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Participants 530,610
US$ 160,859,588
Nets 71,149,264

Malawi, Ntcheu District, net use assessment 12-month post-distribution

The second post-distribution net use survey was conducted in Ntcheu District during April/May 2013.  9,250 households across all 37 health centre catchment areas in the district were visited, unannounced, to assess net use and condition. The data were published as they were being entered in Malawi. We have now received the summary document from Concern Universal in Malawi who coordinated the survey and worked closely with the district health team who carried it out.

The results are very strong, showing high levels of net use and nets in very good condition. 

12-month net use and condition survey: 
  • 85% of nets are hung and in use
  • 89% of the nets are still in 'very good' condition (fewer than two holes of up to 2 cms in size)
6-month net use and condition survey, for comparison:
  • 90% of nets are hung and in use
  • 99% of the nets are still in 'very good' condition (fewer than two holes of up to 2 cms in size)
The specific nature of the data - at the health centre level - means the District Health Officer (DHO), health centre leaders, community leaders and other health workers are able to decide what targeted malaria control intervention might be appropriate in specific areas. The data suggests targeted campaigns in 14 of the 37 health centre areas, focusing on the importance of hanging and using all nets, would be of benefit.
   
In circumstances where health systems and resources are stretched, information that assists with targeted interventions can help with effective use of resources and that is the aim of this information.
 
Background: 270,000 LLINs were distributed in Ntcheu District in January to March 2012. A 6-month post-distribution survey of net use and condition was completed in June/July 2012.