Serial number vectorworks 20158/25/2023 ![]() ![]() Data on costs were collected retrospectively from financial and operational records, stakeholder interviews, and resource use surveys. To address the gap in continuous distribution cost data, four types of delivery systems-CD through antenatal care services (ANC) and the expanded programme on immunization (EPI) (Ghana, Mali, and mainland Tanzania), CD through schools (Ghana and mainland Tanzania), and a combined community/health facility-based distribution (Zanzibar, Tanzania), as well as mass distributions (Mali)-were costed. For policy makers to make informed decisions on how to efficiently implement CD or combined strategies, information on the costs and cost-effectiveness of these delivery systems is necessary, but relatively few published studies of the cost continuous distribution systems exist. A combination of these strategies has been effective for scaling up ITN access. The World Health Organization recommends both large-scale mass distribution campaigns and continuous distributions (CD) as part of a multifaceted strategy to achieve and sustain universal access to ITNs. ![]() Insecticide-treated nets (ITNs) are one of the most cost-effective measures for preventing malaria. ![]()
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