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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Creating an "enabling environment" for taking insecticide treated nets to national scale: The Tanzanian experience
Malaria Journal, Volume 4, Article 34, Year 2005
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Description
Introduction: 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. Case description: 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. Conclusion: 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. © 2005 Magesa et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Magesa, Stephen Masingili
Tanzania, Tanga
National Institute for Medical Research Tanga
Lengeler, Christian H.
Switzerland, Allschwil
Swiss Tropical and Public Health Institute Swiss Tph
DeSavigny, Don
Switzerland, Allschwil
Swiss Tropical and Public Health Institute Swiss Tph
Miller, Jane E.
United States, Washington, D.c.
Population Services International
Njau, Ritha J.A.
Tanzania, Dar es Salaam
World Health Organisation, United Republic of Tanzania
Kramer, Karen
Tanzania, Dar es Salaam
Ministry of Health and Social Welfare Dar es Salaam
Kitua, Andrew Yona
Tanzania, Tanga
National Institute for Medical Research Tanga
Mwita, Alex
Tanzania, Dar es Salaam
Ministry of Health and Social Welfare Dar es Salaam
Statistics
Citations: 123
Authors: 8
Affiliations: 5
Identifiers
Doi:
10.1186/1475-2875-4-34
ISSN:
14752875
e-ISSN:
14752875
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Study Locations
Tanzania
Participants Gender
Female