Page 19 - TARGETED REPLACEMENT CAMPAIN

Long Lasting Insecticide-treated nets (LLINs) are a widely used tool in Tanzania that has been proven to be effective
in the prevention and control of malaria in malaria pendemic regions. However, usage varies among households
and can greatly affect the benefits of LLINs as a control tool for malaria transmission. Data recorded from the
Tanzania 2015-16 Demographic and Health Survey suggests that two thirds of households across the country own
at least one Long Lasting Insecticide-Treated Net (LLIN). However, only 39% of households have enough LLINs to
cover each household member, assuming one LLIN is used by 2 people.

For the conducted Targeted Replacement
campaign across the selected two campaign
Regions of Lindi and Mtwara, consideration
was put in the malaria prevalence and its
determinants.

i.e. The 2 designated campaign regions have one
of highest prevalence rates of malaria in Tanzania.
TRC Mid Media activities were conducted in
designated Wards across rural / peri-urban
settings in the selected District Councils in each
respective region that were attributed with:

Malaria prevalence generally decreases as
mother’s education increases. 21% of children
whose mother have no education are most
likely to test positive for malaria RDT compared
3.5% of children whose mothers have
secondary or higher education.

There is a pattern in malaria prevalence by

household wealth quintile. Malaria prevalence
decreases greatly as household wealth
increases from 23% of children in the poorest
house holds to 1% of children in the
wealthiest household

Malaria prevalence is higher among rural children (18%) than urban children (4%)

With a view of reaching all Wards of each activated District in the activated 2 campaign Regions, respective Regional
/ District Malaria Focal persons & CHW directed focus to accessible endemic Wards with groups that were more in
need of interventions to address Malaria and the highest incidences of malaria endemic as per aligned route plans.
More mid media activities were conducted in Wards with the highest malaria prevalence.