Achievement and Maintenance of Comprehensive Coverage with Long Lasting Insecticide-treated Nets (AMCC) in Tanzania

AMCC-TNVSPart of the Tanzania National Voucher Scheme (TNVS)

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 through a combination of free and subsidized net distribution 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 a unique and transparent mechanism to directly reach a target population, while building sustainability for continuous distribution of bed-nets.

Known locally as Hati Punguzo, mothers and caregivers of infants were issued a voucher during their child's immunization visit to a local health clinic. These vouchers could be presented at any one of over 5,500 participating retailers and provides a meaningful discount towards the purchase of a LLIN. Vulnerable children, especially those under 5, were given access to an affordable bed-net, subsidized by support from, the United States Agency for International Development (USAID) through this project, titled, Achievement and Maintenance of Comprehensive Coverage with Long Lasting Insecticide-treated Nets (AMCC) in Tanzania.


Project Quick Facts

 Goal: To ensure that high bed net coverage (80%) is achieved through mass distribution of long lasting insecticidal nets and maintained through a viable keep-up coverage strategy - currently Tanzania National Voucher Scheme (TNVS) - infant voucher.

Reaching: 4 million sleeping spaces, especially for infants and children under five years

Funding: United States Agency for International Development (USAID)

Project length: 2009 - 2013