Subsidized sales of insecticide-treated nets in Afghan refugee camps demonstrate the feasibility of a transition from humanitarian aid towards sustainability
Abstract Background Introducing sustainability and self-reliance is essential in chronic humanitarian emergencies before financial assistance is phased out. In Pakistan-based Afghan refugee camps, this was attempted through shifting from indoor residual spraying (IRS) to the subsidized sale of insec...
Published in: | Malaria Journal |
---|---|
Main Authors: | , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BMC
2004
|
Subjects: | |
Online Access: | https://doi.org/10.1186/1475-2875-3-15 https://doaj.org/article/719cfcbc9ce8487985e2e6ed3d224426 |
id |
ftdoajarticles:oai:doaj.org/article:719cfcbc9ce8487985e2e6ed3d224426 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:719cfcbc9ce8487985e2e6ed3d224426 2023-05-15T15:13:20+02:00 Subsidized sales of insecticide-treated nets in Afghan refugee camps demonstrate the feasibility of a transition from humanitarian aid towards sustainability Kolaczinski Jan H Muhammad Nasir Khan Qaiser S Jan Zahoor Rehman Naveeda Leslie Toby J Rowland Mark 2004-06-01T00:00:00Z https://doi.org/10.1186/1475-2875-3-15 https://doaj.org/article/719cfcbc9ce8487985e2e6ed3d224426 EN eng BMC http://www.malariajournal.com/content/3/1/15 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-3-15 1475-2875 https://doaj.org/article/719cfcbc9ce8487985e2e6ed3d224426 Malaria Journal, Vol 3, Iss 1, p 15 (2004) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2004 ftdoajarticles https://doi.org/10.1186/1475-2875-3-15 2022-12-30T22:41:17Z Abstract Background Introducing sustainability and self-reliance is essential in chronic humanitarian emergencies before financial assistance is phased out. In Pakistan-based Afghan refugee camps, this was attempted through shifting from indoor residual spraying (IRS) to the subsidized sale of insecticide-treated nets (ITNs) for prevention of malaria and anthroponotic cutaneous leishmaniasis (ACL). Here we outline the strategy and document the progress to provide guidance for replication of similar approaches in other chronic refugee situations. Methods The operational monitoring data presented were collected through: (i) two surveys of knowledge, attitude and practice (KAP); (ii) routine sales reporting of health-care providers; (iii) records completed during field visits; and (iv) registers used during annual re-treatment campaigns. Results From 2000 until 2003, subsidized ITN sales expanded from 17 to 44 camps. Based on 2003 sales records, maximum coverage from subsidized sales exceeded 50% in 13 camps and 20% in an additional 14 camps. Free annual treatment campaigns showed that many refugees were in possession of non-programme nets, which were either locally-made or had leaked from an ITN programme in Afghanistan. Estimated re-treatment coverage of sold and existing nets through annual campaigns exceeded 43% in all camps and was above 70% in the majority. Conclusion Subsidized sales of ITNs have effectively introduced the components of sustainability and self-reliance to the prevention of malaria and ACL in Afghan refugee camps. Similar approaches should be investigated in other chronic refugee situations to discourage expectations of continuing humanitarian donations that cannot be fulfilled. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Kap ENVELOPE(23.567,23.567,65.533,65.533) Malaria Journal 3 1 15 |
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 Kolaczinski Jan H Muhammad Nasir Khan Qaiser S Jan Zahoor Rehman Naveeda Leslie Toby J Rowland Mark Subsidized sales of insecticide-treated nets in Afghan refugee camps demonstrate the feasibility of a transition from humanitarian aid towards sustainability |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Introducing sustainability and self-reliance is essential in chronic humanitarian emergencies before financial assistance is phased out. In Pakistan-based Afghan refugee camps, this was attempted through shifting from indoor residual spraying (IRS) to the subsidized sale of insecticide-treated nets (ITNs) for prevention of malaria and anthroponotic cutaneous leishmaniasis (ACL). Here we outline the strategy and document the progress to provide guidance for replication of similar approaches in other chronic refugee situations. Methods The operational monitoring data presented were collected through: (i) two surveys of knowledge, attitude and practice (KAP); (ii) routine sales reporting of health-care providers; (iii) records completed during field visits; and (iv) registers used during annual re-treatment campaigns. Results From 2000 until 2003, subsidized ITN sales expanded from 17 to 44 camps. Based on 2003 sales records, maximum coverage from subsidized sales exceeded 50% in 13 camps and 20% in an additional 14 camps. Free annual treatment campaigns showed that many refugees were in possession of non-programme nets, which were either locally-made or had leaked from an ITN programme in Afghanistan. Estimated re-treatment coverage of sold and existing nets through annual campaigns exceeded 43% in all camps and was above 70% in the majority. Conclusion Subsidized sales of ITNs have effectively introduced the components of sustainability and self-reliance to the prevention of malaria and ACL in Afghan refugee camps. Similar approaches should be investigated in other chronic refugee situations to discourage expectations of continuing humanitarian donations that cannot be fulfilled. |
format |
Article in Journal/Newspaper |
author |
Kolaczinski Jan H Muhammad Nasir Khan Qaiser S Jan Zahoor Rehman Naveeda Leslie Toby J Rowland Mark |
author_facet |
Kolaczinski Jan H Muhammad Nasir Khan Qaiser S Jan Zahoor Rehman Naveeda Leslie Toby J Rowland Mark |
author_sort |
Kolaczinski Jan H |
title |
Subsidized sales of insecticide-treated nets in Afghan refugee camps demonstrate the feasibility of a transition from humanitarian aid towards sustainability |
title_short |
Subsidized sales of insecticide-treated nets in Afghan refugee camps demonstrate the feasibility of a transition from humanitarian aid towards sustainability |
title_full |
Subsidized sales of insecticide-treated nets in Afghan refugee camps demonstrate the feasibility of a transition from humanitarian aid towards sustainability |
title_fullStr |
Subsidized sales of insecticide-treated nets in Afghan refugee camps demonstrate the feasibility of a transition from humanitarian aid towards sustainability |
title_full_unstemmed |
Subsidized sales of insecticide-treated nets in Afghan refugee camps demonstrate the feasibility of a transition from humanitarian aid towards sustainability |
title_sort |
subsidized sales of insecticide-treated nets in afghan refugee camps demonstrate the feasibility of a transition from humanitarian aid towards sustainability |
publisher |
BMC |
publishDate |
2004 |
url |
https://doi.org/10.1186/1475-2875-3-15 https://doaj.org/article/719cfcbc9ce8487985e2e6ed3d224426 |
long_lat |
ENVELOPE(23.567,23.567,65.533,65.533) |
geographic |
Arctic Kap |
geographic_facet |
Arctic Kap |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 3, Iss 1, p 15 (2004) |
op_relation |
http://www.malariajournal.com/content/3/1/15 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-3-15 1475-2875 https://doaj.org/article/719cfcbc9ce8487985e2e6ed3d224426 |
op_doi |
https://doi.org/10.1186/1475-2875-3-15 |
container_title |
Malaria Journal |
container_volume |
3 |
container_issue |
1 |
container_start_page |
15 |
_version_ |
1766343899769470976 |