scholarly journals School Distribution as Keep-Up Strategy to Maintain Universal Coverage of Long-Lasting Insecticidal Nets: Implementation and Results of a Program in Southern Tanzania

2016 ◽  
Vol 4 (2) ◽  
pp. 251-263 ◽  
Author(s):  
Shabbir Lalji ◽  
Jeremiah M Ngondi ◽  
Narjis G Thawer ◽  
Autman Tembo ◽  
Renata Mandike ◽  
...  
Keyword(s):  
Universal Coverage ◽  
Long Lasting Insecticidal Nets

scholarly journals Cost-effectiveness of two long-lasting insecticidal nets delivery models in mass campaign in rural Mozambique

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Jorge A. H. Arroz ◽  
Baltazar Candrinho ◽  
Chandana Mendis ◽  
Melanie Lopez ◽  
Maria do Rosário O. Martins
Keyword(s):  
Cost Effectiveness ◽  
Cost Effective ◽  
Universal Coverage ◽  
Cost Effectiveness Ratio ◽  
Net Benefit ◽  
Incremental Net Benefit ◽  
The Cost ◽  
And Control ◽  
Delivery Models ◽  
Long Lasting Insecticidal Nets

Abstract Objective The aim is to compare the cost-effectiveness of two long-lasting insecticidal nets (LLINs) delivery models (standard vs. new) in universal coverage (UC) campaigns in rural Mozambique. Results The total financial cost of delivering LLINs was US$ 231,237.30 and US$ 174,790.14 in the intervention (302,648 LLINs were delivered) and control districts (219,613 LLINs were delivered), respectively. The average cost-effectiveness ratio (ACER) per LLIN delivered and ACER per household (HH) achieving UC was lower in the intervention districts. The incremental cost-effectiveness ratio (ICER) per LLIN and ICER per HH reaching UC were US$ 0.68 and US$ 2.24, respectively. Both incremental net benefit (for delivered LLIN and for HHs reaching UC) were positive (intervention deemed cost-effective). Overall, the newer delivery model was the more cost-effective intervention. However, the long-term sustainability of either delivery models is far from guaranteed in Mozambique’s current economic context.

Impact of mass distribution of long-lasting insecticidal nets (LLINs) in Mozambique, 2011 to 2025: Retrospective and prospective modeling of child mortality and lives saved

2020 ◽  
Author(s):  
Erica A Wetzler ◽  
Jorge A.H. Arroz ◽  
Chulwoo Park ◽  
Marta Chande ◽  
Figueiredo Mussambala ◽  
...  
Keyword(s):  
Child Mortality ◽  
Scale Up ◽  
Universal Coverage ◽  
Population Based ◽  
Distribution Model ◽  
Neonatal Deaths ◽  
Registration Data ◽  
Child Deaths ◽  
Llin Distribution ◽  
Long Lasting Insecticidal Nets

Abstract Background Malaria was the leading cause of post-neonatal deaths in Mozambique in 2017. The use of long-lasting insecticidal nets (LLINs) is recognized as one of the most effective ways to reduce malaria morbidity and mortality, especially in children. In 2015, Mozambique committed to the expansion of LLIN coverage nationwide, culminating in the first countrywide campaign in 2017, reaching 95% of registered households. Between 2012 and 2019, more than 34 million LLINs were distributed. No previous analyses have estimated changes in mortality attributable to the scale-up of LLINs, accounting for provincial differences in mortality rates and coverage of health interventions. Methods From 2012 to 2020, the population-based model NetCALC was used to predict provincial household LLIN coverage based upon the number of LLINs distributed annually. NetCALC also projected how many LLINs are needed to maintain universal coverage in 10 provinces from 2021 to 2025. Based upon the annual provincial coverage of LLINs, the Lives Saved Tool (LiST), a multi-cause mathematical model, estimated under-5 lives saved, and reductions in under-5 mortality attributable to LLIN expansion in 10 provinces of Mozambique between 2012 and 2020, and projected lives saved from 2021 to 2025 if universal coverage of LLINs is sustained. Results Results from the LiST models estimate that 64,470 child deaths were averted between 2012 and 2019. If currently planned quantities of LLINs are distributed in 2020, and universal coverage is maintained from 2021 to 2025, an additional 68,695 child deaths could be averted. From 2011 to 2020, the percent reduction in all-cause child mortality was 19.2%, from 114.5 per 1,000 to 93.2 per 1000 in the LLIN distribution model compared to 9.5% in the baseline model. If universal coverage continues through 2025, this reduction will be sustained. Conclusions LiST and NetCALC used together are useful in estimating lives saved and mortality in countries such as Mozambique where vital registration data to measure changes in mortality are not consistently available. Universal coverage of LLINs can save a substantial number of child lives and reduce child mortality in Mozambique but will require resource mobilization. Without continued investment, thousands of avoidable child deaths will occur.

scholarly journals PO 7167 IMPROVING USE OF LONG-LASTING INSECTICIDAL NETS IN KAYANGE COMMUNITY OF NORTH-WESTERN BURUNDI: A QUALITY IMPROVEMENT STUDY

2019 ◽  
Vol 4 (Suppl 3) ◽  
pp. A20.1-A20
Author(s):  
Desire Habonimana ◽  
Gabriel Ndayisaba ◽  
Gideon Nimako
Keyword(s):  
Quality Improvement ◽  
General Population ◽  
Pregnant Women ◽  
Cost Effective ◽  
Universal Coverage ◽  
Malaria Prevention ◽  
Quality Improvement Intervention ◽  
Long Lasting Insecticidal Nets ◽  
North Western ◽  
Children Under 5

BackgroundThe use of long-lasting insecticidal nets (LLINs) for malaria prevention is a cost-effective intervention. WHO recommends universal coverage and use of LLINs. In lower- and middle-income countries, LLINs are provided free of charge but are either not used or misused. Our study sought to improve LLIN use in Kayange community of north-western Burundi by using a model for improvement (MFI).MethodsA one-group, pre/post-test study was conducted. LLIN weekly use was assessed for four weeks before intervention and for another four weeks after intervention. The study was conducted in 96 households. The intervention consisted of testing four different weekly small change actions by using the MFI.ResultsOf the 96 households, 83 households (87%) owned at least one LLIN. However, only 40 households (42%) owned at least one LLIN for every two people. After intervention, the number of LLINs used increased from 32 to 75 per cent (134% increase) and the number of persons (general population) sleeping under LLIN from 35 to 73 per cent (108% increase). The number of children under 5 years old sleeping under LLIN increased from 31 to 76 per cent (145% increase) and the number of pregnant women who slept under LLIN from 43 to 73 per cent (69% increase). Also, the averages of the number of nights in each week that the general population slept under LLIN increased from 2.13 to 5.11 (140% increase), children under 5 years old slept under LLIN from 1.68 to 4.78 (184% increase) and pregnant women slept under LLIN from 1.56 to 4.47 (186% increase).ConclusionOur intervention led to significant increase in all outcome indicators. This increase is the result of a combination of an enabling context and an effective implementation of an evidence-based quality improvement intervention. Small tests of change at the community level have the potential for achieving improved outcomes.

scholarly journals Changes in Anopheles funestus Biting Behavior Following Universal Coverage of Long-Lasting Insecticidal Nets in Benin

2012 ◽  
Vol 206 (10) ◽  
pp. 1622-1629 ◽  
Author(s):  
Nicolas Moiroux ◽  
Marinely B. Gomez ◽  
Cédric Pennetier ◽  
Emmanuel Elanga ◽  
Armel Djènontin ◽  
...  
Keyword(s):  
Anopheles Funestus ◽  
Universal Coverage ◽  
Long Lasting Insecticidal Nets ◽  
Biting Behavior

scholarly journals Evaluation of a national universal coverage campaign of long-lasting insecticidal nets in a rural district in north-west Tanzania

2012 ◽  
Vol 11 (1) ◽  
Author(s):  
Philippa A West ◽  
Natacha Protopopoff ◽  
Mark W Rowland ◽  
Matthew J Kirby ◽  
Richard M Oxborough ◽  
...  
Keyword(s):  
Universal Coverage ◽  
Rural District ◽  
North West ◽  
Long Lasting Insecticidal Nets

scholarly journals Analysing and recommending options for maintaining universal coverage with long-lasting insecticidal nets: the case of Tanzania in 2011

2013 ◽  
Vol 12 (1) ◽  
Author(s):  
Hannah M Koenker ◽  
Joshua O Yukich ◽  
Alex Mkindi ◽  
Renata Mandike ◽  
Nick Brown ◽  
...  
Keyword(s):  
Universal Coverage ◽  
Long Lasting Insecticidal Nets

scholarly journals Cost-effectiveness of two long-lasting insecticidal nets delivery models in mass campaign in rural Mozambique

2019 ◽  
Author(s):  
Jorge Arroz ◽  
Baltazar Candrinho ◽  
Chandana Mendis ◽  
Melanie Lopez ◽  
Maria do Rosário Oliveira Martins
Keyword(s):  
Cost Effectiveness ◽  
Cost Effective ◽  
Universal Coverage ◽  
Cost Effectiveness Ratio ◽  
Net Benefit ◽  
Incremental Net Benefit ◽  
The Cost ◽  
And Control ◽  
Delivery Models ◽  
Long Lasting Insecticidal Nets

Abstract Objective The aim is to compare the cost-effectiveness of two long-lasting insecticidal nets (LLINs) delivery models (standard vs new) in universal coverage (UC) campaigns in rural Mozambique. Results The total financial cost of delivering LLINs was US$ 231,237.30 and US$ 174,790.14 in the intervention (302,648 LLINs were delivered) and control districts (219,613 LLINs were delivered), respectively. The average cost-effectiveness ratio (ACER) per LLIN delivered and ACER per household (HH) achieving UC was lower in the intervention districts. The incremental cost-effectiveness ratio (ICER) per LLIN and ICER per HH reaching UC were US$ 0.68 and US$ 2.24, respectively. Both incremental net benefit (for delivered LLIN and for HHs reaching UC) were positive (intervention deemed cost-effective). Overall, the newer delivery model was the more cost-effective intervention. However, the long-term sustainability of either delivery models is far from guaranteed in Mozambique’s current economic context.

scholarly journals Cost-effectiveness of two long-lasting insecticidal nets delivery models in mass campaign in rural Mozambique

2019 ◽  
Author(s):  
Jorge Arroz ◽  
Baltazar Candrinho ◽  
Chandana Mendis ◽  
Melanie Lopez ◽  
Maria do Rosário Oliveira Martins
Keyword(s):  
Cost Effectiveness ◽  
Cost Effective ◽  
Universal Coverage ◽  
Cost Effectiveness Ratio ◽  
Net Benefit ◽  
Incremental Net Benefit ◽  
The Cost ◽  
And Control ◽  
Delivery Models ◽  
Long Lasting Insecticidal Nets

Abstract Objective The aim is to compare the cost-effectiveness of two long-lasting insecticidal nets (LLINs) delivery models (standard vs new) in universal coverage (UC) campaigns in rural Mozambique. Results The total financial cost of delivering LLINs was US$ 231,237.30 and US$ 174,790.14 in the intervention (302,648 LLINs were delivered) and control districts (219,613 LLINs were delivered), respectively. The average cost-effectiveness ratio (ACER) per LLIN delivered and ACER per household (HH) achieving UC was lower in the intervention districts. The incremental cost-effectiveness ratio (ICER) per LLIN and ICER per HH reaching UC were US$ 0.68 and US$ 2.24, respectively. Both incremental net benefit (for delivered LLIN and for HHs reaching UC) were positive (intervention deemed cost-effective). Overall, the newer delivery model was the more cost-effective intervention. However, the long-term sustainability of either delivery models is far from guaranteed in Mozambique’s current economic context.

The First GLP Compliant Study in Africa for the Evaluation of LLIN’s; Efficacy of SafeNet® and SafeNet NF®

2021 ◽  
Author(s):  
Salum Azizi ◽  
Janneke Snetselaar ◽  
Robert Kaaya ◽  
Johnson Matowo ◽  
Hudson Onen ◽  
...  
Keyword(s):  
Universal Coverage ◽  
Blood Feeding ◽  
World Health ◽  
Manufacturing Cost ◽  
Feeding Inhibition ◽  
Evaluation Scheme ◽  
Residual Efficacy ◽  
Good Laboratory ◽  
Health Organization ◽  
Long Lasting Insecticidal Nets

Abstract Background: To attain and sustain the universal Long-Lasting Insecticidal Nets (LLINs) coverage, cheap nets that provides equivalent or better protection than the standard LLINs, are required. While it is essential to follow the World Health Organization (WHO) guidelines for the evaluation of LLINs, adherence to the Good Laboratory Practice (GLP) is necessary to generate reliable and reproducible data that will facilitate efficient LLINs to be speedy registered. Adherence to GLP obviate the need to duplicate the assessment and ensures substandard LLINs are not reaching the market. This study aimed to evaluate efficacy of SafeNet NF® and SafeNet® LLIN in accordance to the WHO Pest Evaluation Scheme (WHOPES) and the GLP guidelines. Both candidate LLINs were manufactured with less fabrics to cut down manufacturing costs, motivated by the need for cheaper LLINs to achieve universal coverage. Materials & Methods: SafeNet NF® and SafeNet® LLIN, were assessed in experimental huts against wild, pyrethroid-resistant Anopheles arabiensis mosquitoes. Efficacy in terms of mosquito blood-feeding inhibition and mortality, was compared with Interceptor® LLIN and an untreated net. All nets were washed and artificially holed to simulate a used torn net. The GLP guidelines were followed throughout this study.Results: The mortality of mosquitoes exposed to SafeNet NF® and SafeNet® LLIN were equivalent to that of the reference net. Blood-feeding inhibition was only evident in Interceptor® LLIN. Adherence to GLP was observed throughout the study.Conclusions: Step-wise procedures to conduct LLIN evaluation in compliance to both WHOPES and GLP guidelines are elaborated in this study. SafeNet NF® and SafeNet® LLIN offers equivalent protection as Interceptor® LLIN and can facilitate universal LLIN coverage due to its low manufacturing cost. However, further research is needed to understand durability, acceptability and residual efficacy of these nets in field environments.

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