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Insecticide-treated nets and treatment service: a trial using public and private sector channels in rural United Republic of Tanzania.

Fraser-Hurt, N. and Lyimo, E. O. (1998) Insecticide-treated nets and treatment service: a trial using public and private sector channels in rural United Republic of Tanzania. Bulletin of the World Health Organization, 76 (6). pp. 607-615. ISSN 0042-9686

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Abstract

The Rotary Net Initiative, implemented in Kilombero District, southern United Republic of Tanzania, allowed us to explore different sales channels for the distribution of insecticide-treated nets (ITNs) and the insecticide treatment service in a rural area of very high malaria transmission. Several types of ITNs were promoted and sold through different channels in the public and private sector, i.e. hospital pharmacy, mother and child health (MCH) clinic, net committee, village health workers and retail shops. The ITNs were sold for US$ 5.0-9.2, with profit margins of 9-16%. Net treatment cost US$ 0.33, with commission fees of 75%. Net transport and treatment were partially subsidized. Some outlets established their own fund by ITN sales. Sales of nets and treatments were seasonal, and certain net types were preferred. Demand for insecticide treatment was generally low. Changes in net coverage were assessed in two villages. A range of outlet features were compared qualitatively. Our experience supports suggestions that ITN technology should be delivered through MCH care services and demonstrates that specific promotion and innovation are necessary to achieve substantial net treatment levels. A large-scale ITN project in the same area and other ITN studies should lead to better understanding of ITN implementation at the population level.

Item Type: Article
Keywords: Insecticide-treated nets, Tanzania, Kilombero, Health promotion, Infants, Newborn
Subjects: Malaria > Vector control
Divisions: Ifakara Health Institute > Biomedical
Depositing User: Mr Joseph Madata
Date Deposited: 06 Aug 2012 06:26
Last Modified: 16 Aug 2012 15:57
URI: http://ihi.eprints.org/id/eprint/268

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