Scaling-up Insecticide Treated Netting Programmes.pptVIP

21st September 1999 Task Force Meeting on ITNs, Chiang Mai, Thailand, April 24-26, 2002 Scaling-up Insecticide Treated Netting Programmes A Strategic Framework for Co-ordinated National Action First National Symposium Sana`a, Yemen, October 8 - 10, 2003 Mohammadou Kabir Cham HTM/RBM Department, Geneva Overview of Presentation Strategic framework Shared vision Concepts/elements Considerations Unfinished jobs Long lasting insecticidal nets Efficacy EFFICACY (large-scale trials) Substantial impact on child mortality (1-59 months) in Africa: overall reduction of 19% in child mortality equivalent to 6 deaths averted per year and per 1000 protected children With more than 80 million children under 5 at risk in Africa 500,000 deaths could be saved Substantial impact on severe disease (60% reduction) Substantial impact on mild disease episodes (50% less clinical episodes) leading to HH savings and less over-crowding in health service Effectiveness EFFECTIVENESS (large-scale programmes) 27% reduction in childhood mortality among ITN users in a high transmission area, Tanzania highest in infants 63% reduction in anaemia No indication that there is a delayed mortality effect The Need ITNs - one of the four key RBM approaches Current status many local, time-limited projects lack of co-ordinated action Need for a balance between equity and sustainability public-private partnership ITN Use Leads to reduced vector survival sporozoite rate incidence of infection in humans prevalence in humans reservoir of infections in humans effects may prove much to be substantially greater than short-term effects The Strategic Framework Intended for use by country level RBM partnerships development and co-ordination of national ITN strategies guide donors supporting ITN strategies A Shared Vision for the Future Most people buy nets at unsubsidized prices Competition in the market keeps net prices low quality high good penetration to remote rural