Malaria Treatment & Prevention
Treatment Bias
Started by Kileken ole-MoiYoi on 17 Aug 2010
Last edited by Robert Szypko on 29 Jul 2011
My research in Northern Tanzania in 2008 indicated a preference for treatment over prevention. Individuals who had benefited from sleeping under free ITNs for 5 years (and anecdotally reported reduced malaria incidence in their households) were unwilling to purchase new ITNs. They preferred to seek free treatment from the public health facility should they be infected with malaria. Although they were aware of the benefits of sleeping under an ITN and were able to afford new nets, they planned to wait for the next free delivery despite none being scheduled.
Will ITNs need to be continually distributed for free (or highly subsidized for target groups through voucher schemes) to make sustained progress toward the UN Secretary-General's target of universal coverage? Have others observed this treatment bias elsewhere? What sustainable strategies exist to address it?
Keywords: Diagnostics & Treatment funding malaria bed net ITN LLIN sustainability Operations & Logistics policy prevention Supply Chain

DUNCAN ARUNDA
That was a good observation, the scenario is the same here in rongo- kenya, nets are trading at less than a dollar a piece, but the community finds it cumbersome to purchase, reasons being that they should be free just like its being done to ANC mothers and their children.
a sustainable way to ensure malaria is prevented is by Indoor, Residual Spraying. its currently being implemented in kenyas selected district free of charge. this also controls other crawling vectors like the roaches and bed bugs. initially it received alot of rebellion due myths and misconceptions, but now the benefits are evident.
about the nets, more households are finding it cumbersome, and mostly in households, they are preserved for the visitors. with cane farming a cash crop here, its also difficult for the households to observe environmental sanitation, which is a contributing factor Malaria prevalence.
I surely concur with kileken, that a sustainable and all inclusive study needs to carried out that would not only eradicate malaria vector but also other crawling insects of public health importance.
5:22 AM, 23 Aug 2010 | Permalink
ELLIOTT MATOGA
this very much the same here. As indicated by kelekein most people are relactant to buy ITNS they would rather by other basic needs like foood.
4:19 AM, 13 Sep 2010 | Permalink
mukubira isaac edward
Thanks for that observation, but its not only in Tanzania, even in Uganda. The bad thing we Africans are fond of waiting for free things at the expense of our lives. Most cases we believe the government must provide every thing. There is a very big challenge when it comes to encourage the community to prevent malaria. Some time back our organisation distributed free ITN in kaliro district in Uganda to pregnant mothers but even using them became a problem. Most of them were complaining of accumulated heat at night caused by ITN. Africans we need to style up. Mukubira Isaac.
11:15 AM, 13 Sep 2010 | Permalink
Olayinka Ayankogbe
Getting rural peoples to buy any medical device requires social marketting methods. Coca cola always gets to the people. we must study and copy their methods
4:56 PM, 14 Sep 2010 | Permalink
Prashant Yadav
http://www.insead.edu/facultyresearch/research/doc.cfm?did=44862
compares coca cola and medicine supply chains
11:56 AM, 21 Oct 2010 | Permalink
Olayinka Ayankogbe
Excellent Yadav, excellent and thank you very much!
I have read the artyicvle and it is most illumninating! So ITN distributors can use the cocacola method!
ITN is NOT a drug! Bravo!
Olayinka Ayankogbe
10:59 AM, 22 Oct 2010 | Permalink
OLUWAROTIMI HENRY ADENIGBA
Yadav, Great work. Our people need to be reorientated on the importance of self sufficiency because free supplies are never sustainable except God's love.
Adenigba Henry
1:58 AM, 23 Oct 2010 | Permalink
Junior Bazile
That's a wonderful discussion. Here in Burundi the government provides bed nets to pregnant women and children on an very irregular basis. We have not had any in our clinic for the last 5 months.
I agree with the idea of emphasizing on indoor spraying, because even at the clinic where we have bed nets on every bed some patients are reluctant to use them at night saying that it's hot.
One other thing that I was thinking is, educating people about proper management of sewage, taking care of stagnant water and wearing long sleeves clothes can definitely make a difference in Malaria prevention.
Bazile
9:15 AM, 24 Oct 2010 | Permalink