NETCELL – Strengthening malaria control


Bed net seller and buyer in Tanzania © SDC

The Government of Tanzania together with Partners has developed a comprehensive malaria control system based on two pillars: 1) vector control (largely based on prevention through Insecticide Treated Nets (ITNs) distribution campaigns and vouchers) and 2) case management (proper diagnosis and effective treatment). SDC has supported decisively this effort since 2002 through technical and management support. This will be the last phase of support with strong focus on handing over to the Ministry of Health and Social Welfare.

Country/region Topic Period Budget
Tanzania
Health
Malaria
Primary health care
Infectious desease
Medical services
01.04.2013 - 31.03.2020
CHF 7'121'706
Background

Malaria remains a major cause of morbidity and mortality in Tanzania, with an estimated 90% of its population at risk of malaria. Intense control efforts have been engaged since 2000 such as changes in first line therapy for malaria to Artemisinin-based Combination Therapy (ACT), intermittent preventive treatment for pregnant women, and the national Insecticide Treated Net (ITN) scale-up strategy. As a result of these concerted efforts the prevalence of malaria parasite infections among children under five years of age has declined to 10%, all-cause mortality in children under the age of five fell by 45% and ITN use among children under five and pregnant women increased to 72 and 75 %, respectively in 2012. Implementation of keep-up strategy to maintain current level of usage of ITN is in process. SDC has supported decisively this effort from the start through technical and management support (NETCELL Project), and has therefore been intimately associated with its success.

Objectives

To contribute to a reduction in morbidity and mortality caused by malaria, especially for vulnerable groups (pregnant women and children under five years of age) by strengthening and supporting the National Malaria Control Program, more specifically the ITN and case management units.

Target groups

The project will benefit all Tanzanians suffering from the burden of malaria disease – particularly those in rural areas and those in the highest risk groups (pregnant women and children). Case management support will ensure continuity of supply of antimalaria drugs and diagnostics to health facilities. School net program for keep-up strategy will contribute to sustainability of the current ITN coverage levels at household. The NMCP as such will be strengthened during this phase.

Medium-term outcomes
  1. The ITN Cell and the Case Management Unit function effectively and efficiently and harmonize all donors active in this field in an aligned way.
  2. The ownership of the Ministry of Health and Social Welfare for the ITN and case management components is enhanced and the human and administrative capacity of NMCP is substantially strengthened.
  3. The Tanzanian experience on process and impact of the past and upcoming activities within NATNETS and the case management component are presented in the relevant forums nationally and internationally

 

Results

Results from previous phases:  

  1. The capacity of the Case Management Unit has been strengthened substantially through the recruitment of 2 additional Tanzanian staff members.
  2. The results of the Keep-up consultancy organized by the ITN Cell in 2011 were discussed and reviewed in a series of meetings with ministry officials and the national ITN Steering Committee. On this basis, the decision was taken to go ahead with a primary and secondary school distribution program.


Directorate/federal office responsible SDC
Credit area Development cooperation
Project partners Contract partner
Swiss Academic and Research Institution
  • Swiss Tropical and Public Health Institute


Budget Current phase Swiss budget CHF   7'121'706 Swiss disbursement to date CHF   6'194'906
Project phases Phase 5 01.04.2013 - 31.03.2020   (Current phase) Phase 4 01.02.2012 - 31.03.2013   (Completed) Phase 3 01.10.2008 - 31.01.2012   (Completed)