Public-private delivery of insecticide-treated nets: a voucher scheme in Volta Region, Ghana
Abstract Background Coverage of vulnerable groups with insecticide-treated nets (ITNs) in Ghana, as in the majority of countries of sub-Saharan Africa is currently low. A voucher scheme was introduced in Volta Region as a possible sustainable delivery system for increasing this coverage through scal...
Published in: | Malaria Journal |
---|---|
Main Authors: | , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BMC
2007
|
Subjects: | |
Online Access: | https://doi.org/10.1186/1475-2875-6-14 https://doaj.org/article/42ebb1d3677b4f669c7ce8ce3c935ad7 |
id |
ftdoajarticles:oai:doaj.org/article:42ebb1d3677b4f669c7ce8ce3c935ad7 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:42ebb1d3677b4f669c7ce8ce3c935ad7 2023-05-15T15:15:44+02:00 Public-private delivery of insecticide-treated nets: a voucher scheme in Volta Region, Ghana Taylor Ian Webster Jayne Kweku Margaret Burns Susan Dedzo McDamien 2007-02-01T00:00:00Z https://doi.org/10.1186/1475-2875-6-14 https://doaj.org/article/42ebb1d3677b4f669c7ce8ce3c935ad7 EN eng BMC http://www.malariajournal.com/content/6/1/14 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-6-14 1475-2875 https://doaj.org/article/42ebb1d3677b4f669c7ce8ce3c935ad7 Malaria Journal, Vol 6, Iss 1, p 14 (2007) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2007 ftdoajarticles https://doi.org/10.1186/1475-2875-6-14 2022-12-31T00:42:55Z Abstract Background Coverage of vulnerable groups with insecticide-treated nets (ITNs) in Ghana, as in the majority of countries of sub-Saharan Africa is currently low. A voucher scheme was introduced in Volta Region as a possible sustainable delivery system for increasing this coverage through scale-up to other regions. Successful scale-up of public health interventions depends upon optimal delivery processes but operational research for delivery processes in large-scale implementation has been inadequate. Methods A simple tool was developed to monitor numbers of vouchers given to each health facility, numbers issued to pregnant women by the health staff, and numbers redeemed by the distributors back to the management agent. Three rounds of interviews were undertaken with health facility staff, retailers and pregnant women who had attended antenatal clinic (ANC). Results During the one year pilot 25,926 vouchers were issued to eligible women from clinics, which equates to 50.7% of the 51,658 ANC registrants during this time period. Of the vouchers issued 66.7% were redeemed by distributors back to the management agent. Initially, non-issuing of vouchers to pregnant women was mainly due to eligibility criteria imposed by the midwives; later in the year it was due to decisions of the pregnant women, and supply constraints. These in turn were heavily influenced by factors external to the programme: current household ownership of nets, competing ITN delivery strategies, and competition for the limited number of ITNs available in the country from major urban areas of other regions. Conclusion Both issuing and redemption of vouchers should be monitored as factors assumed to influence voucher redemption had an influence on issuing, and vice versa. More evidence is needed on how specific contextual factors influence the success of voucher schemes and other models of delivery of ITNs. Such an evidence base will facilitate optimal strategic decision making so that the delivery model with the best probability of success ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 6 1 14 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Taylor Ian Webster Jayne Kweku Margaret Burns Susan Dedzo McDamien Public-private delivery of insecticide-treated nets: a voucher scheme in Volta Region, Ghana |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Coverage of vulnerable groups with insecticide-treated nets (ITNs) in Ghana, as in the majority of countries of sub-Saharan Africa is currently low. A voucher scheme was introduced in Volta Region as a possible sustainable delivery system for increasing this coverage through scale-up to other regions. Successful scale-up of public health interventions depends upon optimal delivery processes but operational research for delivery processes in large-scale implementation has been inadequate. Methods A simple tool was developed to monitor numbers of vouchers given to each health facility, numbers issued to pregnant women by the health staff, and numbers redeemed by the distributors back to the management agent. Three rounds of interviews were undertaken with health facility staff, retailers and pregnant women who had attended antenatal clinic (ANC). Results During the one year pilot 25,926 vouchers were issued to eligible women from clinics, which equates to 50.7% of the 51,658 ANC registrants during this time period. Of the vouchers issued 66.7% were redeemed by distributors back to the management agent. Initially, non-issuing of vouchers to pregnant women was mainly due to eligibility criteria imposed by the midwives; later in the year it was due to decisions of the pregnant women, and supply constraints. These in turn were heavily influenced by factors external to the programme: current household ownership of nets, competing ITN delivery strategies, and competition for the limited number of ITNs available in the country from major urban areas of other regions. Conclusion Both issuing and redemption of vouchers should be monitored as factors assumed to influence voucher redemption had an influence on issuing, and vice versa. More evidence is needed on how specific contextual factors influence the success of voucher schemes and other models of delivery of ITNs. Such an evidence base will facilitate optimal strategic decision making so that the delivery model with the best probability of success ... |
format |
Article in Journal/Newspaper |
author |
Taylor Ian Webster Jayne Kweku Margaret Burns Susan Dedzo McDamien |
author_facet |
Taylor Ian Webster Jayne Kweku Margaret Burns Susan Dedzo McDamien |
author_sort |
Taylor Ian |
title |
Public-private delivery of insecticide-treated nets: a voucher scheme in Volta Region, Ghana |
title_short |
Public-private delivery of insecticide-treated nets: a voucher scheme in Volta Region, Ghana |
title_full |
Public-private delivery of insecticide-treated nets: a voucher scheme in Volta Region, Ghana |
title_fullStr |
Public-private delivery of insecticide-treated nets: a voucher scheme in Volta Region, Ghana |
title_full_unstemmed |
Public-private delivery of insecticide-treated nets: a voucher scheme in Volta Region, Ghana |
title_sort |
public-private delivery of insecticide-treated nets: a voucher scheme in volta region, ghana |
publisher |
BMC |
publishDate |
2007 |
url |
https://doi.org/10.1186/1475-2875-6-14 https://doaj.org/article/42ebb1d3677b4f669c7ce8ce3c935ad7 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 6, Iss 1, p 14 (2007) |
op_relation |
http://www.malariajournal.com/content/6/1/14 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-6-14 1475-2875 https://doaj.org/article/42ebb1d3677b4f669c7ce8ce3c935ad7 |
op_doi |
https://doi.org/10.1186/1475-2875-6-14 |
container_title |
Malaria Journal |
container_volume |
6 |
container_issue |
1 |
container_start_page |
14 |
_version_ |
1766346070829301760 |