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Title: Kenya (2013) Assessing the Feasibility of Continuous Net Distribution in Kenya using Community Based Approaches. Round 1      
dateReleased:
06-13-2014
downloadURL: http://dx.doi.org/10.7910/DVN/24140
ID:
doi:10.7910/DVN/24140
description:
Background: Current malaria control strategies are based on four principles: early diagnosis and treatment (within 24 hours) of onset of illness, using effective medicines such as Artemesinin based combination therapy (ACT); selective and sustainable preventive measures, including vector control such as indoor residual spraying and use of long-lasting insecticidal nets (LLINs), detection, containment and prevention of epidemics, and building up of local capacity. If widely used, LLINs has a potential of saving half a million child deaths each year. Study justification: In Kenya, there are four mechanisms for net distribution; routine distribution through Maternal and Child Health units to under ones and pregnant women, periodic mass nets distribution targeting all population living at risk malarious areas, social marketing and the commercial sector. Following the mass net distribution of 2011/2012, about 67% households achieved universal coverage, however, sustaining high coverage and use levels are wanting, yet mechanism to reach and replace the worn out nets is not in place. Mathematical models of universal coverage over time show that continuous distribution systems are crucial to maintaining the high coverage levels achieved by campaigns. Other distributions mechanisms will therefore be needed to reach the required tar get levels and then maintain these levels over the medium to long term. Study question: What is the appropriate distribution mechanism for ensuring universal coverage? Proposed innovative pilot strategy: The idea is to have a pull driven distribution mechanism where the need for an LLIN will be determined at the household level using community health workers. Once the need is established, the head of the household will approach the community health worker who will then verify the need by visiting the household and upon verification on need for a net, the community health worker will in return give the household head a coupon which they will use to redeem the LLIN at the nearest health facility for free. All selected community health workers will be trained on how to establish need for nets at the household levels which will be the basis of referral to a public health facility. Population Services International-Kenya (PSI/K) will develop training tools, and job aids with partnership with the Division of Malaria control (DoMC) and the vector control technical working group. Study objectives : The overall objective is to test the feasibility of sustaining universal coverage achieved during the mass net distribution of 2011/2012 through community based distribution specifically the study aims at base line to estimate the current number of nets per household in settings where mass distribution was done; identify the number of nets in the household that need replacement; pilot and document the feasibility of using community based LLIN distribution schemes in reaching universal coverage and assess whether community based redistribution schemes achieve higher utilization rates. At end line the project will assess the program costs of suing using community assessed distribution system. Study design: we propose to use a community cluster randomised controlled design, collecting data before (at baseline) and after (at follow-up) the roll out of the intervention. The baseline study will assess quantitatively the number of nets within the household that require replacement, the number of nets within the household, usage of nets within the households and the number of households without LLINs and their requirements. Besides a net survey, a qualitative study will be used to assess the feasibility of using community based approaches to distribute the nets. The study will be conducted in Samia District of Busia County.
description:
PSI, Kenya; PSI, Kenya, 2014, "Kenya (2013) Assessing the Feasibility of Continuous Net Distribution in Kenya using Community Based Approaches. Round 1", http://dx.doi.org/10.7910/DVN/24140, Harvard Dataverse, V2
name:
PSI, Kenya
homePage: http://www.harvard.edu/
name:
Harvard University
ID:
SCR:011273
abbreviation:
DataVerse
homePage: http://thedata.org/
name:
Dataverse Network Project
ID:
SCR:001997