Authors: Rose Nathan¹; Honorati Masanja¹; Hassan Mshinda¹; Joanna A. Schellenberg²; Don Savigny³; Christian Lengeler³; Marcel Tanner³; Cesar G. Victora⁴

Source: Tropical Medicine & International Health, Volume 9, Number 10, October 2004 , pp. 1121-1126(6)

Publisher: Wiley-Blackwell

Abstract:

Summary

Treated mosquito nets are a practical malaria control tool. However, implementation of efficient delivery mechanisms remains a challenge. We investigated whether social marketing of treated mosquito nets results in decreased equity in rural Tanzania, through household surveys before the start of a social marketing programme and 3 years later. About 12 000 household heads were asked about ownership of nets and other assets including a tin roof, radio, or bicycle. A socio-economic status score was developed for each household. Net ownership was calculated for households in each quintile of this score, from poorest to least poor. In 1997, about 20% of the poorest households and over 60% of the least poor households owned a mosquito net. Three years later, more than half of the poorest households owned a net, as did over 90% of the least poor: the ratio of net ownership among the poorest to least poor increased from 0.3 in 1997 to 0.6 in 2000. Social marketing in the presence of an active private sector for nets was associated with increased equity.

Keywords: malaria; mosquito nets; social marketing; poverty; equity; Tanzania

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1365-3156.2004.01309.x

Affiliations: 1: Ifakara Health Research and Development Centre, Ifakara, Tanzania 2: London School of Hygiene and Tropical Medicine, London, UK 3: Swiss Tropical Institute, Basel, Switzerland 4: Federal University of Pelotas, Pelotas, Brazil

Publication date: 2004-10-01

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