Creating an "enabling environment" for taking insecticide treated nets to national scale: the Tanzanian experience
<p>Abstract</p> <p>Introduction</p> <p>Malaria is the largest cause of health services attendance, hospital admissions and child deaths in Tanzania. At the Abuja Summit in April 2000 Tanzania committed itself to protect 60% of its population at high risk of malaria by 2...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2005-07-01
|
| Series: | Malaria Journal |
| Online Access: | http://www.malariajournal.com/content/4/1/34 |
| _version_ | 1818807203444817920 |
|---|---|
| author | Kramer Karen Njau Ritha JA Miller Jane E deSavigny Don Lengeler Christian Magesa Stephen M Kitua Andrew Mwita Alex |
| author_facet | Kramer Karen Njau Ritha JA Miller Jane E deSavigny Don Lengeler Christian Magesa Stephen M Kitua Andrew Mwita Alex |
| author_sort | Kramer Karen |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Introduction</p> <p>Malaria is the largest cause of health services attendance, hospital admissions and child deaths in Tanzania. At the Abuja Summit in April 2000 Tanzania committed itself to protect 60% of its population at high risk of malaria by 2005. The country is, therefore, determined to ensure that sustainable malaria control using insecticide-treated nets is carried out on a national scale.</p> <p>Case description</p> <p>Tanzania has been involved for two decades in the research process for developing insecticide-treated nets as a malaria control tool, from testing insecticides and net types, to assessing their efficacy and effectiveness, and exploring new ways of distribution. Since 2000, the emphasis has changed from a project approach to that of a concerted multi-stakeholder action for taking insecticide-treated nets to national scale (NATNETS). This means creating conditions that make insecticide-treated nets accessible and affordable to all those at risk of malaria in the country. This paper describes Tanzania's experience in (1) creating an enabling environment for insecticide-treated nets scale-up, (2) promoting the development of a commercial sector for insecticide-treated nets, and (3) targeting pregnant women with highly subsidized insecticide-treated nets through a national voucher scheme. As a result, nearly 2 million insecticide-treated nets and 2.2 million re-treatment kits were distributed in 2004.</p> <p>Conclusion</p> <p>National upscaling of insecticide-treated nets is possible when the programme is well designed, coordinated and supported by committed stakeholders; the Abuja target of protecting 60% of those at high risk is feasible, even for large endemic countries.</p> |
| first_indexed | 2024-12-18T19:21:56Z |
| format | Article |
| id | doaj.art-fff27320538d4984990031e2c0b38d71 |
| institution | Directory Open Access Journal |
| issn | 1475-2875 |
| language | English |
| last_indexed | 2024-12-18T19:21:56Z |
| publishDate | 2005-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Malaria Journal |
| spelling | doaj.art-fff27320538d4984990031e2c0b38d712022-12-21T20:55:58ZengBMCMalaria Journal1475-28752005-07-01413410.1186/1475-2875-4-34Creating an "enabling environment" for taking insecticide treated nets to national scale: the Tanzanian experienceKramer KarenNjau Ritha JAMiller Jane EdeSavigny DonLengeler ChristianMagesa Stephen MKitua AndrewMwita Alex<p>Abstract</p> <p>Introduction</p> <p>Malaria is the largest cause of health services attendance, hospital admissions and child deaths in Tanzania. At the Abuja Summit in April 2000 Tanzania committed itself to protect 60% of its population at high risk of malaria by 2005. The country is, therefore, determined to ensure that sustainable malaria control using insecticide-treated nets is carried out on a national scale.</p> <p>Case description</p> <p>Tanzania has been involved for two decades in the research process for developing insecticide-treated nets as a malaria control tool, from testing insecticides and net types, to assessing their efficacy and effectiveness, and exploring new ways of distribution. Since 2000, the emphasis has changed from a project approach to that of a concerted multi-stakeholder action for taking insecticide-treated nets to national scale (NATNETS). This means creating conditions that make insecticide-treated nets accessible and affordable to all those at risk of malaria in the country. This paper describes Tanzania's experience in (1) creating an enabling environment for insecticide-treated nets scale-up, (2) promoting the development of a commercial sector for insecticide-treated nets, and (3) targeting pregnant women with highly subsidized insecticide-treated nets through a national voucher scheme. As a result, nearly 2 million insecticide-treated nets and 2.2 million re-treatment kits were distributed in 2004.</p> <p>Conclusion</p> <p>National upscaling of insecticide-treated nets is possible when the programme is well designed, coordinated and supported by committed stakeholders; the Abuja target of protecting 60% of those at high risk is feasible, even for large endemic countries.</p>http://www.malariajournal.com/content/4/1/34 |
| spellingShingle | Kramer Karen Njau Ritha JA Miller Jane E deSavigny Don Lengeler Christian Magesa Stephen M Kitua Andrew Mwita Alex Creating an "enabling environment" for taking insecticide treated nets to national scale: the Tanzanian experience Malaria Journal |
| title | Creating an "enabling environment" for taking insecticide treated nets to national scale: the Tanzanian experience |
| title_full | Creating an "enabling environment" for taking insecticide treated nets to national scale: the Tanzanian experience |
| title_fullStr | Creating an "enabling environment" for taking insecticide treated nets to national scale: the Tanzanian experience |
| title_full_unstemmed | Creating an "enabling environment" for taking insecticide treated nets to national scale: the Tanzanian experience |
| title_short | Creating an "enabling environment" for taking insecticide treated nets to national scale: the Tanzanian experience |
| title_sort | creating an enabling environment for taking insecticide treated nets to national scale the tanzanian experience |
| url | http://www.malariajournal.com/content/4/1/34 |
| work_keys_str_mv | AT kramerkaren creatinganenablingenvironmentfortakinginsecticidetreatednetstonationalscalethetanzanianexperience AT njaurithaja creatinganenablingenvironmentfortakinginsecticidetreatednetstonationalscalethetanzanianexperience AT millerjanee creatinganenablingenvironmentfortakinginsecticidetreatednetstonationalscalethetanzanianexperience AT desavignydon creatinganenablingenvironmentfortakinginsecticidetreatednetstonationalscalethetanzanianexperience AT lengelerchristian creatinganenablingenvironmentfortakinginsecticidetreatednetstonationalscalethetanzanianexperience AT magesastephenm creatinganenablingenvironmentfortakinginsecticidetreatednetstonationalscalethetanzanianexperience AT kituaandrew creatinganenablingenvironmentfortakinginsecticidetreatednetstonationalscalethetanzanianexperience AT mwitaalex creatinganenablingenvironmentfortakinginsecticidetreatednetstonationalscalethetanzanianexperience |