AMF has signed an agreement with the Togolese Ministry of Health to fund 3.5 million nets for distribution from June to August 2020. This represents 60% of Togo's long-lasting insecticide treated net (LLIN) need for the universal coverage campaign. The last campaign was in 2017 where AMF funded 2.4 million nets.
The nets will be distributed in four of Togo's five regions: Kara, Centrale, Plateaux and Maritime and will protect 6.3 million people.
The latest Malaria Indicator Survey showed that all of Togo’s regions have a malaria problem that needs to be tackled, with the worst affected being Plateaux region where 47% of children aged 6 to 59 months show a positive result to a malaria microscopy test.
High prevalence may be due in part to increasing levels of insecticide resistance and AMF is evaluating the data to judge whether malaria outcomes can be improved if a portion of the nets funded were PBO nets, as these nets have shown better capability against insecticide-resistant mosquitoes.
The total of 3.5m nets have the potential to play a major part in reducing deaths and illness from malaria. This quantity of nets could be expected to prevent 2,300 deaths, 1.2 million cases of malaria and make a material impact on the economy of Togo. It is estimated that the improvement in GDP (Gross Domestic Product), a measure of economic performance, would be about US$83 million.
AMF allocates individual donations to specific distributions and so far we have allocated 5,220 individual donations from 3,967 donors from 64 countries. We are allocating more donations now so these figures will increase. Many donations, large and small, help fund these nets.
We will report openly on progress and performance throughout and after the distribution.
Key elements of our agreement include:
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AMF is funding 3,538,200 LLINs for distribution in 2019
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This is a co-funding partnership with non-net costs (shipping, pre-distribution and distribution costs) funded by the Global Fund
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To support accurate data gathering
- all registration data will be collected using electronic devices before being imported into AMF's Data Entry System (DES) for analysis and verification
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all data collectors will be aware that a random selection of 5% of the households that each register will be re-visited
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AMF will fund an independent monitoring organisation to be present during registration (and during distribution) in a material number of villages selected at random
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The above elements are the basis for a highly accountable distribution
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Post-distribution monitoring of net use and condition (PDMs) will take place every nine months for two and a half years in all districts. AMF will fund this.