Anambra State Post-Campaign Net Tracking Survey

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Anambra LLIN campaign evaluation sources of information were health workers (23.9%), family and friends (23.4%, campaign leaflets (22.2%) and radio (15.7%. Main messages recalled were “nets prevent malaria” (27.6%), “use your net” (26.9%), “hang the nets” (19.3%) and “wash and dry before use” (15.9%). Those exposed to messages were significantly more likely to express intent to use nets every or most nights and to discuss net use within the family. And households that discussed net use within the family were 4.6 times more likely to use any net than the one that did not discuss it. 10
Introduction Anambra LLIN campaign evaluation Nigeria is currently engaging in a massive effort to scale up malaria prevention using mass distributions of long-lasting insecticidal nets (LLIN) in order to reach the 2010 RBM targets. While previous LLIN distributions have focused on biologically vulnerable groups, namely children under 5 and pregnant women, current efforts as outlined in the Nigeria National Malaria Control Strategic Plan 2009-2013 [1] are aimed at reaching universal access to LLIN for the general population with a specific target of 80% of households owning at least two ITN. In close collaboration with States, development partners and stakeholders the National Malaria Control Program in 2009 developed a roll-out plan to cover all 36 States and the Federal Capital Territory with 63 million LLIN by the end of 2010. The principle approach to LLIN distributions is a state-wide stand-alone campaign providing two nets to every registered household. Anambra State was one of the first to implement the campaign in August 2009 with the support of the DFID, the SuNMaP project and World Bank. The purpose of this survey was to evaluate the outcome of the campaign in Anambra State with respect to the achieved universal coverage with LLIN. It is part of a comprehensive evaluation which also looks at operational and cost issues and will compare results to those of an integrated campaign with the immunization provided through Child Health Days in the Northern State Sokoto as well as other stand-alone LLIN campaigns in other states (e.g. Kano, Niger and Ogun). The specific survey objectives were: Primary objectives 1. To capture the outcome of the universal ITN/LLIN access campaign in Niger State 2. To assess the level of net retention six month after the distribution 3. To assess the level of net use and reasons for non-compliance Secondary objectives • Measure the equity in access to campaign nets • Obtain detailed information about net use and sleeping patterns in the family during the dry season • Evaluate the success of the IEC and BCC activities associated with the campaign Expected Benefits and Value The results of the proposed study are expected to • Provide the State and National Ministry of Health, Malaria Control Program and RBM partners with valuable information on the success of current guidelines for mass campaign distribution, whether they reached the intended targets for universal coverage or – if not – what should be changed. • In addition, the study will give insight into behavioural aspects around ITN, namely retention and use that will inform the IEC/BCC component of future campaigns. 11
Page 1 and 2: Evaluation of the distribution camp
Page 3 and 4: Table of Content Anambra LLIN campa
Page 5 and 6: List of Figures Anambra LLIN campai
Page 7 and 8: Abbreviations Anambra LLIN campaign
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Page 21 and 22: Figure 4: Population distribution b
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Page 25 and 26: Figure 7: Equity of LLIN distributi
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Page 31 and 32: Use of nets Anambra LLIN campaign e
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Page 35 and 36: Figure 12: Status of children under
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Page 41 and 42: Impact on actual behaviour Anambra
Page 43 and 44: Table 21: Comparison of key indicat
Page 45 and 46: Discussion Survey methodology and d
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Page 49 and 50: References Anambra LLIN campaign ev
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Page 53 and 54: SECTION 1: People living in the hou
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Page 59 and 60: SECTION 3: Distribution of campaign
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SECTION 5: Nets owned by the househ
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ID number No Question Mosquito net
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ID number No Question Mosquito net
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SECTION 6: Previously owned mosquit
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Anambra State Post-Campaign Net Tracking Survey

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