For information on Zanzibar click here


 
News from Tanzania

September 2012

Four new projects have been processed with the aid of donations received from many Rotary and Inner Wheel clubs over the last twelve months helping in the areas and villages of Majenjo - Lang'ata - Same - Longido.

Very sadly I have to advise our worldwide supporters that a stalwart of REMIT in Tanzania, Rtn Dev Manik (Arusha), has passed away.  Together with the Ministry of Health we are endeavouring to equip a health centre not only to diagnose and treat Malaria patients but also to cater for the health needs of villagers in general at Babati. Full details and photos will appear as soon as possible.

 -January 2007

At present nets are sold at 1000/- each, except to houses that are really poor, plus former street children homes and leprosy victims homes.

In brief the team purchases, nets, sprays, sprayers and the protective clothing. The 1000/- goes to delivery costs. Whilst distributing the nets speakers broadcast malaria and HIV awareness songs and the team hands out phamplets to the schools and villagers.

The team has also purchased a motor bike and a Rotaractor goes around the villages a week before distribution day (most Saturdays or Sundays) in order to promote the distribution.

Canadian Rotarians help to fight Malaria in Tanzania

My colleague Don de Savigny has forwarded me some e-mail correspondence concerning the exciting initiative being undertaken by Canadian Rotarians to expand their commitment to the fight against malaria in Tanzania . Let me say how much we welcome this assistance and that we look forward to working with you to ensure that this help is used in the most effective way to help those most in need who are not currently being reached by our existing programmes.

The cornerstone of the  National Insecticide Treated Nets programme (NATNETS) is the Public Private Partnership between the Public Sector, various NGOs and the four Tanzanian Net Manufacturers. NATNETS consists of three main components:

  • i)                          The SMARTNET social marketing programme (financed by DFID/RNE) and run by PSI. SMARTNET carries out demand creation and behaviour change communication activities and provides the insecticide treatment kits free of charge to the four Tanzanian net manufacturers. As a result of SMARTNET, all nets manufactured and sold in Tanzania have been bundled with an insecticide treatment kit since October 2002. Re-treatment kits (Ngao and Ngao ya Muda Mrefu) are sold by PSI at a significantly discounted price through a network of private retailers.  
  • ii)                         The Tanzanian National Voucher Scheme (Hati Punguzo) (financed by the Global Fund) which gives a discount voucher (for Tzs 3,250) covering 65 – 75% of the retail price of a net (depending on the size she chooses to buy) to pregnant women and mothers/caretakers of infants. The TNVS was launched in October 2004 and since then has expanded to cover the whole country, with the last districts in Rukwa being reached in May 2006. The infant voucher (financed by the US President’s Malaria Initiative) was launched in October 2006 and operates in 15 Regions. (The remaining 6 regions will be covered in PMI Year 2, which starts in July). We will also be piloting an Equity Voucher, starting later this month, that will provide the top up amount of (TZs 1,750) to the poorest of the poor pregnant women and infants in six districts. This will roll out to seven regions in PMT Y2 from July onwards. Since the introduction of the TNVS, more than 4,000 small retailers have been licensed to exchange nets for vouchers, which the retailer can only exchange for more nets. Nets are now available in the most remote parts of the country as a result of the programme. The TNVS is implemented by a number of NGOs including the Canadian based MEDA (Mennonite Economic Development Associates) who handle the logistics and World Vision who conduct the training and promotion. Monitoring and Evaluation is handled by the London Scholl of Hygiene and Tropical Medicine together with the Ifakara Health Research and Development Centre.

iii)                       The ITN Cell in the National Malaria Control Programme (that’s us!). We are financed by the Swiss Agency for Development and Co-operation through the Swiss Tropical Institute and form one of a number of parts of  NMCP. Our role is to facilitate and co-ordinate the whole programme, ensure continuity of funding etc.

We try to encourage all organisations wishing to involve themselves with the distribution of ITNS to work with us to ensure that the work of the private sector is not undermined by the distribution of free nets. Currently PLAN International have financed a project voucher (administered by MEDA) which is being distributed to under fives in the six districts where they operate. The PLAN voucher is exchanged, with a top up amount, for a net from a private retailer in the same way as a normal voucher. We are also working with the Anglican Diocese of Dar es Salaam to plan a project voucher for then as well. Both these organisations are making a substantial commitment to working at community level to ensure sustainable behaviour change, which we strongly support.

As a result of these various initiatives, coverage of the most vulnerable groups has more or less doubled in the last twelve months and continues to rise. Nevertheless we have not reached the Abuja targets of 60% coverage for pregnant women and under fives and welcome whatever help you may be able to provide. I would be happy to discuss your programme with you at more length and find the best way to put the efforts of Canadian Rotarians to work. Please feel free to give me a call whenever convenient.

Best regards and Happy New Year.

Nick Brown

ITN Cell Team Leader (NETCELL)

National Malaria Control Programme
Ministry of Health
Ocean Rd, NIMR Complex-CEEMI Bldg
P.O. Box 3430 , Dar-Es-Salaam

 
This map and many others can be found at the MARA website (Mapping Malaria Risk in Africa) - www.mara.org.za  
Contact details in Tanzania

The REMaRAG coordinator in Tanzania is Faye Cran, email her at This email address is being protected from spambots. You need JavaScript enabled to view it.tanzan1

 
Endemic Malaria in Tanzania

Malaria is endemic in Tanzania - download a map showing the distribution of endemic areas.  

This map and many others can be found at the MARA website (Mapping Malaria Risk in Africa) - www.mara.org.za
 
REMIT

Since 2003/04 the incidence of Malaria has been reduced by some 64 % in the Arusha area of Tanzania thanks largely to the REMIT programme. REMIT are now 'spreading their net' to the Moshi area under the guidance of Rotarian Faye Cran and another Rtn. Doctor from the Moshi Club.

15th September 2008

Team of 35 Canadians to descend on Arusha for a big net distribution campaign.   Team leader is PDG Terry Youlton


 
Zanzibar  

Zanzibar has its own Ministry of Health, separate from the mainland Tanzania Ministry.

There has been a huge per capita spend on malaria control in Zanzibar by both the Global Fund and USAID, approximately five times as much per head as on the mainland. Thus all pregnant women and under fives received nets and ACT treatment has already been introduced.

This is further reinforced by Indoor Residual Spraying, so the dramatic results they have achieved are not surprising. Zanzibar has recently reported a 90% drop in malaria.

A much more detailed understanding of the Zanzibar and mainland programmes can be found by visiting the Presidents Malaria Initiative (PMI) website where the Malaria Action Plan for FY07 will tell you everything - www.fightingmalaria.gov/countries/tanzania_mop-fy07.pdf

In FY07, the PMI will be spending $2.9 million on malaria prevention and treatment in Zanzibar compared with $24 million on the mainland. However, there are 37 million people in mainland Tanzania compared with only 1 million in Zanzibar. Thus the PMI spend there is about $2.90 per head in Zanzibar compared with $0.65 per head on the mainland. So it will take several more years to achieve the same results as Zanzibar.