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Co mmunity based Strategy for distribution of ITNs in Kikimi health zone (DRC)

Co mmunity based Strategy for distribution of ITNs in Kikimi health zone (DRC). By Dr Willy Kabuya Malaria Advisor BASICS/DRC. Kimpese. Kinshasa. Objectives. 50 % of household having at least one ITN 60 % of children under 5 and pregnant women sleeping under bednet. Organization.

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Co mmunity based Strategy for distribution of ITNs in Kikimi health zone (DRC)

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  1. Community based Strategy for distribution of ITNs in Kikimi health zone (DRC) By Dr Willy Kabuya Malaria Advisor BASICS/DRC

  2. Kimpese Kinshasa

  3. Objectives • 50 % of household having at least one ITN • 60 % of children under 5 and pregnant women sleeping under bednet

  4. Organization Marechal Mikondo Ngampani Mfumu Nkento Bosembo CO Kikimi Lobiko Bisengo )

  5. Organization (Con’d) • Main warehouse at district office • One sub-warehouse at each health area • Each area subdivided in 6 to 8 cells • One community volunteer responsible for each cell (250 – 350 households) • Community volunteers continuously provided in nets and insecticide from sub-warehouses • Continuous social mobilization • Volunteers selling ITNs door to door in their respective cells. Also demonstrate users how to impregnate and how to hang their ITN

  6. Volunteers responsibilities • Communication for behavioral change (theater, megaphone, announcements in church and marketplace…) • Distribution/selling ITNs • Weekly report elaboration • Data collection during monthly survey

  7. Implementing activities • Prepare the distribution area • Elaboration of data collection documents and census form • Identification and training of community volunteers • Household census • Social mobilization • ITN Distribution/selling • Monitoring household coverage

  8. Data collection • Weekly report from each volunteer, centralized at health center level • Monthly survey on a calculated sample of households

  9. RESULTS

  10. ITNs distribution in KikimiWeekly household coverage evolution(June 9th to September 15th 2002)

  11. Pilot Health Zone of Kikimi Pilot Health Zone of Kikimi Monitoring the distribution of ITNs : Week 12 Monitoring the distribution of ITNs : Week 12 Marechal 41,4 Ngampani Mikondo 31 34,3 Mfumu Nkento Bosembo 23,5 12,7 Health Zone Coverage : 26,1% Kikimi Lobiko 27,5 14,7 %HseHold With MII (HZ Kikimi, Kinshasa) 10 .0 to 19 .9 (3) Bisengo 20 .0 to 29 .9 (2) 15,5 30 .0 to 49 .9 (3) Update date : September 4, 2002

  12. Comments • Collaboration of community volunteers contributed to increase household coverage (25 %) • Commercial activities influence is clear for higher coverage • Coverage of children under 5 and pregnant women needs to be accelerated

  13. Perspectives • Reinforce Social Marketing with collaboration of partners (UNICEF, PSI) • Advocate for ITNs subside, at least for children under 5 and pregnant women (as SANRU in Kimpese health zone) • Take advantage of ITN distribution by community volunteers to improve other IMCI activities such as EPI, nutrition and malaria case management

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