snp efficiency postermany itns each school will receive, and a reminder that a reipresentative will...
TRANSCRIPT
Presentation number 1111
• •
Waziri Nyoni1, David Dadi1
, Noella Kisoka1, Kanuth Dimoso1
, George Kabulika1, Dismas Mwalimu2
, Renata Mandike2, Ally Mohamed2
, George Greer3, Naomi Kaspar3, Eric Shoo5
,
lkupa Akim4, Ato Selby1
, Eric Filemyr1, Hannah Koenker1
, Matt Lynch1
1VectorWorks Project, Johns Hopkins Center for Communication Programs, Baltimore, MD, United States, 2National Malaria Control Program, Dar es Salaam, Tanzania, 3President's Malaria Initiative, Dar es Salaam, Tanzania, 4Swiss Tropical and Public Health Institute, Dar es Salaam, Tanzania, 5VectorWorks Project, Population Services International, Dar es Salaam, Tanzania
INTRODUCTION
In 2011, the Ministry of Health and National Malaria Control
Program (NMCP) of Tanzania developed a Keep Up Strategy
with the goal of maintaining the population's access to an
insecticide-treated net (ITN) at or above 80% by using
school-based distribution as an innovative distribution
channel. During the last five years, improved coordination
between government offices has streamlined operations, and
preliminary analysis points toward significant cost savings for
implementation.
School net distribution (SNP) was first piloted in the Southern
Zone in 2013. The NMCP and the Tanzanian Red Cross Society
distributed 421,285 ITNs to classes 1, 3, 5, and 7 in primary
school and Forms 2 and 4 in secondary schools to 2,302
schools in 19 districts in Lindi, Mtwara, and Ruvuma. NMCP
and Research Triangle Institute implemented SNP2 in 2014
delivering 489,099 ITNs to school children, and adding
classes 2 and 4 in Lindi. In the third round in 2015, NMCP, with
the VectorWorks project, delivered 494,407 ITNs to 1,919
schools in the 19 districts. They targeted classes 1-3, 5, and 7
in primary schools in Ruvuma and Mtwara, and classes 1-5 and
7 in Lindi. In 2016, SNP4 expanded to four additional regions
in the northern Lake Zone; 1,152,715 ITNs were delivered to
5,242 schools for a total of seven regions. SNP5 in 2017 will
expand to 14 regions. The President's Office of Regional
Administration and Local Government (PO-RALG) now
coordinates the majority of activities at the regional level and
below.
SNP IMPLEMENTATION PROCESS
SNP distribution processes have evolved over time.
Implementation experiences from one round have informed
the next round. Currently, a more thorough cost analysis of
SNP is being conducted but anecdotal evidence based on
improvements that have been done in implementation
process show that there are greater efficiency gains.
Primary school students in Ruvuma showing their ITNs.
1. Targeted training approach
SNP has cut training costs by reducing the number of trainees.
SNPl & SNP2 training included 2 teachers from each school
and 1 ward education coordinator (WEC) from each ward. This
was costly: for example, SNP2 trained 3,838 teachers and 448
WECs. Beginning with SNP3, VectorWorks simplified SNP
operations, which resulted in eliminating the need for training
school teachers and WECs. This approach represents a savings
of $280,786.67 across the 14 regions in SNP5.
2. Centralized quantification of pupils data
During SNP 1-3, ward education officers were trained to collect
pupils' data and issue reports. Instead of collecting this data
for SNP4 & SNP5, VectorWorks used centralized data collected
by the PO-RALG under the Basic Education Management
information System (BEMIS). After receiving the data,
VectorWorks conducted desk validation by using the previous
year's data, which proved to be over 95% accurate. This saved
time and money compared to collecting the data solely for the
purpose of SNP quantification.
3. LLINs re-bundling on the go to avoid storage cost and time
During SNP 1-3, ITNs were delivered to districts based on
quantification data. ITNs were then stored at the district
warehouse for 7-10 days to allow re-bundling in stacks
equivalent to quantified school needs. In SNP4 & SNP5, ITNs
were delivered to districts in 40-foot trucks, which were
offloaded to smaller trucks and were ready for delivery to
schools. Rebundling (breaking of bales) happened only as ITNs
were off-loaded at schools. This saved time and substantially
reduced distribution costs.
4. Automated pre- and post-delivery notifications
Automated notifications are sent by the logistics firm to ward
education coordinators, who supervise two to six schools in
each ward. The notifications include when ITNs will arrive, how
many ITNs each school will receive, and a reminder that a
reipresentative will bring ITNs on a set date.
This poster is made possible by the generous support of the American people through the United States Agency for International Development (USAID) and the President's Malaria Initiative (PMI) under the terms of USAID/JHU Cooperative Agreement No AID-OAA-A-14-00057. The contents do not necessarily reflect the views of PMI or the United States Government.
Contact: Waziri Nyoni, [email protected]
5. Using technology to improve accountability
Previous rounds of SNP used paper invoices to account for
ITNs. It took about 7 days for all the paperwork to travel to the
central office before they could be reconciled. In SNP4 &
SNP5, VectorWorks used a mobile phone and web-based
system to ensure that deliveries were made to the right
locations, in the right quantities. This made the entire process
faster and increased accountability, because any discrepancies
can be traced to exactly where and when they occurred in the
the supply chain.
6. Integrated reporting through PO-RALG open data website
-BEMIS dashboard
In the previous rounds of SNP, the implementing project
reported on ITNs distributed. From SNP4 on, reporting was
done by and through the PO-RALG integrated open data
dashboard, which is publicly available. On the website, student
registration data, ITN delivery manifest, and issuing data are
displayed together. This has reduced cost and time in
processing issuing reports, and it has increased accountability
on the data, as well as data accuracy.
- THE UNITED REPUBLIC OF TANZANIA - Presidents' Offi� - Regional Administration and Local Government
Baste Education Statistics
.& Log in
Net delivered to schools based on pupils registered by sex in Tanzania 5 [Netda1iv'::d10";'0h;olsbased0npL1pils";gistered1>ysex I
Simiyu Arusha
Kilimanjaro
Kigoma Manyara
Tanga.
Tabora Singida
Dodoma
Ka!a�i
PWani
"/1
Tanzania Copy csv Print
Region MALE
Geila 74222
Kagera 66878
Lindi 61168
100k MM, 64433
I Mtwara 106607
Mwanza 200k 82571
RwLJma 121105
Search:
FEMALE Total
72500 146722
64854 133732
61310 122478
61255 125686
1091SO 215787
81628 164199
123008 244111
Rukwa lringa Morogoro I lOOk T°"I 578982 57373,3 1152715
Songwe Mbeya
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CONCLUSION
During the last five years, SNP implementation has improved
significantly to increase local government ownership,
efficiency, and accountability. In the current and future rounds
of SNP, enrollment data collection has been streamlined and
digitized, training requirements have been reduced, and
transport and storage have been optimized in collaboration
with the private-sector logistics partner. Final data on cost
savings is being analyzed and will be shared in the future.
i1t:..··,�, USAI D1· 1' -. . \,I i �-&' ' ·-�'!iiif)§'•' FROM THE AMERICAN PEOPLE
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U.S. President's Malaria Initiative
VECTOR WORKS Scaling Up Vector Control for Malaria Prevention
•
psi Healthy lives. Measurable resutts.
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JOHNS HOPKINS Center for Communication Programs™
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