A Door-to-Door Delivery and Hang-Up Campaign Brings Dramatic Increase in Long-Lasting Insecticidal Net Ownership and Use in the Northern Region of Ghana

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The National Malaria Control Program (NMCP) of the Ghana Health Service (GHS) has adopted the use of long-lasting insecticidal nets (LLINs) as one of its primary malaria control interventions. The 2008 Ghana Demographic and Health Survey (DHS), however, indicated that only 32.6% of household owned at least one insecticide-treated net (ITN). Another survey from the same year found that more one-third of those who received ITNs through fixed-point distribution campaigns said that their primary reason for not using the nets was difficulty in hanging them over the sleeping place.  

Dissatisfied with the results of these fixed-point distribution programs, NMCP began to explore new strategy option with technical support from the Promoting Malaria Prevention and Treatment (ProMPT) project in Ghana, funded by the United States Agency for International Development (USAID) through the President’s Malaria Initiative (PMI) and implemented by University Research, Co., LLC (URC). This case study describes how, in 2009, NMCP and ProMPT decided to try a new strategy: a door-to-door delivery and hang-up campaign using community volunteers, which dramatically increased LLIN retention and use rates.

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