National Project Implementation Plan - NVBDCP
National Project Implementation Plan - NVBDCP
National Project Implementation Plan - NVBDCP
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area, and a strengthened supply chain of key malaria control commodities such<br />
as RDTs and ACTs with the aim of minimizing stock outages and commodity<br />
leakages from health center stores. This arrangement will however, be further<br />
strengthened after judging the capacity of ASHA and MTS during the project<br />
period.<br />
8.2 Distribution of LLINs<br />
<strong>National</strong> policy for the use of LLINs is currently crystallizing on a position to<br />
scale up as rapidly as possible for universal coverage of LLIN target<br />
populations. Presently, the target population is a village or sub-center area<br />
with intense transmission (indicated by API above 5/1000), and poor<br />
accessibility for IRS operations (for example, roads inaccessible during the<br />
rainy season).<br />
The erstwhile World Bank assisted project provides the opportunity to evaluate<br />
alternative models of distribution and social mobilization activities. In this<br />
group of evaluations, the control will be constituted by the <strong>NVBDCP</strong> policy of<br />
public sector distribution of two LLINs to each household at no cost. Against<br />
this control activity, two potential modes of distribution aimed at increasing the<br />
total coverage and proper usage of LLINs will be compared. These two<br />
activities are:<br />
1. Priming households with the free distribution of one LLIN to households<br />
the first year, followed up by another LLIN distributed in the following<br />
year (i.e. a 1+1 vs 2 approach)<br />
2. Free LLINs distributed to all households through cooperation with local<br />
community based organizations, notably self-help-groups (SHGs).<br />
The first treatment intervention will test the effect that experience of one net<br />
by the household has on their take up of the second net in the following year.<br />
Given that LLINs are scarce in comparison with the size of the eligible<br />
population; effective coverage may possibly be higher if only one net per<br />
household were distributed initially since twice as many households will be<br />
covered. Furthermore, if a “priming” effect on net adoption, through direct<br />
experience, is important then higher usage rate may be achieved if nets are<br />
delivered in an incremental scheme rather than all at once. This approach<br />
would also have the additional benefit of reducing the household incentive to<br />
sell freely provided valuable goods to local markets.<br />
In the second intervention, local SHGs will work with the government<br />
distribution mechanisms and take responsibility for social mobilization efforts<br />
as well as the monitoring of LLIN distribution and initial use. SHGs have<br />
traditionally been a small group of persons (primarily women) who come<br />
together with the intention of accessing micro-credit programs. SHGs may<br />
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