Insecticide Treated Nets and Vitamin A Supplementation

Table of Contents

1. Introduction

2. Rationale of Integrating ITN and Vitamin A/Micronutrient Activities

2.1 Effectiveness of approaches in morbidity/mortality reduction
            2.1.1 Micronutrients
                        Vitamin A
                        Zinc
                        Iron
            2.1.2 Insecticide Treated Nets (ITNs)

2.2 Target Group Similarities
2.3 Periodicity
2.4 Synergism

3. Distribution (Epidemiology) of Vitamin A/Micronutrient Deficiency and Malaria

3.1 Malaria:
            3.1.1 General
            3.1.2 Malawi specific
3.2 Micronutrient Deficiency
            3.2.1 Vitamin A
            3.2.2 Iron
            3.2.3 Zinc

4. Evidence for Biological Synergy Between Vitamin A/Micronutrients and Malaria

4.1 Vitamin A and Malaria
4.2 Zinc and Malaria
4.3 Iron and Malaria
4.4 Interactions between micronutrients: Zn-Vit A, Vit A-Fe, Zn-Fe
4.5 Summary of Micronutrient – Malaria relationship

5. Programming Experience in Malaria Control (ITNS) and Micronutrient Supplementation

5.1 Malaria Control and ITNs
5.2 Micronutrient Supplementation
            5.2.1 Vitamin A
            5.2.2 Iron
            5.2.3 Zinc
            5.2.4 Weekly "Multiple Micronutrient" Supplementation

6. Lessons for Future Implementation of an Integrated Program

6.1 Linking of Mobilisation and IEC (Information, Education and Communication)
6.2 Distribution and Procurement
6.3 Supervision and Training
6.4 Monitoring and Evaluation
6.5 Administration
6.6 Addressing the Affordability of ITNs

7. Opportunities for VAC/ITN Integration

7.1 Geographical Co-occurrence of VAD and Malaria
            7.1.1 Global
            7.1.2 Malawi

8. References