Tanzania National Voucher Scheme (TNVS) – Support to Malaria Control Programme in Tanzania

Mama BrunoPregnant Woman Voucher (PWV)

Malaria is a life-threatening disease that has huge costs to a country and its citizens. Caused by parasites that are transmitted to people through the bites of infected mosquitoes, malaria is preventable and curable. The World Health Organization reports that there were an estimated 3.3 billion people were at risk of malaria in 2010, with 655,000 deaths (mostly in Africa), as a result.

Pregnant women and children under five are at the highest risk of contracting malaria. In pregnancy, women are more susceptible to infection, which can lead to premature delivery and low birth weight. Children's physical and cognitive development is hindered due to malaria.

We know that sleeping under a net treated with insecticide, called Long-lasting Insecticidal Nets (LLIN), is highly effective in preventing malaria. As more and more people in the community use treated nets, mosquitos disappear.

In 2011, Tanzania achieved its goal of 80% nation-wide coverage of all sleeping spaces with a bed-net and therefore making progress towards reducing child mortality and improved maternal health. To keep up this high level of coverage in households and communities, the Tanzania National Voucher Scheme (TNVS) – a public –private partnership with the Ministry of Health and Social Welfare and implemented by MEDA, continues to focus its program on pregnant women and infants. In addition to saving lives, this voucher model provides an effective and transparent mechanism to directly reach a target population, while building sustainability for continuous distribution of bed-nets.

Known locally as Hati Punguzo, pregnant women are issued a voucher during a local health clinic visit. These vouchers can be presented at any one of over 5,500 participating retailers and provides a meaningful discount towards the purchase of a LLIN. Vulnerable pregnant women can access an affordable bed-net, subsidized by support from DFID – UK aid from the Department of International Development.

Project Quick Facts

Goal: Reduction of morbidity and mortality from malaria in Tanzania by contributing to maintenance of high coverage rates of long lasting insecticide treated bed nets, through delivery of a voucher program (electronic and paper) targeted to pregnant women under the Tanzania National Voucher Scheme.

Reaching: 3 million pregnant women in Tanzania

Funding: Department of International Development (DFID), United Kingdom

Project length: 2011 to 2014