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ORIGINAL ARTICLE
Open Access

School Distribution as Keep-Up Strategy to Maintain Universal Coverage of Long-Lasting Insecticidal Nets: Implementation and Results of a Program in Southern Tanzania

Shabbir Lalji, Jeremiah M Ngondi, Narjis G Thawer, Autman Tembo, Renata Mandike, Ally Mohamed, Frank Chacky, Charles D Mwalimu, George Greer, Naomi Kaspar, Karen Kramer, Bertha Mlay, Kheri Issa, Jane Lweikiza, Anold Mutafungwa, Mary Nzowa, Ritha A Willilo, Waziri Nyoni, David Dadi, Mahdi M Ramsan, Richard Reithinger and Stephen M Magesa
Global Health: Science and Practice June 2016, 4(2):251-263; https://doi.org/10.9745/GHSP-D-16-00040
Shabbir Lalji
aRTI International, Dar es Salaam, Tanzania
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Jeremiah M Ngondi
aRTI International, Dar es Salaam, Tanzania
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Narjis G Thawer
aRTI International, Dar es Salaam, Tanzania
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Autman Tembo
aRTI International, Dar es Salaam, Tanzania
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Renata Mandike
bMinistry of Health and Social Welfare, National Malaria Control Programme, Dar es Salaam, Tanzania
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Ally Mohamed
bMinistry of Health and Social Welfare, National Malaria Control Programme, Dar es Salaam, Tanzania
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Frank Chacky
bMinistry of Health and Social Welfare, National Malaria Control Programme, Dar es Salaam, Tanzania
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Charles D Mwalimu
bMinistry of Health and Social Welfare, National Malaria Control Programme, Dar es Salaam, Tanzania
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George Greer
cU.S. President’s Malaria Initiative/U.S. Agency for International Development, Dar es Salaam, Tanzania
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Naomi Kaspar
bMinistry of Health and Social Welfare, National Malaria Control Programme, Dar es Salaam, Tanzania
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Karen Kramer
dSwiss Tropical and Public Health Institute, Dar es Salaam, Tanzania
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Bertha Mlay
eTanzania Red Cross Society, Dar es Salaam, Tanzania
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Kheri Issa
eTanzania Red Cross Society, Dar es Salaam, Tanzania
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Jane Lweikiza
eTanzania Red Cross Society, Dar es Salaam, Tanzania
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Anold Mutafungwa
aRTI International, Dar es Salaam, Tanzania
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Mary Nzowa
aRTI International, Dar es Salaam, Tanzania
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Ritha A Willilo
aRTI International, Dar es Salaam, Tanzania
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Waziri Nyoni
fJohns Hopkins Center for Communication Programs, Dar es Salaam, Tanzania
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David Dadi
fJohns Hopkins Center for Communication Programs, Dar es Salaam, Tanzania
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Mahdi M Ramsan
aRTI International, Dar es Salaam, Tanzania
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Richard Reithinger
gRTI International, Washington, DC, USA
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Stephen M Magesa
aRTI International, Dar es Salaam, Tanzania
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Figures & Tables

Figures

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  • FIGURE 1
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    FIGURE 1

    Locations of Schools Implementing the Second Round of the School Net Program (SNP2) in the Southern Zone of Tanzania, 2014

  • FIGURE 2
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    FIGURE 2

    Distribution of Registered Students Eligible to Receive a Long‐Lasting Insecticidal Net, by Class and Region

  • FIGURE 3
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    FIGURE 3

    Percentage of Eligible Students and Teachers Receiving a Long‐Lasting Insecticidal Net, by Class and Region

  • FIGURE 4
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    FIGURE 4

    Percentage of Eligible Students and Teachers Receiving a Long‐Lasting Insecticidal Net, by District and Region

Tables

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    TABLE 1 Number of Trainers and Implementers Trained for SNP2, by District and Gender, 2014
    TrainersImplementers (Teachers)
    RegionDistrictTotal% MaleTotal% Male
    LindiKilwa District Council2796.3%25082.8%
    Lindi District Council2580.0%22365.9%
    Lindi Municipal Council1154.5%8256.1%
    Liwale District Council2382.6%13974.8%
    Nachingwea District Council3470.6%25865.5%
    Ruangwa District Council2369.6%19265.1%
    Subtotal14377.6%1,14469.8%
    MtwaraMasasi District Council2676.9%29365.5%
    Masasi Town Council1464.3%9047.8%
    Mtwara District Council3180.6%29873.8%
    Mtwara Municipal Council1883.3%10458.7%
    Nanyumbu District Council1776.5%20073.5%
    Newala District Council3174.2%29169.1%
    Tandahimba District Council3488.2%28972.0%
    Subtotal17178.9%1,56568.5%
    RuvumaMbinga District Council4475.0%55259.8%
    Namtumbo District Council2395.7%28363.6%
    Nyasa District Council2190.5%22678.8%
    Songea District Council2176.2%24560.4%
    Songea Municipal Council2378.3%23049.6%
    Tunduru District Council4182.9%33871.0%
    Subtotal17382.1%1,87463.5%
    Grand Total48779.7%4,58366.8%
    • Abbreviation: SNP2, School Net Program – Round 2.

    • View popup
    TABLE 2 Number of IEC Materials Distributed by SNP2, by District, 2014
    Type of IEC MaterialMtwaraLindiRuvumaTotal
    Community posters (Tushirikiane Kutokomeza Malaria)4,8783,7383,00011,616
    School posters (Mwanafunzi Shiriki)3,9753,0253,70010,700
    Multiplication tables64,12545,60070,775180,500
    Patapata posters3,2252,4003,7259,350
    Comic brochures166,667166,667166,666500,000
    Patapata notebooks5,28510,2209,90525,410
    Patapata notebooks for radio station55515
    Teacher cue cards1,9351,4402,2355,610
    Community change agents cue cards (Dondoo za Majadiliano)302282284868
    • Abbreviations: IEC, information, education, and communication; SNP2, School Net Program – Round 2.

    • View popup
    TABLE 3 Schools, Eligible Students, and Teachers Participating in SNP2, by District, 2014
    RegionDistrictNo. of SchoolsNo. of StudentsaNo. of Teachers
    PrimarySecondaryTotalStd. 1Std. 2Std. 3Std. 4Std. 5Std. 7Form 2Form 4Total
    LindiKilwa District Council108281367,4836,2835,9255,6314,6044,2551,44854736,1761,226
    Lindi District Council114271417,3645,9724,9655,4203,9873,4281,42857433,1381,218
    Lindi Municipal Council329412,4211,9371,8531,7661,5671,35884340012,145619
    Liwale District Council5416704,2253,2202,9823,2042,5822,0351,23330919,790654
    Nachingwea District Council103261296,3025,8904,7694,2993,8603,1921,75542830,4951,222
    Ruangwa District Council8215974,3013,8293,1443,5262,4682,11987331320,573886
    Subtotal49312161432,09627,13123,63823,84619,06816,3877,5802,571152,3175,825
    MtwaraMasasi District Council126231498,6456,8386,0245,4391,8631,15629,9651,588
    Masasi Town Council378453,1302,2141,7762,00388841010,421714
    Mtwara District Council127241518,2537,2015,8795,1081,30445728,2021,360
    Mtwara Municipal Council3321543,2322,6412,3942,0962,07991513,3571,112
    Nanyumbu District Council8711986,8044,5323,5772,6311,05315218,749885
    Newala District Council118281466,1754,9635,2074,0871,74053422,7061,419
    Tandahimba District Council115281437,8526,9645,9985,0071,63050627,9571,485
    Subtotal64314378644,09135,35330,85526,37110,5574,130151,3578,563
    RuvumaMbinga District Council2275227911,5838,8159,0787,8333,6341,74542,6882,601
    Namtumbo District Council108291377,5055,9805,1314,5262,0601,07726,2791,561
    Nyasa District Council97181155,7214,5944,2353,1971,11653419,397964
    Songea District Council95271226,0865,1684,3933,7151,77682021,9581,647
    Songea Municipal Council78371157,5475,7405,2344,5573,6641,98528,7272,365
    Tunduru District Council1462316910,8875,8895,9024,9442,37098530,9771,743
    Subtotal75118693749,32936,18633,97328,77214,6207,146170,02610,881
    Grand Total1,8874502,337125,51627,13195,17723,84683,89671,53032,75713,847473,70025,269
    • Abbreviation: SNP2, School Net Program – Round 2.

    • ↵a Standard 2 and Standard 4 students were eligible for SNP2 in Lindi region only.

    • View popup
    TABLE 4 LLINs Issued to Teachers and Students by SNP2, by District, 2014
    RegionDistrictNo. of LLINs:Percentage of:
    Received by SchoolIssued to StudentsIssued to TeachersTotal IssuedRemaining After IssuingRegistered Students Issued LLINsRegistered Teachers Issued LLINsLLINs Remaining
    LindiKilwa District Council35,57535,7021,20636,7811,90398.3%98.4%4.6%
    Lindi District Council32,42532,4511,19533,6204,19597.9%98.1%11.0%
    Lindi Municipal Council11,85311,90161912,47220097.7%100.0%1.2%
    Liwale District Council19,73019,80765320,38346199.7%99.8%1.8%
    Nachingwea District Council29,55529,6601,11230,66742196.7%91.0%1.0%
    Ruangwa District Council20,19420,19486821,0621,99398.2%98.0%8.6%
    Subtotal149,332149,7155,653154,9859,17398.0%97.0%5.4%
    MtwaraMasasi District Council28,93228,9321,50130,4332,74096.5%94.5%8.3%
    Masasi District Council10,09510,09566410,75917596.6%93.0%1.6%
    Mtwara District Council26,89626,8961,26628,16271995.3%93.1%2.5%
    Mtwara Municipal Council13,24413,2441,05014,29410098.8%94.4%0.7%
    Nanyumbu District Council18,68118,68187819,5591,38499.6%99.2%6.6%
    Newala District Council22,31422,3141,32223,6361,18598.0%93.2%4.8%
    Tandahimba District Council26,31026,3101,31727,62750893.8%88.7%1.8%
    Subtotal146,472146,4727,998154,4706,81196.6%93.4%4.2%
    RuvumaMbinga District Council42,38042,3802,55044,93067099.2%98.0%1.5%
    Namtumbo District Council26,13326,1331,48327,61639399.2%95.0%1.4%
    Nyasa District Council19,28119,28194320,2249899.3%97.8%0.5%
    Songea District Council21,52521,5251,58423,10960797.9%96.2%2.6%
    Songea Municipal Council28,68928,6892,36531,0541,07499.9%100.0%3.3%
    Tunduru District Council30,69830,6981,63032,32823398.8%93.5%0.7%
    Subtotal168,706168,70610,555179,2613,07599.1%97.0%1.7%
    Grand Total507,775464,51024,206488,71619,05997.9%95.8%3.7%
    • Abbreviations: LLIN, long-lasting insecticidal net; SNP2, School Net Program – Round 2.

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Global Health: Science and Practice: 4 (2)
Global Health: Science and Practice
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June 20, 2016
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School Distribution as Keep-Up Strategy to Maintain Universal Coverage of Long-Lasting Insecticidal Nets: Implementation and Results of a Program in Southern Tanzania
Shabbir Lalji, Jeremiah M Ngondi, Narjis G Thawer, Autman Tembo, Renata Mandike, Ally Mohamed, Frank Chacky, Charles D Mwalimu, George Greer, Naomi Kaspar, Karen Kramer, Bertha Mlay, Kheri Issa, Jane Lweikiza, Anold Mutafungwa, Mary Nzowa, Ritha A Willilo, Waziri Nyoni, David Dadi, Mahdi M Ramsan, Richard Reithinger, Stephen M Magesa
Global Health: Science and Practice Jun 2016, 4 (2) 251-263; DOI: 10.9745/GHSP-D-16-00040

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School Distribution as Keep-Up Strategy to Maintain Universal Coverage of Long-Lasting Insecticidal Nets: Implementation and Results of a Program in Southern Tanzania
Shabbir Lalji, Jeremiah M Ngondi, Narjis G Thawer, Autman Tembo, Renata Mandike, Ally Mohamed, Frank Chacky, Charles D Mwalimu, George Greer, Naomi Kaspar, Karen Kramer, Bertha Mlay, Kheri Issa, Jane Lweikiza, Anold Mutafungwa, Mary Nzowa, Ritha A Willilo, Waziri Nyoni, David Dadi, Mahdi M Ramsan, Richard Reithinger, Stephen M Magesa
Global Health: Science and Practice Jun 2016, 4 (2) 251-263; DOI: 10.9745/GHSP-D-16-00040
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