Anambra State Post-Campaign Net Tracking Survey

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