Samia Sub County

Continuous Community Net distribution

 Journey towards a Malaria free Kenya Jipatie Neti Kinga ya Jamii

TESO NORTH

Introduction on the
County and the project TESO SOUTH

K
enya has embraced various methods of
prevention of malaria through vector control
among others. They include Indoor Residual
Spraying and use of LLINs. The revised malaria BUSIA
control strategy 2009 - 2018 identifies three
channels of bed net distribution namely; Mass Net
distribution, Routine and Social marketing.
SAMIA
Ministry of Health through Malaria Control Unit and support
from USAID/PMI is testing the feasibility of an alternative to the
resource heavy mass net distribution which is conducted every
three years. This will involve continuous distribution of nets
through community channels and is taking place in Samia sub
county in Busia county. The objective of the pilot is to establish
feasability of sustaining universal coverage (1 net per every 2 BUNYALA
people) and in the process compare the cost of distribution per
net of this alternative channel with mass net distribution.This
is a pilot that began in December 2013 and will run through
July 2015.

2 Taming Malaria
 Jipatie Neti Kinga ya Jamii Journey towards a Malaria free Kenya

Step Process
Sensitization - Both at
National and County Level

IPC sessions
& Net Patching Trainings - Sub-county and
Community Health Unit Level

Net Delivery to
Distribution Points Social Mobilization
and Voucher for HH registration
redemption

First Lady Busia County

HH visits by CHVs HH registration and Data

and Voucher issuance collation for Net Quantification

Social Mobilization

Taming Malaria 3
 Journey towards a Malaria free Kenya Jipatie Neti Kinga ya Jamii

Sensitization
and Trainings:
For purposes of ownership and in-depth understanding sensitization
meetings were conducted at national (VCTWG), County and Sub-
county level and trainings Targeting the CHEWs (Community
Health Extension Workers) and TWG (Technical Working Group)
as ToT (Trainer of Trainees) Were conducted and cascaded to
208 CHVs (Community Health Volunteers). They were trained
on key aspects of the pilot that include Household registration,
quantification and the process of identifying a viable net based on
when was obtained and the condition of net at household and the
size of the holes as per WHO guidelines. They were also trained on
ETL (Education through Learning) and net patching.

After the training, the CHVs conducted social mobilization within

their CHUs (Community Health Units) for purposes of household
registration.

4 Taming Malaria
 Jipatie Neti Kinga ya Jamii Journey towards a Malaria free Kenya

Household
Registration and
Net quantification
The CHVs visited all the HH within their CHUs and
registered the household members and recorded the
condition of the nets. This information was used to
calculate the net need per household.

Taming Malaria 5
 Journey towards a Malaria free Kenya Jipatie Neti Kinga ya Jamii

Branding and marking

of nets for tracking
The nets to be distributed in the pilot project were procured
through a grant from USAID/PMI Nets in this pilot were
branded for ease of tracking and distinguish them from
routine distribution.

6 Taming Malaria
 Jipatie Neti Kinga ya Jamii Journey towards a Malaria free Kenya

Transportation of Nets
Transportation of nets in this pilot to the respective distribution
points leveraged on the existing quarterly routine net
transportation system.

Taming Malaria 7
 Journey towards a Malaria free Kenya Jipatie Neti Kinga ya Jamii

House Hold visits

by CHVs and Voucher
issuance
Based on calculated net need, the CHVs visited HH within their
CHUs, issued vouchers (1 voucher was equivalent to 1 net). and
patched nets that required repair. To ensure the messages
reach all the targeted households, the CHVs employ IPC
through ETL both during door to door visits as well as small
group sessions where barriers to net use are discussed and
actions agreed upon.

8 Taming Malaria
 Jipatie Neti Kinga ya Jamii Journey towards a Malaria free Kenya

Taming Malaria 9
 Journey towards a Malaria free Kenya Jipatie Neti Kinga ya Jamii

Voucher Redemption
The head of the HH or a designated person would redeem the
issued voucher(s) at the nearest net distribution posts that were
continuously accessible.

10 Taming Malaria
 Jipatie Neti Kinga ya Jamii Journey towards a Malaria free Kenya

Conclusion
In conclusion, the malaria prevention
partners and MoH are awaiting the results
of this pilot to inform future decisions on
net distribution.

Taming Malaria 11
 Journey towards a Malaria free Kenya Jipatie Neti Kinga ya Jamii

Novel Nafula: Since I

started sleeping under a treated
mosquito net i no longer miss classes
due to sickness. When i grow up i would
like to be a teacher and educate
people on health areas.

Rebecca Isenjia: I was

given a mosquito net at the clinic
before I gave birth to my child.We use the
net effectively and as a result we have not
suffered from Malaria. I will continue
using the net during all seasons
both dry and wet seasons.

Dr. Waqo: We want

to focus on eradicating Malaria
in Kenya because it is possible. We
encourage people to sleep under nets
because this is one of the most
effective ways of eradicating
Malaria.

12 Taming Malaria
Population Service Kenya
2nd Floor, Wing B, Jumuia Place, Lenana Road
P.O. Box 22591 - 00400, Nairobi
Email: info@psikenya.org
Ministry of Health