Activity-based contracting for optimization of the mass distribution of insecticide-treated nets in the Democratic Republic of Congo: pilot implementation in Kwilu province
Abstract Background Promoting the use of insecticide-treated mosquito nets (ITNs) is one of the main strategies for reducing malaria-related morbidity. An innovative activity-based contracting (ABC) approach has been implemented in Kwilu Province, Democratic Republic of Congo to optimize ITN mass di...
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2024-10-01
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| Online Access: | https://doi.org/10.1186/s12889-024-20347-6 |
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| author | Losimba Likwela J Kalonji Ntumba A Ndolerire Isingoma C Mukomena Sompwe E Tsasa Mbuku E Mbuse Angembo F Mbuyu Lukunde E Lukanu Ngwala P. N.’siala Kumbi A Panou I Masoswa L Mashako P Kanku‑Ka‑Lukusa P Kulimushi Ndahambara G Luntadila Kiamenga M Minuku Kinzonzi F Ngoma Kintaudi L Wierzynska A Erskine M |
| author_facet | Losimba Likwela J Kalonji Ntumba A Ndolerire Isingoma C Mukomena Sompwe E Tsasa Mbuku E Mbuse Angembo F Mbuyu Lukunde E Lukanu Ngwala P. N.’siala Kumbi A Panou I Masoswa L Mashako P Kanku‑Ka‑Lukusa P Kulimushi Ndahambara G Luntadila Kiamenga M Minuku Kinzonzi F Ngoma Kintaudi L Wierzynska A Erskine M |
| author_sort | Losimba Likwela J |
| collection | DOAJ |
| description | Abstract Background Promoting the use of insecticide-treated mosquito nets (ITNs) is one of the main strategies for reducing malaria-related morbidity. An innovative activity-based contracting (ABC) approach has been implemented in Kwilu Province, Democratic Republic of Congo to optimize ITN mass distribution campaigns, with payments based on contractually defined programmatic outcomes for key campaign activities following independent verification of results. Methods This internal evaluation was carried out using a mixed methods approach combining qualitative and quantitative document and content analysis from a series of three workshops: validation workshops for campaign results at provincial level for the 2021 and 2022 campaigns; internal evaluation workshop for the Kwilu campaign as part of the ABC approach organized by “Santé pour tous en milieu rural” (SANRU) with its sub-contractors; and national campaign evaluation workshop organized by the National Malaria Control Program. Results The pilot campaign with the ABC approach in Kwilu has demonstrated better results than campaigns conducted using the standard, non-ABC, approach: better household coverage (99.9% vs. 97.3%) and improved compliance with ITN allocation to households based on the household size (98. 9% vs. 84.7%); lower loss of ITNs (0.3% vs. 0.5%) with immediate penalties for lost ITNs in the province under the ABC approach; shorter campaign lead times (14 vs. 28 weeks from the start of training to the launch of distribution). This last point is crucial, as it is likely to generate efficiencies and contribute to ensuring timely ITN replacement campaigns. Conclusion The challenges encountered and the lessons learned in the implementation of the pilot ABC approach in Kwilu could guide future distribution campaigns in the DRC and other African countries that would like to engage in distribution campaigns based on performance-based incentive contracts. |
| format | Article |
| id | doaj-art-9a88b44b094f4a54a471eb5a1109cd15 |
| institution | OA Journals |
| issn | 1471-2458 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | BMC |
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| series | BMC Public Health |
| spelling | doaj-art-9a88b44b094f4a54a471eb5a1109cd152025-08-20T02:17:53ZengBMCBMC Public Health1471-24582024-10-0124112310.1186/s12889-024-20347-6Activity-based contracting for optimization of the mass distribution of insecticide-treated nets in the Democratic Republic of Congo: pilot implementation in Kwilu provinceLosimba Likwela J0Kalonji Ntumba A1Ndolerire Isingoma C2Mukomena Sompwe E3Tsasa Mbuku E4Mbuse Angembo F5Mbuyu Lukunde E6Lukanu Ngwala P.7N.’siala Kumbi A8Panou I9Masoswa L10Mashako P11Kanku‑Ka‑Lukusa P12Kulimushi Ndahambara G13Luntadila Kiamenga M14Minuku Kinzonzi F15Ngoma Kintaudi L16Wierzynska A17Erskine M18SANRU AsblSANRU AsblInterchurch Medical Assistance Word HealthNational Malaria Control ProgrammeInterchurch Medical Assistance Word HealthInterchurch Medical Assistance Word HealthInterchurch Medical Assistance Word HealthSANRU AsblSANRU AsblSANRU AsblNational Malaria Control ProgrammeNational Malaria Control ProgrammeSANRU AsblSANRU AsblSANRU AsblSANRU AsblSANRU AsblThe Global Fund to Fight AIDS, Tuberculosis and MalariaInternational Federation of Red Cross and Red Crescent SocietiesAbstract Background Promoting the use of insecticide-treated mosquito nets (ITNs) is one of the main strategies for reducing malaria-related morbidity. An innovative activity-based contracting (ABC) approach has been implemented in Kwilu Province, Democratic Republic of Congo to optimize ITN mass distribution campaigns, with payments based on contractually defined programmatic outcomes for key campaign activities following independent verification of results. Methods This internal evaluation was carried out using a mixed methods approach combining qualitative and quantitative document and content analysis from a series of three workshops: validation workshops for campaign results at provincial level for the 2021 and 2022 campaigns; internal evaluation workshop for the Kwilu campaign as part of the ABC approach organized by “Santé pour tous en milieu rural” (SANRU) with its sub-contractors; and national campaign evaluation workshop organized by the National Malaria Control Program. Results The pilot campaign with the ABC approach in Kwilu has demonstrated better results than campaigns conducted using the standard, non-ABC, approach: better household coverage (99.9% vs. 97.3%) and improved compliance with ITN allocation to households based on the household size (98. 9% vs. 84.7%); lower loss of ITNs (0.3% vs. 0.5%) with immediate penalties for lost ITNs in the province under the ABC approach; shorter campaign lead times (14 vs. 28 weeks from the start of training to the launch of distribution). This last point is crucial, as it is likely to generate efficiencies and contribute to ensuring timely ITN replacement campaigns. Conclusion The challenges encountered and the lessons learned in the implementation of the pilot ABC approach in Kwilu could guide future distribution campaigns in the DRC and other African countries that would like to engage in distribution campaigns based on performance-based incentive contracts.https://doi.org/10.1186/s12889-024-20347-6MalariaInsecticide-Treated Mosquito NetMass campaignActivity based contractingDemocratic Republic of Congo |
| spellingShingle | Losimba Likwela J Kalonji Ntumba A Ndolerire Isingoma C Mukomena Sompwe E Tsasa Mbuku E Mbuse Angembo F Mbuyu Lukunde E Lukanu Ngwala P. N.’siala Kumbi A Panou I Masoswa L Mashako P Kanku‑Ka‑Lukusa P Kulimushi Ndahambara G Luntadila Kiamenga M Minuku Kinzonzi F Ngoma Kintaudi L Wierzynska A Erskine M Activity-based contracting for optimization of the mass distribution of insecticide-treated nets in the Democratic Republic of Congo: pilot implementation in Kwilu province BMC Public Health Malaria Insecticide-Treated Mosquito Net Mass campaign Activity based contracting Democratic Republic of Congo |
| title | Activity-based contracting for optimization of the mass distribution of insecticide-treated nets in the Democratic Republic of Congo: pilot implementation in Kwilu province |
| title_full | Activity-based contracting for optimization of the mass distribution of insecticide-treated nets in the Democratic Republic of Congo: pilot implementation in Kwilu province |
| title_fullStr | Activity-based contracting for optimization of the mass distribution of insecticide-treated nets in the Democratic Republic of Congo: pilot implementation in Kwilu province |
| title_full_unstemmed | Activity-based contracting for optimization of the mass distribution of insecticide-treated nets in the Democratic Republic of Congo: pilot implementation in Kwilu province |
| title_short | Activity-based contracting for optimization of the mass distribution of insecticide-treated nets in the Democratic Republic of Congo: pilot implementation in Kwilu province |
| title_sort | activity based contracting for optimization of the mass distribution of insecticide treated nets in the democratic republic of congo pilot implementation in kwilu province |
| topic | Malaria Insecticide-Treated Mosquito Net Mass campaign Activity based contracting Democratic Republic of Congo |
| url | https://doi.org/10.1186/s12889-024-20347-6 |
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