Achieving, Tracking, and Maintaining High ITN Coverage: Community Strategies

Several of USAID’s Malaria Communities Program (MCP) partners worked to increase coverage of insecticide treated nets. These include EQUIP Liberia, WellShare International Uganda, Aga Khan Foundation (AKF)/Progresso Mozambique, Caritas Senegal, Episcopal Relief and Development (ERD) Ghana, Ajuda de Desenvolvimento de Povo para Povo em (ADPP) Angola, and Episcopal Relief and Development (ERD) Angola. The full case study on these efforts can be found on the Maternal and Child Health Integrated Project (MCHIP) website.

Nets distributed by MCP partners smMCHIP collected multiple forms of data from these five partners using qualitative methods including individual interviews with key project personnel and review of key documents. MCHIP then compared data across projects to better understand the overall contributions made by MCP. Some partners conducted surveys and this case study includes relevant quantitative data.

MCP partners 1) increased access to ITNs 2) monitored and tracked ITN ownership and use, 3) increased proper use of ITNs; and 4) identified and addressed challenges to ITN procurement, distribution, and use.

MCP nets vs national trend smCollaborative partnerships and coordination of efforts with the Ministry of Health (MOH), communities, and other local stakeholders supported efforts to distribute, promote effective use, and maintain ITNs. ITN ownership increased in nearly all MCP project areas (see orange and blue bars in the Chart) where surveys were conducted. Final coverage estimates in project areas are significantly higher than national estimates (yellow and purple bars), even where project baseline coverage was lower than national averages.

Community-level efforts contributed to achieving high coverage and use. MCP partners demonstrated the value of community-level strategies to distribute nets. Strategies included using volunteers and doing door-to-door distribution; community BCC focused on proper net hang-up and use; and net quantification and monitoring from which data were used to procure sufficient quantities of nets, plan for net replacement, and appropriately target net distribution.

The success in project areas that utilized community level strategies (see Charts 1 and 2) underscores the need for continued partnership between national-level stakeholders like NMCPs and community-level facilitators like NGOs.

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