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

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...

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Bibliographic Details
Published in:	Bulletin of the World Health Organization Vol. 76; no. 6; pp. 607 - 615
Main Authors:	FRASER-HURT, N, LYIMO, E. O. K
Format:	Journal Article
Language:	English
Published:	Genève Organisation mondiale de la santé 01-11-1998 World Health Organization
Subjects:	Anemia Biological and medical sciences Child, Preschool Children & youth Childrens health Clinics Communication Community Health Workers Control Disease transmission Fundamental and applied biological sciences. Psychology Health Education Health facilities Health Promotion Health services Human protozoal diseases Humans Infant Infant, Newborn Infectious diseases Insecticides Insecticides - administration & dosage Malaria Malaria - prevention & control Medical sciences Medically important nuisances and vectors, pests of stored products and materials: population survey and control Mosquito Control Mosquitoes Parasitic diseases Prevention Private Sector Protozoal diseases Public health Public Sector R&D Research & development Rural areas Sales Tanzania Towns Tropical medicine Vector-borne diseases Vectors. Intermediate hosts Africa Tanzania Human Protozoal disease Insecticide Permethrin Malaria Pesticides Trade distribution Pest and disease control Parasitosis Public sector Infection Prevention Private sector Public health
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Summary:	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.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23
ISSN:	0042-9686 1564-0604