Cost analysis series routine facility-based distribution in mainland Tanzania

To increase the utilization of ITNs in mainland Tanzania, the government has initiated distribution of free ITNs to pregnant women and children receiving routine immunizations in public health centers and dispensaries. This study was conducted to estimate both the economic and financial costs of net distribution from the provider perspective during the first twelve months (May 2016 through April 2017). Cost data were collected retrospectively from financial and operational records kept by VectorWorks, the NMCP, and interviews with program managers, implementers, and health facility staff involved in routine facility-based distribution activities in mainland Tanzania. The financial cost per net distributed was estimated to be USD 7.50, and the economic cost per net distributed was estimated to be USD 7.95. Financial cost to international donors to fully fund the procurement and distribution was estimated to be USD 3.44 per ITN and the Purchase/Discounted value per ITN was USD 2.64. The remainder of these costs ($1.42) were contributed by the Government of Tanzania.