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Scaling up malaria interventions.: Integrating free distribution of long lasting insecticide treated mosquito nets during vaccination campaigns. A new strategy to meet the millennium development goal
Nordic Council of Ministers, Nordic School of Public Health NHV.
2008 (English)Independent thesis Advanced level (degree of Master (Two Years))Student thesis
Abstract [en]

Objective: To look at the Red Cross and the Red Crescent societies integrated campaigns between 2002 and 2006 with free distribution of insecticide treated nets (ITN)that have taken place and its contribution to the Millennium Development Goals(MDG) and the Abuja target. 

Method: Review of surveys, evaluations and reports from the International Federation of Red Cross and Red Crescent integrated campaigns. Published articles up to 2007 have been accessed from electronic databases Medline, PubMed, the Cochrane Library and website`s from WHO, UNICEF, GFATM , and related articles available from international organisations web sites in addition to informal discussions and meetings with key stakeholders.

Results: The integrated vaccination and free distribution of long lasting insecticidal nets (LLINs) achieved a rapid, high and equal LLIN coverage among all wealth quintiles. The MDG and Abuja target for ITN coverage at household level were reached within a week giving a unique opportunity for a significant reduction in malaria incidences, morbidity and mortality. The ITN possession remained higher than utilisation, but utilisation increased if a follow up visit, ensuring nets being hung and properly used, had taken place at household level post campaign.

Conclusion: Large scale free distribution of LLINs  bridge the equity gap between poor and rich and increased the use rate among children under five and pregnant women. The low utilisation versus possession remains a challenge and thus a “minimum standard” of a two phased strategy is recommend to reach maximum impact and the MDG; Phase one preparing for pre campaign data, logistical planning and distribution while phase two should focus on a post campaign Keep Up program providing health education at household level to ensure proper net hanging and use.

Place, publisher, year, edition, pages
2008. , 38 p.
Master of Public Health, MPH, ISSN 1104-5701 ; MPH 2008:6
Keyword [en]
Malaria, Eradication Strategy, Integrated Campaigns, Insecticide Treated Nets, Vaccination
National Category
Medical and Health Sciences
URN: urn:nbn:se:norden:org:diva-3193OAI: diva2:724649
2008-03-31, Nordic School of Public Health NHV, Box 12133, 402 42 Göteborg, Sweden, 13:00 (English)

ISBN 978-91-85721-42-9

Available from: 2014-06-13 Created: 2014-06-13 Last updated: 2015-01-29Bibliographically approved

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