Assessing payment and community based distribution issues in establishing Demand-Responsive systems for community -Based distribution of insecticide treated nets in South East Nigeria

Obinna Onwujekwe; Douglas Nwagbo; Elvis Shu; Samuel Ghasi; Benjamin Uzochukwu; Angus Onyido; Obiora Onwuamaeze

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Year : 2003 \| Volume : 8 \| Issue : 2 \| Page : 36-39

Assessing payment and community based distribution issues in establishing Demand-Responsive systems for community -Based distribution of insecticide treated nets in South East Nigeria Obinna Onwujekwe¹, Douglas Nwagbo², Elvis Shu³, Samuel Ghasi³, Benjamin Uzochukwu², Angus Onyido⁴, Obiora Onwuamaeze³ ¹ Health Policy Research Unit, Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria, Enugu Campus, Nigeria; Gates Malaria Partnership, London School of Hygiene and Tropical Medicine, London, UK ² Department of Community Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria ³ Health Policy Research Unit, Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria ⁴ National Arbovirus and Vector Research Division, Federal Ministry of Health, Enugu, Nigeria Correspondence Address: Obinna Onwujekwe Dept of Pharmacology and Therapeutics, University of Nigeria, Enugu Campus Source of Support: None, Conflict of Interest: None

Obectives: To assess the payment of pricing factors necessary for achieving optimal community-based distribution of insecticide nets (ITNs) re-treatment services. Methods: Questionnaire interviews were conducted with randomly selected household heads or their representatives in five malaria holo-endemic communities of Southeast Nigeria. Interviews were also held with community leaders before and after ITNs sales. The sale of ITNs was based on the communities' distribution and payment preferences. Findings: While payment by installment was preferred for ITNs, it was one-off mechanism for net re-treatment. Most of the respondents that bought the nets paid by a maximum of two fourth-nightly installments, and some of them determined the mark-up price of ITNs over that for untreated nets before buying. The major problems encountered were cases of non-adherence to the payment modality and return of after use. A community-based system was able to sell the nets. Conclusion: The payment preference of communities should be incorporated in implementing community-based ITNs sales. Appropriate pricing should involve ITNs programme managers being aware of the price movements in local markets for untreated nets, as a basis for dynamic reasonable price setting for ITNs



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