Tanzania was planning to implement a nationwide distribution of long-lasting insecticidal nets (LLIN).
DFID wished to support this major effort but wanted to understand where its investment would produce the greatest impact.
Montrose was contracted to review the current LLIN situation, to assess possible risks for DFID support to the under-five bed net programme and to develop a draft project memorandum.
Following initial desk-based research, field visits and in-depth interviews were conducted with key project partners and implementers as well as a consultation with DFID staff, relevant Government of Tanzania officials and development partners. In addition, the process of net distribution was assessed in the field.
The prevalence and nature of the shortfall of resources for the national campaign and possible sources of additional funding was calculated. Shortcomings in the current distribution mechanism such as control mechanisms to reduce unnecessary loss were assessed.
Montrose designed DFID’s contribution to Tanzania’s LLIN campaign.
The likely benefits of the DFID funded component of the programme in terms of averted malaria cases and deaths was calculated as well as the cost effectiveness of this programme compared to other approaches.
The Project Memorandum included a risk assessment and recommendations for DFID’s support to the under-five bed net programme.