LifeNets Foundation Proposal
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Transcript of LifeNets Foundation Proposal
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7/28/2019 LifeNets Foundation Proposal
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TABLE OF CONTENTS
1. Cover page
2. Table of contents
3. Malaria
4. Malawi
5. Malaria prevention
6. 2012 Pilot study
7. 2012 Project Finances
8. Irrigation strategy
9. 5-Year agenda
10... Our partner
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BUSINESS AGENDA
YEAR 2013
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MALARIA
YEAR 2013
BACKGROUND
Malaria is a parasitic disease caused by Plasmodium
parasites that live within the Anopheles mosquito (a
malaria vector); this mosquitos bite injects the
parasite into humans to infect them. The Anopheles
mosquito is active primarily between dusk and
dawn. Initial symptoms are somewhat common and
may go unnoticed: a light fever, headache, chills and
some nausea. However, malaria soon progresses to
severe conditions such as cerebral bleeding, anemia,
renal failure, hypotension andeventually death.Those at greatest risk are young children who have
not yet developed a strong protective immunity,
pregnant women and those who are HIV/AIDS
positive.
Currently, there is no cure for this disease, but
according to the World Health Organization (WHO)
approximately halfof the worlds population is atrisk. 90% of all cases occur in Sub-Saharan Africa,
and 85% of cases are children under the age of 5. In
total, there were 247 million cases of malaria in
2008, but in just two years that number more than
doubled to approximately 500 million cases. Recentstudies reported by Lancet journal show that malaria
takes more than 1 million lives annually.
In addition to being very difficult to cure, control,
and prevent, malaria is heavily tied with poverty. In
a country like Malawi where most inhabitants rely
on agriculture for food and income, farmers and
many other able-bodied workers suffering from the
disease are unable to farm during the two month
rainy season, leaving their families with very little to
eat or sell for the year. These families grow weaker
and poorer, widening the gap between the rich and
the poor and making it that much more difficult to
escape poverty.
TREATMENT RESTRICTIONS
Not only are antimalarial drugs incredibly
expensive, but improper use gives rise to drug
resistant parasites. If the patient discontinues
treatment prematurely following the rapid clearance
of symptoms, the remaining parasites may form a
resistance. A second case of malaria may then be
untreatable, leading to the death of the patient and
the spread of the resistant parasite.
Recently, doctors have found that various
combinations of antimalarial drugs lower the risk of
producing resistant parasites. However, this form of
treatment is even more expensive and difficult to
manage than the use of a single drug. Due to these
complications, treatment cannot be the main
ammunition against malaria.
PREVENTION
Prevention is the most effective way to reduce the
population density of malaria vectors and is the only
intervention method that has been shown to decrease
malaria transmissions on a micro and possibly macro
level.
There are two main forms of prevention: long lasting
insecticide-treated mosquito nets (LLITNs) and
indoor residual sprays. Out of the two, LLITNs have
been proven more effective in decreasing severe
disease and death due to malaria in endemic regions.
The pros of LLITNs include their cost effectiveness,
sustainability, and ease of mass distribution. The
cons include their non-user-friendliness and the
difficulty of prevention education for recipients.
Many organizations distribute mosquito nets in
hopes of providing recipients with protection from
malaria. However, only a small percentage distribute
user friendly LLITNs, and even fewer provide their
recipients with education. As a result, a large
amount of distributed nets go to waste, unused or
misused.
LIFENETS FOUNDATION
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BACKGROUND
The Republic of Malawi is aptly described as the warm heart ofAfrica after the warmth and beauty of its people and its land.Their beautiful Lake Malawi is the third largest in Africa, andthought the country is smalljust 118,500 kilometersMalawihas diverse topography and scenery.
Unfortunately, this beautiful country is also one of the poorest inthe world. 90% of the population lives below the poverty linewith an income less than $2 dollars a day. A major reason for this
poverty is the lack of rainfall on this densely populated country.85% of the population relies on agriculture for food and income.However, due to Malawis short (or in some years, nonexistent)rainy season and a progressive decrease in fertile soil, manycrops fail, leaving families with little food and no way to obtainincome.
Destructive diseases like malaria contribute to the spread ofpoverty by depleting families and the governments resources;the annual cost of malaria for a household is over a monthswages. The annual amount the government spends on the diseaseis millions.
MALAWI
LIFENETS FOUNDATION YEAR 2013
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LIFENETS FOUNDATION
MALAWI AND MALARIA
PREVENTION
PROBLEMS REGARDING NETS
In Malawi, most organizations focused on
combatting malaria by distributing mosquito nets.
Ideally, recipients of these nets should sleep under
these nets every night to protect themselves from
malaria. However, many nets are wasted because
recipients are demotivated to use them, we heard
back from recipients a few issues:
1) How uncomfortable the nets are
2) Certain culturally- or socially-derived
misconceptions about nets
3) Lack of education about nets
Many of the nets distributed are quite large and must
be connected by four corners. However, this net set-
up is an issue, because most homes cannot
accommodate a four-corner setup on their ceiling.
Most living quarters are small, one-room homes and
are used for other purposes during the day, so setting
up and taking down the net becomes a huge hassle.Consequently, the nets go unused.
In many villages, pervading myths about the nets
discourage recipients to use them. For example,
some villagers claim the nets prevent pregnancy and
others say nets trap evil spirits. From these
misconceptions arises a tendency to discard or
misuse the nets.
OUR APPROACH
At the root of our distribution program is thequality of our nets. We chose nets with a conical-shaped structure, making them extremely user-friendly with only one corner of attachment. Thematerial comprising the nets is polyethylene,improving their durability and reducing the extentto which they trap heat. Furthermore, our nets are
non-irritable, as the insecticide is infused in the netfibers.
Our distribution program is aimed at educating andmotivating recipients to use the nets. This way wecan maximize efficiency and ensure our supportersof the significance of their contributions.
Below is a diagram of the four main stages in
our approach to the distribution of insecticide-treated mosquito nets.
LIFENETS FOUNDATION YEAR 2013
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2012 DISTRIBUTION PROGRAM
PILOT STUDY
DISTRIBUTION PROGRAM
During the summer of 2012, our pilot program was
devoted to finding answers to both of our biggest
questions: 1) whether villagers in Malawi found
conical insecticide-treated mosquito nets more user-
friendly than square ones, and 2) whether education
gave recipients the motivation to use nets. In total,
we distributed 599 conical nets amongst the villagegroups of Namangwe and Kangwanda, Malawi.
Namangwe served as the control village group in
which we employed the distribution strategy of a
typical NGO (little to no education). Kangwanda
served as the experimental village group. Nets were
distributed according to our individualized,
education-based approach. Namangwe is divided
into 20 villages, and Kangwanda is divided into 38.
Approximately 10 nets were distributed to each
village. One week after distribution, follow-ups
were conducted with each village group.
Of the 599 nets distributed, follow-up data was
collected from 467 net recipients: 151 from
Namangwe and 316 from Kangwanda. We found a
usage rate of 72.2% in Namangwe and a usage rate
of 99.4% in Kangwanda. This difference between
the villages is highly significant with a p-value of
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Mosquito Nets purchased from PSI
One million and four hundred forty thousand kwachas(1,440,000 MK)
(5142.85 dollars)600 nets
Three hundred and sixty thousand kwachas (360,000MK)
(1285.71 dollars)150 nets
Total: 6428.56 dollars
Living expenses Dae Yang Luke Hospital
05/26/2012 to 06/21/2012
Total: 1890 dollars
Food cost
05/25/2012 to 06/21/2012
Total: $1545.13
Transportation and fuel costs
Total: 3034.33 dollars
Total spent on Project: $12,898.02
PROJECT FINANCES 2012
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IRRIGATION STRATEGY
LONG-TERM APPROACH
Distributing LLITNs must only be seen as a short-term strategy to fighting malaria. Althougheffective, the 5-year lifespan of these netsnecessitate increasing costs as more of Malawi iscovered. To fully eradicate malaria from Malawionly through distribution of nets, millions wouldhave to be delivered and used within this 5-yearperiod. The effective manpower required for such a
large-scale effort is infeasible and highly expensive.To truly eradicate malaria from Africa, a long-termstrategy aimed at targeting the root of the diseasemust be implemented.
Our proposed long-term strategy of a countrywideirrigation system aims at improving thesocioeconomic status of the Malawian people. Bycreating small irrigation systems emanating from anunderground water source, we intend to prolongMalawis agriculture season beyond the currentlength of zero to four months. Furthermore, to
increase the amount of fertile soil available, we planto teach farmers how to create compost from sugarcane and corn scraps. The central goal behind ayearlong agriculture season and improved soil is topromote improved health and higher income,resulting in decreased incidence of malaria and otherdevastating diseases.
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5-YEAR AGENDA
LIFENETS FOUNDATION YEAR 2013
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URUNJI CHILD-CARE TRUST
Urunji Child-Care Trust is a registered Non-Governmental Organization in Malawi.
Their mission is to bring innovative solutions to the communities that will combat
poverty, malaria, malnutrition, environmental degradation and HIV/AIDS through
education, economic empowerment, community participation, life-skills training and
global connections.
As an organization, they envision a nation where children with quality education,proper nutrition, sound health and life-skills are a reality. We believe there is no
Vision without Provision. This is why we are working together with the communities
to ensure little dreams turn into great achievements in the near and distant future.
OUR PARTNER
LIFENETS FOUNDATION YEAR 2013
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LIFENETS FOUNDATION