Insecticide-treated nets (ITN) and long-lasting insecticidal nets (LLIN) are important means of malaria prevention. Although there is consensus regarding their importance, there is uncertainty as to which delivery strategies are optimal for dispensing these life saving interventions. A targeted mass distribution of free LLINs to children under five and pregnant women was implemented in Zanzibar between August 2005 and January 2006. This study evaluates the outcomes of this distribution among children under five, four to nine months after implementation. The authors report that targeted free mass distribution of LLINs can result in high and equitable bed net coverage among children under five. However, in order to sustain high effective coverage, they identify a need for complimentary distribution strategies between mass distribution campaigns. Considering the community's preferences prior to a mass distribution and addressing the communities concerns through information, education and communication, may improve the LLIN usage.
Citation: Beer et al., System effectiveness of a targeted free mass distribution of long lasting insecticidal nets in Zanzibar, Tanzania Malaria Journal 2010, 9:173Keywords: Malaria | Vector control
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