Quality Micro-Planning Processes - Key Strategy for Achieving High Quality LLINs Campaign: Pilot Report from Cross-River State Nigeria
European Journal of Preventive Medicine
Volume 7, Issue 2, March 2019, Pages: 32-39
Received: Feb. 5, 2019;
Accepted: Apr. 8, 2019;
Published: May 15, 2019
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Akubue Augustine Uchenna, Non-Communicable and Communicable Diseases Cluster, World Health Organization, Abuja, Nigeria
Nnanke Etimita, Department of M & E, Breakthrough Action, Calabar, Nigeria
Akubue Ngozika Peace, Health Education and Economic Unit, Health Line Consulting Ltd, Enugu, Nigeria
Obi Ikechukwu Vincent, Department of Health Administration and Management, University of Nigeria, Nsukka, Nigeria
Emeka Onugu, Monitoring and Evaluation Units, Catholic Relief Services, Abuja, Nigeria
Maureen Uchechi Ugochuku, Monitoring and Evaluation Units, Catholic Relief Services, Abuja, Nigeria
Ani Chinwetalu, Monitoring and Evaluation Units, Catholic Relief Services, Abuja, Nigeria
Koton Ewa Okoi, Department of Public Health, Ministry of Health, Calabar, Nigeria
Nsa Grace Bassey, Department of Public Health, Ministry of Health, Calabar, Nigeria
Inyang Asibong, Department of Public Health, Ministry of Health, Calabar, Nigeria
Joseph Bassey, Department of Public Health, Ministry of Health, Calabar, Nigeria
Iwara Iwara, Department of Public Health, Ministry of Health, Calabar, Nigeria
Cecelia Iwara, Department of Public Health, Ministry of Health, Calabar, Nigeria
Asuquo Ekwe, Department of Public Health, Ministry of Health, Calabar, Nigeria
Beta Edu, Department of Public Health, Ministry of Health, Calabar, Nigeria
Essienanwan Ekpenyong, Department of Public Health, Ministry of Health, Calabar, Nigeria
Joseph Akem Ingwu, Department of Public Health, Ministry of Health, Calabar, Nigeria
Igbo Uche, State Malaria Unit, Ministry of Health, Enugu, Nigeria
Nkiru Calista Ukor, Health System Strengthening Cluster, World Health Organization, Abuja, Nigeria
Nwali Okata James, Department of Primary Health, Ministry of Health, Abakiliki, Nigeria
Ezeugwu Peter Ogbonna, PEI Programme Cluster, WHO, Umuahia, Nigeria
Chine Paul Udoka, ICT Department, UNICEF, Enugu, Nigeria
Bala Mohammed, National Malaria Elimination Programmes, Federal Ministry of Health, Abuja, Nigeria
Ebonyi Isaiah, Department of Environmental Health, Nnamdi Azikiwe University, Nnewi, Nigeria
Dominic Ojiabor Abonyi, Registry Department, Environmental Health Officers Registration Council of Nigeria, Abuja, Nigeria
Background: Nigeria is one of the two epicenters of malaria transmission across the globe and contributes to 40 percent global malaria burden. The LLINs distribution campaign is one of the significant and nationally acceptable strategic routes of delivering nets to the entire population across the country. Micro planning of the campaign has been completed in the state in readiness for LLINs 2019 distribution campaign. This study therefore tends to highlight the achievements of this concluded micro-planning processes in identifying all the campaigns needs and challenges while plan and proffer solutions to achieve the high quality campaign outcomes. Study design: This is a qualitative study involving the engagement of all RBM stakeholders. It entailed desk reviews, meetings, community engagements, development and adaptation of programme tools, quantification, estimation of all the campaign needs using the WHO standardized estimates and inauguration of formed campaign work streams required for quality LLINs campaign implementations. Average volume of a bale of 0.14cubic meter, minimum volume of 120% of expected space considering the 20% handling area within the store facility and average access door space of >2.95sq meter) were used as standards for estimation. All variables were analyzed using Microsoft excel package and Health Mappers. Results: Comprehensive Advocacy, logistic and training plans that included and defined the roles and expectations of all the many stakeholders were developed. Micro plan population of 4,251,387 for 2019 with 2,361,882 LLINs, 6.613.3 m3 and handling areas requirement of 1,322m3 were estimated. A total of 11,864 personnel with their responsibilities were identified and trained including estimated costs of NGN387,143,880 at unit operational cost of NGN 166.34 for the delivery of 1 LLIN to the household. Advocacy kits with print materials for the campaign were pre-tested by health educator and identified programme challenges were highlighted. Conclusion: This study therefore underscores the importance of good micro-planning process for high quality LLINs campaign as recommended by WHO for the achievement of LLINs universal coverage.
Akubue Augustine Uchenna,
Akubue Ngozika Peace,
Obi Ikechukwu Vincent,
Maureen Uchechi Ugochuku,
Koton Ewa Okoi,
Nsa Grace Bassey,
Joseph Akem Ingwu,
Nkiru Calista Ukor,
Nwali Okata James,
Ezeugwu Peter Ogbonna,
Chine Paul Udoka,
Dominic Ojiabor Abonyi,
Quality Micro-Planning Processes - Key Strategy for Achieving High Quality LLINs Campaign: Pilot Report from Cross-River State Nigeria, European Journal of Preventive Medicine.
Vol. 7, No. 2,
2019, pp. 32-39.
WHO World Malaria Report.( 2014). Distribution of malaria around the world.
Malaria consortium (2015). Malaria Prevention through insecticide nets.
Malaria Policy Advisory Group, World Health Organization. (2017). Revised recommendations for achieving universal coverage with long-lasting insecticidal nets in malaria control.
Saleh, J.-E. A., Alemu, W., Uchenna, A. A., Saddiq, A., Mpazanje, R. and Audu, B. M. (2018) Quality Assurance (QA). Tool in Public Health Campaigns: A Look at the 2017 LLIN Replacement Campaign in Nigeria. Open Access Library Journal, 5: e4701. https://doi.org/10.4236/oalib.1104701
Saleh, J.-E. A., Uchenna, A. A., Saddiq, Dr. A., Wondimagegnehu, A., Mpazanje, R. and Audu, Dr. B. M. (2018) Lots Quality Assurance Survey (LQAS) as a Strategy to Achieving Quality LLIN Campaigns: The Nigerian Experience. Open Access Library Journal, 5: e4484. https://doi.org/10.4236/oalib.1104484.
Jorge A. H. Arroz, Balthazar Candrinho, Sílvia Pedro, Guidion Mathe etel, Planning and implementation of a countrywide campaign to deliver over 16 million long-lasting insecticidal nets in Mozambique, Malar J. 2018; 17: 254. Published online 2018 Jul 9. doi: 10.1186/s12936-018-2406-2, PMCID: PMC6038318 PMID: 29986711.
LINK. (2018). Strengthening the use of data for malaria decision making in Africa.
Health and Medicine. (2014), Insecticide treated nets, the role of commercial sectors, Case study from three countries from Sub-Sahara African.
The Alliance for Malaria prevention. (2008). A toolkit for mass distribution campaigns to increase coverage and use.
Arroz et al. Planning and implementation of a countrywide campaign to deliver over16 million long-lasting insecticidal nets in Mozambique, Malar J (2018) 17:254, https://doi.org/10.1186/s12936-018-2406-2.
Catholic Relief Services. (2014). In-Country Management and Distribution of Long Lasting Insecticide-Treated Nets: A LOGISTICS GUIDE FOR IMPLEMENTERS.
Quality Assurance for supervision during LLIN campaigns second edition. (2012) (A Supervisory Checklist on LLIN Mass Distribution for Program Managers and Independent Observers.
Benjamin Obi Nwabueze (1982). "A Constitutional History of Nigeria". Hurstand
Andem, A. B; Udofia, U. U; Okorafor, K. A; George, U. U (2013-08-11). "Bioaccumulation of some Heavy Metals and Total Hydrocarbon (THC) in the Tissues of Periwinkle (Tympanotonus Fuscatus Var Radula) in the Intertidal Regions of Qua Iboe River Basin, Ibeno, Akwa Ibom State, Nigeria". Greener Journal of Biological Sciences. 3 (7): 258–264. doi:10.15580/gjbs.2013.7.072913762. ISSN 2276-7762
"Brief History of Cross-River State: Nigeria Information & Guide". www.nigeriagalleria.com. Retrieved 2018-07-05.
https://www.fceobudu.edu.ng/"Institutions".National Board for Technical Education. Retrieved 2010-03-20.
Dauda M. Madubu. Charles Korir Nkwogu Loveday SamboIshaku et al HadizaIyal Micro-planning for immunization in Kaduna State, Nigeria: Lessons learnt, 2017, Elsevier, Volume 36, Issue 48, 19 November 2018, Pages 7361-7368.
Ismail A, Tabu C, Onuekwusi I, Otieno SK, Ademba P et al. Micro-planning in a wide age range measles rubella (MR) campaign using mobile phone app, a case of Kenya, 2016. Pan Afr Med J. 2017 Jun 22;27(Suppl 3):16. doi: 10.11604/pamj.supp.2017.27.3.11939. eCollection 2017.
Gali E, Mkanda P, Banda R, Korir C, Bawa S, et al. Revised Household-Based Microplanning in Polio Supplemental Immunization Activities in Kano State, Nigeria. J Infect Dis. 2016 May 1;213 Suppl 3:S73-8. doi: 10.1093/infdis/jiv589. Epub 2016 Feb 4.
Umeh GC, Madubu DM, Korir C, Loveday N, Ishaku S et al. Micro-planning for immunization in Kaduna State, Nigeria: Lessons learnt, 2017. Vaccine. 2018 Nov 19;36(48):7361-7368. doi: 10.1016/j.vaccine.2018.10.020. Epub 2018 Oct 23.
Bhattacharjee P, Musyoki H, Prakash R, Malaba S, Dallabetta G et al. Micro-planning at scale with key populations in Kenya: Optimising peer educator ratios for programme outreach and HIV/STI service utilisation. PLoS One. 2018 Nov 1;13(11):e0205056. doi: 10.1371/journal.pone.0205056. eCollection 2018.
Wallace AS, Bohara R, Stewart S, et al. Impact of an Intervention to Use a Measles, Rubella, and Polio Mass Vaccination Campaign to Strengthen Routine Immunization Services in Nepal. J Infect Dis. 2017;216(suppl_1): S280–S286. doi:10.1093/infdis/jix164
Barau I, Zubairu M, Mwanza MN, Seaman VY. Improving polio vaccination coverage in Nigeria through the use of geographic information system technology. J Infect Dis. 2014 Nov 1;210 Suppl 1:S102-10. doi: 10.1093/infdis/jiu010.
Akubue A U, Baseline Assessment of Distributed LLINs and Utilization for Malaria Control programme in Enugu State SEZ, Nigeria. Indian Journals of Applied Research Journals, Vol 3: Issue -11, Nov. 2013.
A. Ankomah, S. B. Adebayo, E. D. Arogundade, J. Anyanti, E. Nwokolo, U. Inyang, Oladipupo B. Ipadeola, and M. Meremiku, The Effect of Mass Media Campaign on the Use of Insecticide-Treated Bed Nets among Pregnant Women in Nigeria, Malaria Research and Treatment Volume 2014, Article ID 694863, 7 pages.http://dx.doi.org/10.1155/2014/694863.
World Health Organization (2013-2018), End game strategic plan for Polio eradication- best practices in microplanning for polio eradication.
Dr. MCR Human Resources Development Institute. (2018). Participatory Microplanning. www.mcrhrdi.gov.in/88fc/Week-9/PA-Participatory%20Micro%20Planning%20-.pdf. Accessed on 02/04/2018.
Malaria Consortium's Support to National Malaria Programme (SuNMaP) project Published in: Government & Nonprofit.