Continuous Distribution (CD) of long-lasting insecticidal nets (LLINs) has been recommended by the World Health Organization (WHO) as a tool for maintaining universal coverage. However, little is known about the costs and cost-effectiveness of various CD strategies. Following mass distribution of LLINs and expansion of IRS Zanzibar has embarked on a three-pronged approach to continuous distribution of LLINs to maintain coverage between periodic mass campaigns. Across the archipelago nets are distributed through three main channels, Antenatal Care (ANC), the expanded Programme for Immunization (EPI) and a community mechanism. This study was conducted to estimate both the economic and financial costs of net distribution through these three mechanisms from the provider perspective during the 2014-2015 Fiscal Year. Data on costs were collected retrospectively from financial and operational records and through stakeholder interviews at the national (Zanzibar) level.
Zanzibar CD Costing [PDF]