Implementation of an insecticide-treated net subsidy scheme under a public-private partnership for malaria control in Tanzania - challenges in implementation

 

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dc.contributor.author Njau, Ritha en_ZA
dc.contributor.author de Savigny, Don en_ZA
dc.contributor.author Gilson, Lucy en_ZA
dc.contributor.author Mwageni, Eleuther en_ZA
dc.contributor.author Mosha, Franklin en_ZA
dc.date.accessioned 2015-11-04T12:01:14Z
dc.date.available 2015-11-04T12:01:14Z
dc.date.issued 2009 en_ZA
dc.identifier.citation Njau, R. J., de Savigny, D., Gilson, L., Mwageni, E., & Mosha, F. W. (2009). Implementation of an insecticide-treated net subsidy scheme under a public-private partnership for malaria control in Tanzania–challenges in implementation. Malar J, 8(1), 201. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/14691
dc.identifier.uri http://dx.doi.org/10.1186/1475-2875-8-201
dc.description.abstract BACKGROUND: In the past decade there has been increasing visibility of malaria control efforts at the national and international levels. The factors that have enhanced this scenario are the availability of proven interventions such as artemisinin-based combination therapy, the wide scale use of insecticide-treated nets (ITNs) and a renewed emphasis in indoor residual house-spraying. Concurrently, there has been a window of opportunity of financial commitments from organizations such as the Global Fund for HIV/AIDS, Tuberculosis and Malaria (GFATM), the President's Malaria Initiative and the World Bank Booster programme. METHODS: The case study uses the health policy analysis framework to analyse the implementation of a public-private partnership approach embarked upon by the government of Tanzania in malaria control - 'The Tanzania National Voucher Scheme'- and in this synthesis, emphasis is on the challenges faced by the scheme during the pre-implementation (2001 - 2004) and implementation phases (2004 - 2005). Qualitative research tools used include: document review, interview with key informants, stakeholder's analysis, force-field analysis, time line of events, policy characteristic analysis and focus group discussions. The study is also complemented by a cross-sectional survey, which was conducted at the Rufiji Health Demographic Surveillance Site, where a cohort of women of child-bearing age were followed up regarding access and use of ITNs. RESULTS: The major challenges observed include: the re-introduction of taxes on mosquito nets and related products, procurement and tendering procedures in the implementation of the GFATM, and organizational arrangements and free delivery of mosquito nets through a Presidential initiative. CONCLUSION: The lessons gleaned from this synthesis include: (a) the consistency of the stakeholders with a common vision, was an important strength in overcoming obstacles, (b) senior politicians often steered the policy agenda when the policy in question was a 'crisis event', the stakes and the visibility were high, (c) national stakeholders in policy making have an advantage in strengthening alliances with international organizations, where the latter can become extremely influential in solving bottlenecks as the need arises, and (d) conflict can be turned into an opportunity, for example the Presidential initiative has inadvertently provided Tanzania with important lessons in the organization of 'catch-up' campaigns. en_ZA
dc.language.iso eng en_ZA
dc.publisher BioMed Central Ltd en_ZA
dc.rights This is an Open Access article distributed under the terms of the Creative Commons Attribution License en_ZA
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en_ZA
dc.source Malaria Journal en_ZA
dc.source.uri http://www.malariajournal.com/ en_ZA
dc.subject.other Malaria en_ZA
dc.subject.other Preventative strategies en_ZA
dc.title Implementation of an insecticide-treated net subsidy scheme under a public-private partnership for malaria control in Tanzania - challenges in implementation en_ZA
dc.type Journal Article en_ZA
dc.rights.holder 2009 Njau et al; licensee BioMed Central Ltd. en_ZA
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Public Health and Family Medicine en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Njau, R., de Savigny, D., Gilson, L., Mwageni, E., & Mosha, F. (2009). Implementation of an insecticide-treated net subsidy scheme under a public-private partnership for malaria control in Tanzania - challenges in implementation. <i>Malaria Journal</i>, http://hdl.handle.net/11427/14691 en_ZA
dc.identifier.chicagocitation Njau, Ritha, Don de Savigny, Lucy Gilson, Eleuther Mwageni, and Franklin Mosha "Implementation of an insecticide-treated net subsidy scheme under a public-private partnership for malaria control in Tanzania - challenges in implementation." <i>Malaria Journal</i> (2009) http://hdl.handle.net/11427/14691 en_ZA
dc.identifier.vancouvercitation Njau R, de Savigny D, Gilson L, Mwageni E, Mosha F. Implementation of an insecticide-treated net subsidy scheme under a public-private partnership for malaria control in Tanzania - challenges in implementation. Malaria Journal. 2009; http://hdl.handle.net/11427/14691. en_ZA
dc.identifier.ris TY - Journal Article AU - Njau, Ritha AU - de Savigny, Don AU - Gilson, Lucy AU - Mwageni, Eleuther AU - Mosha, Franklin AB - BACKGROUND: In the past decade there has been increasing visibility of malaria control efforts at the national and international levels. The factors that have enhanced this scenario are the availability of proven interventions such as artemisinin-based combination therapy, the wide scale use of insecticide-treated nets (ITNs) and a renewed emphasis in indoor residual house-spraying. Concurrently, there has been a window of opportunity of financial commitments from organizations such as the Global Fund for HIV/AIDS, Tuberculosis and Malaria (GFATM), the President's Malaria Initiative and the World Bank Booster programme. METHODS: The case study uses the health policy analysis framework to analyse the implementation of a public-private partnership approach embarked upon by the government of Tanzania in malaria control - 'The Tanzania National Voucher Scheme'- and in this synthesis, emphasis is on the challenges faced by the scheme during the pre-implementation (2001 - 2004) and implementation phases (2004 - 2005). Qualitative research tools used include: document review, interview with key informants, stakeholder's analysis, force-field analysis, time line of events, policy characteristic analysis and focus group discussions. The study is also complemented by a cross-sectional survey, which was conducted at the Rufiji Health Demographic Surveillance Site, where a cohort of women of child-bearing age were followed up regarding access and use of ITNs. RESULTS: The major challenges observed include: the re-introduction of taxes on mosquito nets and related products, procurement and tendering procedures in the implementation of the GFATM, and organizational arrangements and free delivery of mosquito nets through a Presidential initiative. CONCLUSION: The lessons gleaned from this synthesis include: (a) the consistency of the stakeholders with a common vision, was an important strength in overcoming obstacles, (b) senior politicians often steered the policy agenda when the policy in question was a 'crisis event', the stakes and the visibility were high, (c) national stakeholders in policy making have an advantage in strengthening alliances with international organizations, where the latter can become extremely influential in solving bottlenecks as the need arises, and (d) conflict can be turned into an opportunity, for example the Presidential initiative has inadvertently provided Tanzania with important lessons in the organization of 'catch-up' campaigns. DA - 2009 DB - OpenUCT DO - 10.1186/1475-2875-8-201 DP - University of Cape Town J1 - Malaria Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2009 T1 - Implementation of an insecticide-treated net subsidy scheme under a public-private partnership for malaria control in Tanzania - challenges in implementation TI - Implementation of an insecticide-treated net subsidy scheme under a public-private partnership for malaria control in Tanzania - challenges in implementation UR - http://hdl.handle.net/11427/14691 ER - en_ZA


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