Malaria Consortium, Abuja, Nigeria.
Malaria Consortium, London, UK.
Malar J. 2024 Oct 28;23(1):322. doi: 10.1186/s12936-024-05145-0.
The use of insecticide-treated nets (ITNs) is a strategy recommended by the World Health Organization (WHO) for malaria prevention. In Nigeria, ITNs have been periodically distributed since 2007 through campaigns. Campaign activities and assets are typically tracked using either a paper-based or digital system. In 2017, a digital approach was introduced in Ondo state for tracking attendance at training sessions as part of the ITN campaign. Following the success of the 2017 introduction, subsequent campaigns planned to digitise other aspects of the campaign to improve accountability and efficiency of the ITN distribution. The COVID-19 pandemic posed additional challenges for the ITN distribution planned for 2021 and adaptations were made to the programme strategy to ensure the campaign could go ahead safely. This article presents lessons and experiences from the 2021 ITN distribution campaign in Ondo state, Nigeria.
The campaign used RedRose, a customised mobile application, to monitor the planning and delivery of the campaign, collect household information including training personnel and tracking the transfer of ITNs between distribution hubs and households. ITNs were delivered through a single-phase door-to-door distribution strategy.
The campaign distributed 2,965,125 ITNs covering 1,057,577 households across Ondo state. The digital application was beneficial for monitoring the quality of implementation and tracking assets and staff to ensure safety.. The single-phase door-to-door approach was more convenient for households compared to fixed-point distribution but increased the workload for mobilization and distribution teams.
Single phase door-to-door strategy using digital tools was an effective method to increase coverage of ITNs while closely tracking the progress of distribution campaigns. High-quality population data are needed to further improve the planning and implementation of ITN campaigns and other health interventions.
使用经杀虫剂处理的蚊帐（ITN）是世界卫生组织（WHO）推荐的预防疟疾策略。在尼日利亚，自 2007 年以来，定期通过运动来分发 ITN。运动活动和资产通常使用基于纸张或数字系统进行跟踪。2017 年，在奥雄州引入了一种数字方法，用于跟踪培训课程的出勤率，作为 ITN 运动的一部分。在 2017 年的引入取得成功之后，随后的运动计划将数字化运动的其他方面，以提高 ITN 分发的问责制和效率。COVID-19 大流行给计划于 2021 年进行的 ITN 分发带来了额外的挑战，因此对该方案策略进行了调整，以确保运动能够安全进行。本文介绍了尼日利亚奥雄州 2021 年 ITN 分发运动的经验教训。
该运动使用了 RedRose，这是一个定制的移动应用程序，用于监测运动的规划和交付，收集家庭信息，包括培训人员，并跟踪 ITN 在分发中心和家庭之间的转移。ITN 通过单阶段逐户分发策略进行分发。
该运动在奥雄州分发了 2965125 顶 ITN，覆盖了 1057577 户家庭。数字应用程序有利于监测实施质量，并跟踪资产和工作人员，以确保安全。与定点分发相比，单阶段逐户分发方法对家庭更为方便，但增加了动员和分发团队的工作量。
使用数字工具的单阶段逐户策略是增加 ITN 覆盖率的有效方法，同时可以密切跟踪分发运动的进展。需要高质量的人口数据来进一步改善 ITN 运动和其他卫生干预措施的规划和实施。
