Kenya Medical Research Institute (KEMRI): Defining vulnerable populations using spatial models to support the equitable delivery of insecticide treated nets (ITN) in Kenya.

Malaria is a major health problem in sub-Saharan Africa (SSA) contributing significantly to morbidity and mortality. Insecticide treated nets (ITN) are one of the most powerful preventive interventions for reducing the burden of malaria among children and pregnant mothers but their coverage is still low in SSA. To achieve the Millennium Development Goals (MDG) and Roll Back Malaria (RBM) targets for reduction of child and maternal mortality, a rapid scale-up of delivery is required. The appropriate allocation of ITN to those most vulnerable will determine the success of such scale-up. To-date vulnerability has only been examined through differentials in urban and rural populations or by national wealth quintiles from sampled household surveys. These mask considerable sub-national inequities in ITN coverage. This proposal aims to examine determinants of ITN uptake such as physical access to ITN providers, social economic status of households and competition between service providers or different delivery mechanisms in a geographic information system (GIS) model to describe physical and economic gaps in national coverage of ITN in Kenya to establish a comprehensive framework for ITN resource allocation.

Programme: International Training Fellowship

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