Nigeria
Networks was invited by USAID/Nigeria and the Nigeria National Malaria Control Programme (NNMCP) to carry out evaluation activities around LLIN distribution in several states of the country. The first was to assess the effectiveness of combining LLIN campaigns with other child health interventions in Sokoto.
NetWorks partner Malaria Consortium conducted a household survey in Sokoto State, Nigeria following the UNICEF net distribution, which was integrated with polio immunization, vitamin A and deworming treatment. The goal of the study is to assess performance of both components, immunization and LLIN distribution, and compare with data from other stand-alone net distribution campaigns, to guide programmatic decision making. While there has been considerable discussion in the malaria literature about the impact of LLIN distribution in conjunction with immunization campaigns, data are lacking to quantify whether the result is positive (more people are attracted to the immunization component in order to get an LLIN) or negative (the distraction of additional logistic burden may detract from the immunization results).
A report of the survey has been produced and is available with the Nigeria National Malaria Control Programme.
NetWorks plans to carry out two pilots for alternative continuous distribution in Nigeria, and the selection of states for this will be directed by USAID/Nigeria and the NNMCP. These alternate continuous distribution channels would complement the antenatal care (ANC) routine distribution, filling in gaps that will be identified. The precise design of these distribution channels will be developed in collaboration with the NNMCP and state level malaria authorities. Potential opportunities to be explored for community-based distribution channels include local community- and faith-based organization (CBOs and FBOs) and schools. It is anticipated that both push and pull systems will be adopted for this mechanism – push from the central level to certain rural ‘hubs’ and then pull from community level.
The inconsistency between good household registration data during mass distribution and subsequent data showing approximately 50% fewer existing nets in households than expected months after distribution is of great concern. Under the request of USAID/Nigeria and the NNMCP, NetWorks will carry out a thorough analysis of the situation combining quantitative household survey and qualitative evaluation in a specific location. Cross River State comes up as a good location to carry out this evaluation. This study will take place after the April 2011 Nigeria general elections.
