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

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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.

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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

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    LIFENETS FOUNDATION