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Sustaining LLIN coverage with continuous distribution: the school net programme in Tanzania.

Joshua Yukich1, Logan Stuck2, Sara Scates2

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Summary

Tanzania

Keywords:
Bed netsContinuous distributionLong lasting insecticide treated bed netsMalariaSchools

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Area of Science:

  • Public Health
  • Vector Control
  • Malaria Prevention

Background:

  • Malaria-endemic nations face challenges in distributing long-lasting insecticidal nets (LLINs).
  • Tanzania has explored innovative strategies to achieve universal LLIN coverage.
  • Previous efforts included the National Voucher Scheme and mass distribution campaigns.

Purpose of the Study:

  • To evaluate the feasibility and effectiveness of the School Net Programme (SNP) for maintaining high LLIN coverage.
  • To assess the impact of annual net distribution through schools on ITN access and use.

Main Methods:

  • Pilot of the School Net Programme (SNP) in 2013, distributing nets annually to primary and secondary school students.
  • Expansion to 14 regions with six rounds of distribution.
  • Cost analysis: USD 3.64 per net and USD 0.60 per person-year of protection in the fifth year.

Main Results:

  • High levels of ITN access and use (50-75%) were maintained over four years in evaluation areas.
  • SNP demonstrated feasibility and effectiveness in sustaining high coverage.
  • Annual distribution through schools proved successful even without mass distribution events.

Conclusions:

  • Net distribution via primary schools is a viable strategy for sustained high LLIN coverage in Tanzania.
  • The School Net Programme effectively maintains high insecticide-treated net (ITN) access and usage.
  • This approach contributes to ongoing malaria prevention efforts in Tanzania.