide-treated nets in western Kenya: field surveys. Malar J. 2014;13:351.CrossRef
7.
go back to reference Githinji S, Herbst S, Kistemann T, Noor AM. Mosquito nets in a rural area of Western Kenya: ownership, use and quality. Malar J. 2010;9:250.CrossRef Githinji S, Herbst S, Kistemann T, Noor AM. Mosquito nets in a rural area of Western Kenya: ownership, use and quality. Malar J. 2010;9:250.CrossRef
8.
go back to reference Conteh L, Hanson K. Methods for studying private sector supply of public health products in developing countries: a conceptual framework and review. Soc Sci Med. 2003;57:1147–61.CrossRef Conteh L, Hanson K. Methods for studying private sector supply of public health products in developing countries: a conceptual framework and review. Soc Sci Med. 2003;57:1147–61.CrossRef
9.
go back to reference Goodman C, Kachur SP, Abdulla S, Bloland P, Mills A. Concentration and drug prices in the retail market for malaria treatment in rural Tanzania. Health Econ. 2009;18:727–42.CrossRef Goodman C, Kachur SP, Abdulla S, Bloland P, Mills A. Concentration and drug prices in the retail market for malaria treatment in rural Tanzania. Health Econ. 2009;18:727–42.CrossRef
10.
go back to reference Alba S, Hetzel MW, Goodman C, Dillip A, Liana J, Mshinda H, et al. Improvements in access to malaria treatment in Tanzania after switch to artemisinin combination therapy and the introduction of accredited drug dispensing outlets-a provider perspective. Malar J. 2010;9:164.CrossRef Alba S, Hetzel MW, Goodman C, Dillip A, Liana J, Mshinda H, et al. Improvements in access to malaria treatment in Tanzania after switch to artemisinin combination therapy and the introduction of accredited drug dispensing outlets-a provider perspective. Malar J. 2010;9:164.CrossRef
11.
go back to reference Alfonso YN, Lynch M, Mensah E, Piccinini D, Bishai D. Willingness-to-pay for long-lasting insecticide-treated bed nets: a discrete choice experiment with real payment in Ghana. Malar J. 2020;19:14.CrossRef Alfonso YN, Lynch M, Mensah E, Piccinini D, Bishai D. Willingness-to-pay for long-lasting insecticide-treated bed nets: a discrete choice experiment with real payment in Ghana. Malar J. 2020;19:14.CrossRef
12.
go back to reference Snow R, Peshu N, Forster D, Mwenesi H, Marsh K. The role of shops in the treatment and prevention of childhood malaria on the coast of Kenya. Trans R Soc Trop Med Hyg. 1992;86:237–9.CrossRef Snow R, Peshu N, Forster D, Mwenesi H, Marsh K. The role of shops in the treatment and prevention of childhood malaria on the coast of Kenya. Trans R Soc Trop Med Hyg. 1992;86:237–9.CrossRef
13.
go back to reference Amin AA, Snow RW. Brands, costs and registration status of antimalarial drugs in the Kenyan retail sector. Malar J. 2005;4:36.CrossRef Amin AA, Snow RW. Brands, costs and registration status of antimalarial drugs in the Kenyan retail sector. Malar J. 2005;4:36.CrossRef
14.
go back to reference Amin A, Snow R, Kokwaro G. The quality of sulphadoxine-pyrimethamine and amodiaquine products in the Kenyan retail sector. J Clin Pharm Ther. 2005;30:559–65.CrossRef Amin A, Snow R, Kokwaro G. The quality of sulphadoxine-pyrimethamine and amodiaquine products in the Kenyan retail sector. J Clin Pharm Ther. 2005;30:559–65.CrossRef
15.
go back to reference Macintyre K, Keating J, Sosler S, Kibe L, Mbogo CM, Githeko AK, et al. Examining the determinants of mosquito-avoidance practices in two Kenyan cities. Malar J. 2002;1:14.CrossRef Macintyre K, Keating J, Sosler S, Kibe L, Mbogo CM, Githeko AK, et al. Examining the determinants of mosquito-avoidance practices in two Kenyan cities. Malar J. 2002;1:14.CrossRef
16.
go back to reference Ayaa DD, Waswa F. Role of indigenous knowledge systems in the conservation of the bio-physical environment among the Teso community in Busia County-Kenya. Afr J Environ Sci Technol. 2016;0:467–75. Ayaa DD, Waswa F. Role of indigenous knowledge systems in the conservation of the bio-physical environment among the Teso community in Busia County-Kenya. Afr J Environ Sci Technol. 2016;0:467–75.
17.
go back to reference Mutua FK, Randolph TF, Arimi SM, Kitala PM, Githigia SM, Willingham AL, et al. Palpable lingual cysts, a possible indicator of porcine cysticercosis, in Teso District, Western Kenya. J Swine Health Product. 2007;15:206–12. Mutua FK, Randolph TF, Arimi SM, Kitala PM, Githigia SM, Willingham AL, et al. Palpable lingual cysts, a possible indicator of porcine cysticercosis, in Teso District, Western Kenya. J Swine Health Product. 2007;15:206–12.
18.
go back to reference Ochomo E, Bayoh NM, Kamau L, Atieli F, Vulule J, Ouma C, et al. Pyrethroid susceptibility of malaria vectors in four districts of western Kenya. Parasit Vectors. 2014;7:310.CrossRef Ochomo E, Bayoh NM, Kamau L, Atieli F, Vulule J, Ouma C, et al. Pyrethroid susceptibility of malaria vectors in four districts of western Kenya. Parasit Vectors. 2014;7:310.CrossRef
19.
go back to reference Gachohi JM, Bett BK, Murilla G. Factors influencing the prevalence of trypanosomosis in Orma Boran (trypanotolerant) and Teso zebu (trypanosusceptible) cattle crosses in Teso District, western Kenya. Bull Anim Health Prod Afr. 2009;57:51676. Gachohi JM, Bett BK, Murilla G. Factors influencing the prevalence of trypanosomosis in Orma Boran (trypanotolerant) and Teso zebu (trypanosusceptible) cattle crosses in Teso District, western Kenya. Bull Anim Health Prod Afr. 2009;57:51676.
20.
go back to reference Ogoma SB, Moore SJ, Maia MF. A systematic review of mosquito coils and passive emanators: defining recommendations for spatial repellency testing methodologies. Parasit Vectors. 2012;5:287.CrossRef Ogoma SB, Moore SJ, Maia MF. A systematic review of mosquito coils and passive emanators: defining recommendations for spatial repellency testing methodologies. Parasit Vectors. 2012;5:287.CrossRef
21.
go back to reference Avicor SW, Wajidi MF, Owusu EO. To coil or not to coil: application practices, perception and efficacy of mosquito coils in a malaria-endemic community in Ghana. Environ Sci Pollut Res. 2017;24:21138–45.CrossRef Avicor SW, Wajidi MF, Owusu EO. To coil or not to coil: application practices, perception and efficacy of mosquito coils in a malaria-endemic community in Ghana. Environ Sci Pollut Res. 2017;24:21138–45.CrossRef
22.
go back to reference Msangi S, Mwang’onde BJ, Mahande AM, Kweka EJ. Field evaluation of the bio-efficacy of three pyrethroid based coils against wild populations of anthropophilic mosquitoes in northern Tanzania. J Glob Infect Dis. 2010;2:116.CrossRef Msangi S, Mwang’onde BJ, Mahande AM, Kweka EJ. Field evaluation of the bio-efficacy of three pyrethroid based coils against wild populations of anthropophilic mosquitoes in northern Tanzania. J Glob Infect Dis. 2010;2:116.CrossRef
23.
go back to reference Lawrance CE, Croft AM. Do mosquito coils prevent malaria? A systematic review of trials. J Travel Med. 2004;11:92–6.CrossRef Lawrance CE, Croft AM. Do mosquito coils prevent malaria? A systematic review of trials. J Travel Med. 2004;11:92–6.CrossRef
24.
go back to reference Sluydts V, Durnez L, Heng S, Gryseels C, Canier L, Kim S, et al. Efficacy of topical mosquito repellent (picaridin) plus long-lasting insecticidal nets versus long-lasting insecticidal nets alone for control of malaria: a cluster randomised controlled trial. Lancet Infect Dis. 2016;16:1169–77.CrossRef Sluydts V, Durnez L, Heng S, Gryseels C, Canier L, Kim S, et al. Efficacy of topical mosquito repellent (picaridin) plus long-lasting insecticidal nets versus long-lasting insecticidal nets alone for control of malaria: a cluster randomised controlled trial. Lancet Infect Dis. 2016;16:1169–77.CrossRef
25.
go back to reference Wilson AL, Chen-Hussey V, Logan JG, Lindsay SW. Are topical insect repellents effective against malaria in endemic populations? A systematic review and meta-analysis. Malar J. 2014;13:446.CrossRef Wilson AL, Chen-Hussey V, Logan JG, Lindsay SW. Are topical insect repellents effective against malaria in endemic populations? A systematic review and meta-analysis. Malar J. 2014;13:446.CrossRef
26.
go back to reference Dadzie S, Boakye D, Asoala V, Koram K, Kiszewski A, Appawu M. A community-wide study of malaria reduction: evaluating efficacy and user-acceptance of a low-cost repellent in northern Ghana. Am J Trop Med Hyg. 2013;88:309–14.CrossRef Dadzie S, Boakye D, Asoala V, Koram K, Kiszewski A, Appawu M. A community-wide study of malaria reduction: evaluating efficacy and user-acceptance of a low-cost repellent in northern Ghana. Am J Trop Med Hyg. 2013;88:309–14.CrossRef
27.
go back to reference Alpern JD, Dunlop SJ, Dolan BJ, Stauffer WM, Boulware DR. Personal protection measures against mosquitoes, ticks, and other arthropods. Med Clin N Am. 2016;100:303–16.CrossRef Alpern JD, Dunlop SJ, Dolan BJ, Stauffer WM, Boulware DR. Personal protection measures against mosquitoes, ticks, and other arthropods. Med Clin N Am. 2016;100:303–16.CrossRef
28.
go back to reference Croft AM. Malaria: prevention in travellers (non-drug interventions). BMJ Clin Evid. 2014;2014:25399869. Croft AM. Malaria: prevention in travellers (non-drug interventions). BMJ Clin Evid. 2014;2014:25399869.
29.
go back to reference Syafruddin D, Bangs MJ, Sidik D, Elyazar I, Asih PB, Chan K, et al. Impact of a spatial repellent on malaria incidence in two villages in Sumba, Indonesia. Am J Trop Med Hyg. 2014;91:1079–87.CrossRef Syafruddin D, Bangs MJ, Sidik D, Elyazar I, Asih PB, Chan K, et al. Impact of a spatial repellent on malaria incidence in two villages in Sumba, Indonesia. Am J Trop Med Hyg. 2014;91:1079–87.CrossRef
Metadata
Title
A retail audit of mosquito control products in Busia County, western Kenya
Authors
Prisca A. Oria
Vincent Moshi
Julius I. Odero
Sheila Ekodir
April Monroe
Steven A. Harvey
Eric Ochomo
Danielle Piccinini Black
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Malaria
Published in
Malaria Journal / Issue 1/2021
Electronic ISSN: 1475-2875
DOI
https://doi.org/10.1186/s12936-021-03695-1

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