Click here for search results

Reaching the poor with insecticide-treated nets: The Tanzanian experience with vouchers and free nets

Sponsor: Human Development Network

Reaching the Poor with Insecticide-Treated Nets:
The Tanzanian Experience with Vouchers and Free Nets

Wednesday, March 3, 2010
10:00 - 11:30AM

HNP Learning Program Logo

 Course Description Agenda & Course Materials Related Links Participants/ Evaluation Results  

Part of the Making Health Systems Work – for the Poor seminar series

Kara Hanson*# and Rose Nathan*
*Ifakara Health Institute
#London School of Hygiene and Tropical Medicine

Although significant progress has been made towards the (revised) Abuja targets of 80% coverage with insecticide-treated nets (ITNs) to prevent malaria, more needs to be done to increase overall coverage and coverage of the poorest. ITNs have been delivered through a variety of different channels (public, private, community and mixed) and using different delivery strategies (free, partially subsidised, full-price; targeted and universal). In Tanzania, vouchers for targeting subsidised nets to those most at risk (pregnant women and young children) were used within a small-scale social marketing project in the 1990s; and then scaled up to national level with a Round 1 Global Fund grant. The Tanzania National Voucher Scheme remains the only national scale voucher programme in a low-income setting, and has been operating continuously since October 2004.

Despite the significant improvements in coverage (ownership and use) achieved by the national voucher scheme, sharp socioeconomic differentials in coverage emerged and have persisted over time. These differentials prompted a shift to a strategy of free nets distributed to children < 5 years through a campaign, which started in mid-2009. A "universal coverage" campaign (targeting 1 net per sleeping place in all households in Tanzania) is planned for later this year, and the voucher scheme has been modified including an increase in the voucher value and a switch to long-lasting insecticidal nets (LLINs).

This presentation reviewd the achievements to date of the voucher scheme, and presented new evidence about the extent to which the free net campaign has been able to do a better job of reaching the poor. Data was presented from 4 rounds of national household survey data (2005-2008) and a smaller survey of 4 districts which took place following the under-five campaign.

Presentation: Reaching the Poor with Insecticide-treated Nets: The Tanzanian Experience with Vouchers and Free Nets (PDF 635kb)

John Paul Clark
Senior Technical Specialist, Booster Program for Malaria Control, AFTHE
Discussant comments on the presentation (PDF 254kb)

Maryse Pierre-Louis
Lead Health Specialist, Program Leader for Disease Control Program for the Africa Region, AFTHE

For more information, please contact:
Caryn Bredenkamp (

Emiliana Gunawan (

Click here for more information on the Making Health Systems Work - For the Poor seminar series

For Information: HNP Learning Program

Permanent URL for this page: