How we make decisions

When deciding to fund nets for a distribution, we look for two things: areas with a malaria problem where there is also a need for nets, and distribution partners with whom we are comfortable working. more

There are four operational elements to a distribution we consider important. We discuss these elements with potential distribution partners and if they share our approach to a distribution, we are keen to work with them:

1. Accurate household-level net need data
2. Independent supervision at the 'moment of net distribution'
3. Post-distribution monitoring of net use and condition
4. Monthly malaria case rate data
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These elements are addressed in an assessment process that has a number of stages:

• Is the area high risk for malaria and are we confident of the data?
• Is there a need for nets, how many, and are we confident of the data?
• Are there insufficient funds from other areas to meet the net need and are we confident of this information?
• Would nets be distributed in a mass campaign (as opposed to routine distribution)?
• Would the National Malaria Control Programme (NMCP) agree to the four main requirements we have of a distribution?
• Are there potential distribution partners with the necessary resources and experience with whom we could collaborate?
• Is there a strong leader in charge of the distribution partner(s) with whom we feel we can work closely?
• Would the distribution partner(s) agree to the four main requirements we have of a distribution?
• Can we agree on when the nets would be distributed?
• Are non-net costs for the project in place?
• Do we both feel comfortable to proceed?

We add information showing progress with each future distribution we are assessing.