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Experience of LLIN universal coverage

Experience of LLIN universal coverage . Dorothy Memusi NMCP- Kenya. Outline. Background Indicators The campaign Achievements Challenges Lessons Learnt Acknowledgements. Background. Background. Malaria accounts for up to 30% of outpatient attendance

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Experience of LLIN universal coverage

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  1. Experience of LLIN universal coverage Dorothy Memusi NMCP- Kenya

  2. Outline • Background • Indicators • The campaign • Achievements • Challenges • Lessons Learnt • Acknowledgements

  3. Background

  4. Background • Malaria accounts for up to 30% of outpatient attendance • 15-19% of hospital admission in Kenya are due to Malaria with 3-5% in patient deaths • Each family spends USD 17 or more annually for treating malaria • 170, million working days are lost each year • Populations at risk of malaria in Kenya - 39,423,263

  5. Indicators

  6. Mechanisms • Mass net distribution to attain universal coverage- one net for every two for populations at risk • Distribution via clinics to under fives and pregnant women • Social franchising

  7. The campaign • All districts in Nyanza and Western, 24 out of 45 districts in Rift Valley and all districts in Coast • Planning committees at national, provincial, village level(June09-Jan2011) • Village register developed and used to develop summaries • Massive IEC through Mass media, interpersonal communication, give aways

  8. The campaign • Each household issued with a voucher at the distribution post • Voucher used to collect LLINs from an adjacent desk at the same post after identification of names in the village register. • One part of the voucher was cut and retained by the net owner while the other was retained after issuance of the net. • The voucher also had instructions for the appropriate use of the LLINs. • Tally sheets and summaries used to generate district reports • District and provincial supervisors

  9. Achievements • 10.4 million nets procured • 9 million distributed • Post mass net distribution done 2 months after distribution( in provinces that have concluded the exercise)

  10. Challenges • Storage and transport • Protracted procurements • lag time between IEC and actual distribution • Ownership doesn’t translate to use

  11. Lessons learnt/ way forward • Procurements should precede everything • Micro planning- countercheck data with national bureau of standards • Follow up to ensure universal coverage • IEC channel- use widest reach • Net tracking and replacement system

  12. Acknowledgements • Partners • GFATM • World Bank • Presidents Malaria Initiative • World vision • Health management teams at all levels • Community Health workers, mobilizers, health workers

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