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Programme Components

The ITN Cell

The ITN Cell falls under the Vector Control Unit in the National Malaria Control Programme. Technical and operational support to the ITN Cell has been provided through the NETCELL project financed by the Swiss Agency for Development and Cooperation (SDC) and implemented by the Swiss Tropical and Public Health Institute (Swiss TPH) since 2003. NETCELL supplies technical experts, support staff and financing to the ITN Cell.

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The Tanzanian National Voucher Scheme

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The Tanzanian National Voucher Scheme (TNVS), known to the public in Kiswahili as Hati Punguzo (HP), was developed in 2003 and rolled out in 2004. Funding has been provided by different donors over the years, including the Global Fund to Fight AIDS, TB and Malaria (GFATM), United States Agency for Aid and Development (USAID), and currently the UK Department for International Development (DFID).

TNVS is implemented through a Public-Private Partnership (PPP) of government, development partners, and mosquito net manufacturing companies as well as wholesalers and retailers. The retailers enable the nets to reach the grassroots level in both rural and urban areas.

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Under-five Catch Up Campaign

Background

Between 2004 and 2008, household ownership and coverage of vulnerable groups grew steadily from year to year as a result of the combined effects of the social marketing of Insecticides Treated Nets (ITNs) and the voucher programme (TNVS). Despite this steady growth, it became clear in 2007 that when coverage was disaggregated by socio-economic groups, the ITN coverage in the poorest groups made very little progress. The progress for coverage of children under-five and pregnant women was too slow to achieve the Ministry of Health and Social Welfare (MoHSW) target of 80 percent ITN coverage by 2013.

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National Net Re-treatment Campaign

This activity was aimed at treating all nets which were not treated for more than 12 months. It was a onetime activity which was implemented simultaneously with the Under-five Catch Up Campaign, contracted to Campaign International.  was contracted to implement a National Net Re-treatment Campaign.

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Universal Coverage Campaign

The Universal Coverage Campaign (UCC) supplements the Tanzania National Voucher Scheme (TNVS) and the Under-five Catch Up Campaign. It is financed by the Global Fund - Round 8 Grant. The aim of the UCC was to enable the government to distribute Long Lasting Insecticides Treated Nets (LLINs) to all sleeping spaces not yet covered to achieve the universal coverage of 80 percent by 2013.

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School Net Programme

In 2011 the MoHSW initiated a wide scale consultative process to define future continuous or “Keep-Up” distribution system to cover new sleeping spaces and to replace lost or worn out nets after the two mass campaigns. A detailed report is available in the Resource Centre: "Tanzania Keep-Up Strategy Report", July 2011.

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Behaviour Change Communication

Behaviour Change Communication (BCC) promotes positive behaviour for prevention, health seeking, and treatment and enables community members to make informed choices that will result in improved health and more effective services. The main objective is to create an enabling environment where individuals and household members are empowered to minimize their own malaria risk and seek proper and timely malaria treatment if and when needed.

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Monitoring and Evaluation

Between 2004 and 2012, the Ifakara Health Institute (IHI) collaborates with the London School of Hygiene and Tropical Medicine (LSHTM) was contracted as the Monitoring and Evaluation (M&E) Contractor of the Tanzania National Voucher Scheme (TNVS). These institutes implemented a comprehensive, national level evaluation plan from 2005 to 2008, combining household and facility surveys, voucher tracking, retail census, cost analysis and qualitative methods using focused group discussions and in-depth interviews.

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