Market Assessment Insecticide Treated Nets in sub-Saharan Africa: 4-country study
Malaria remains the number one killer of children in sub-Saharan Africa. In response,
malaria control programmes now place greater emphasis on avoiding contact with malaria
vectors and household responsibility for self-protection. Controlled trials, supported
by IDRC and WHO, have shown convincing evidence of the efficacy of insecticide-treated
mosquito nets in reducing mortality from malaria. The public, donors, and governments
are expressing a greater interest in insecticide-treated mosquito nets as one strategy
for malaria control.
This project aimed to identify and analyze key constraints to the supply of, and
demand for, mosquito nets and insecticides in sub-Saharan Africa. Results were meant
for use by planners to develop more effective implementation strategies at local,
national, and regional levels. A special focus was put on strategies that would make
mosquito nets and insecticides available through the private and informal sector.
At the time of this project, governments subsidized the purchase of treated nets.
However, the supply of the nets for populations at risk through commonly used commercial
and informal networks remained low. Donors, governments, and non-governmental health
programmes were therefore searching for strategies to increase access to mosquito
nets and insecticides and to promote widespread, periodic re-treatment of mosquito
nets for malaria control.
Objectives
To conduct market research in Tanzania, Uganda, Ghana, and Burkina Faso to identify
user profiles, assess existing use of mosquito nets, and clarify factors that determined
their purchase, price, use and availability;
To perform an analysis of regional and national trade and economic barriers to demand
for mosquito nets and insecticides by sub-Saharan African populations (e.g. tariffs
and duties, sales taxes);
To develop feasibility planning for two national level workshops to bring together
ministries of finance and health, manufacturers, health workers, and NGOs to identify
local options to improve the trade and/or production environment with respect to
netting and insecticides.