Where we work

Of the 70 PSI programs around the world, 31 currently have full time malaria programs, supporting the delivery of either Malaria prevention, treatment or both.

Angola

-Since launching a regional net program in December of 2004 PSI Angola has distributed more than 100,000 long lasting insecticide treated nets (LLIN’s). The program, works with the National Malaria Control Program (NMCP), and is supported by the Global Fund, USAID and ExxonMobil. PSI segments the market into a public sector and a private sector distribution and net delivery strategy. Seguro e Salvo, a highly subsidized LLIN is targeted to pregnant women and children under five through antenatal clinics. A second commercially available LLIN, Joia, is marketed to urban populations and is serving to create and sustain a private market for nets.

Benin

PSI/Benin launched its malaria program in 1998 with SuperMoustiquaire, a pretreated bednet sold in urban areas and distributed via the commercial sector. Since then, PSI/Benin has expanded its product line and approach for ITN delivery to focus on providing, Bonne Maman, a highly subsidized ITN, directly to pregnant women and children under five via antenatal clinics (ANCs). Supported by UNICEF and in partnership with the Ministry of Health, the ANC clinic model was recently expanded into a third department after showing that over 52% of children under five and 45% of pregnant women were sleeping under an ITN. PSI distributed over 80,000 ITNs to ANCs in 2005 and over 560,000 ITNs since 1998.

In 2003, PSI/Benin added a third subsidized ITN, Famille Protegee, available to rural populations. PSI/Benin also markets and promotes ALAFIA, a home insecticide retreatment kit. In early 2006, PSI/Benin will replace its SuperMoustiquaire pre-treated net with SuperMoustiquaire Longue Duree, a long-lasting net.

Bolivia

PSI/Bolivia began distributing insecticide treated nets and insecticide retreatment kits in 1998. In 2005, with support from the Global Fund, PSI introduced the country's first long-lasting insecticide treated net (LLIN). PSI distributes a highly subsidized LLIN, Sueño Seguro, affordable to rural and indigenous groups. A second, upscale version of Sueño Seguro, is marketed in urban areas at cost recovery to fill demand and sustain private markets. PSI works closely with the Ministry of Health and targets two districts situated along the Brazilian border. In the fourth quarter of 2005, PSI distributed close to 8,000 ITNs in two rural districts in the Amazonian region. In 2006, PSI/Bolivia will continue to expand malaria prevention activities. Given that peak biting times of mosquitoes that transmit malaria is between 6-9 PM, PSI/Bolivia will partner with the Ministry of Health in the distribution of a natural mosquito repellent product.

Burkina Faso

In Burkina Faso, PSI partners with the National Malaria Committee, UNICEF, UNDP, and key local and international NGOs. Since May 2002 Burkina Faso had distributed over 350,000 LLINs and over 500,000 ITNs. About 90% were sold for US $3 and the remaining 10% were sold at cost recovery or at a special UNICEF price of US $1 per net.

Burundi

Since the launch of the PSI/Burundi malaria program in 2003, PSI has distributed over 150,000 long-lasting insecticide treated nets (LLINs). The program works closely with the Ministry of Health and other NGOs involved in malaria prevention to target seven provinces with more intensive community outreach activities. In 2006, with support from USAID, the Global Fund and DFID, PSI/Burundi intends to distribute 150,000 LLINs via a segmented market strategy. Supanet, a medium subsidy LLIN (US $2), will be distributed through the commercial sector. Highly subsidised nets, Mama Supanet (US $0.50), will be distributed through non-commercial channels such as health centers and peer educators, ensuring that nets reach target risk groups at the recommended price.

Cameroon

PSI affiliate, Association Camerounaise pour le Marketing Social (ACMS), works with the National Malaria Control Program (NMCP), and partners such as WHO, USAID, UNICEF, PLAN Cameroon, ExxonMobil Foundation, and community-based associations. ACMS supports the national strategy by distributing Super Moustiquaire, a bundled ITN and BLOC treatment kit, through commercial and NGO networks. This complements other projects implemented by the NMCP and other partners. In spite of no current donor, ITNs and kits are sold at full cost recovery and, since February 2004, ACMS has distributed more than 145,000 ITNs and 20,000 net treatment kits.

Research results (2001 baseline and 2005 USAID project evaluation) indicate a sharp increase in net use. Specifically the number of pregnant women and children under five who slept under an ITN the previous night rose from less than 1% to over 15% for both target groups.

Congo (Brazzaville)

COMING SOON...

Democratic Republic of Congo

PSI/Congo’s local affiliate, Association de Santé Familiale (ASF), is a key partner in national malaria control strategy planning. ASF provides technical input on policy decisions through Congo’s RBM Task Force and develops communications materials for government partners such as the National Malaria Control Program. ASF launched malaria prevention activities in 2003, with current donor support from DFID and the Global Fund for AIDS, TB and Malaria.

ASF’s two-tiered distribution system provides highly-subsidized Maman Serena branded LLINs to pregnant women and children under five through partnerships at the health center and moderately subsidized Serena branded LLINs to the general population through the commercial sector. Since July 2003, AFS has distributed nearly 1 million LLINs. ASF is on track to launch PSI’s first sustained socially-marketed ACT program in Africa through the commercial sector in mid-2006.

Ethiopia

PSI/Ethiopia's strategy for net distribution is aimed at maximizing the distribution of long lasting insecticide treated nets (LLINs) to those most in need, while at the same time actively collaborating with the commercial sector to move towards a sustainable commercial market. To meet this goal, PSI/Ethiopia has developed a segmented market approach to net distribution in Ethiopia, supplying a range of nets to different markets. This diversified model includes the fully commercial PermaNet LLIN, sold at cost plus a small margin and SafeNite (PermaNet branded for Ethiopia) – sold at a subsidized price in three high malarias regions. In addition, with support from USAID/OFDA, heavily subsidized Woba Gasha (The Malaria Shield) brand ITNs are distributed in rural areas in partnership with a wide range of over 10 different NGOs. Other donors for malaria prevention in Ethiopia include UNICEF and DFID. In 2005 and its first full year of sales, PSI distributed over 250,000 ITNs.

Guinea

PSI/Guinea, in partnership with the Ministry of Health and funding from ALCOA Foundation and USAID, began malaria prevention activities in October 2004 and is considered the primary net distributor in the country. In the two high prevalence malarial zones PSI/Guinea has distributed more than 50,000 nets through a two tiered distribution strategy. The program targets pregnant women and children under five with a highly subsidized long lasting insecticide treated net (LLIN), Maman Séréna, in health clinics. PSI also markets a cost recovery LLIN, Séréna, to the general population through commercial outlets.

PSI is the leader and point organization for the group known as the “GAP” (Groupe d’Action contre le Paludisme). The GAP is now a key partner with the MOH and the National Malaria Control Program and is well placed to receive malaria prevention money from the Global Fund. In 2006, PSI/Guinea is seeking funding support to expand net distribution nationwide and to provide malaria treatment with Artemisinin-based combination therapy (ACT).

Kenya

The national ITN delivery program in Kenya, which began in 2002, is primarily funded by DFID and implemented by PSI/Kenya in collaboration with the Ministry of Health and a range of commercial and civil society partners. Through the partnership, in 2005, PSI-distributed 3.4 million ITNs of which 49% were LLINs and 1.1 million insecticide treatment kits. The nets are distributed through a range of complimentary strategies. Partially subsidized ITNs are delivered through the commercial sector whilst heavily subsidized LLINs (US$0.60), targeting pregnant women and children under five, are delivered through government antenatal clinics. This market segmentation strategy has reached 46% of children under five and 50% of pregnant women in three key malaria endemic provinces.

In 2006, PSI/Kenya expects to deliver over 3.5 million nets. Combined with those delivered during the Expanded Program on Immunization (EPI) campaigns, coverage is expected to exceed 80% amongst malaria risk groups. Going forward, PSI is looking to support the Ministry of Health in improving access to affordable Artemisinin-based combination therapy.

Madagascar

PSI launched its malaria prevention program in Madagascar in 2001. In partnership with the Ministry of Health and key local partners PSI has now distributed more than 1.5 million long lasting insecticide treated nets (LLINs) nationwide. Using a market segmentation approach donated LLINs were distributed at a subsidized price (US $1.50) to pregnant women and children under five. To increase access among rural populations, PSI collaborates with NGOs in endemic areas and also trained over 3,000 community agents in more than 380 rural communities.

Since 2003, when PSI introduced PaluStop, a pre-packaged treatment (PPT) for home management of uncomplicated malaria for children under five, more than 4 million treatment kits have been distributed though pharmaceutical, commercial and NGO channels.

Malawi

COMING SOON...

Mali

PSI/Mali’s national malaria prevention program was launched in 2002 with support from the Global Fund. USAID, NetMark and PSI/Washington have since provided additional funding for purchase of LLINs and net retreatment kits. Program activities are implemented jointly through the Ministry of Health, by its National Program for Malaria Prevention (PNLP), and PSI/Mali.

From June 2004 through April 2006, PSI distributed over 170,000 highly subsidized (US $1) LLINs to pregnant women and children under five attending at over 100 antenatal clinics. Through a profit-sharing arrangement, each clinic earns on average US $400 profit a year. This is typically used to cover operating costs and purchase medical supplies. In the same period, over 530,000 subsidized (US $0.50) home insecticide retreatment kits for nets have been distributed to the general population. This represents approximately 1 kit for every 4 households known to have at least one mosquito net. Limited distribution of LLINs and retreatment kits will continue through 2006 after which no funds are currently available to continue activities.

Mozambique

COMING SOON...

Namibia

In July 1998, the Social Marketing Association of Namibia (SMA), a local PSI affiliate, launched a project to market insecticide treated mosquito nets (ITNs) and retreatment kits for ITNs in malaria infected regions in the six Northern regions of Namibia. During this time SMA distributed more than 49,000 nets and 7,000 tabs. In 2005 SMA received money from the Global Fund, in partnership with the Ministry of Health and Social Services, to launch a long lasting insecticide treated mosquito net (LLIN), SupaNet Plus in these six Northern regions. LLIN’s are being distributed through the commercial sector and NGOs with a particular focus on pregnant women and children under five. Since the launch on the LLINs at then end of 2005 more than 10,000 nets have been distributed.

Nigeria

PSI affiliate Society for Family Health (SFH) is the largest indigenous NGO in Nigeria and is a key partner in developing and implementing Nigeria's national malaria control strategy. SFH sits on the National Antimalarial Drug Policy Implementation Transition Committee and has been instrumental in developing Nigeria's ACT (Artemisinin-based combination therapy) policy. Since 2003, and with support from USAID and DFID, SFH has been distributing KidCare (Chloroquin) and Fansidar prepackaged malaria treatments. In just over two years, SFH has distributed more than 3.7 million prepackaged treatments to children under five. In January 2006, SFH launched the first social marketed ACT on the commercial sector in Africa and expects to see this pilot program rapidly expand nationwide in line with results from independent monitoring. In 2005, SFH launched long-lasting insecticide treated nets (LLINs) through the commercial sector and a pilot antenatal clinic delivery system with heavily subsidized LLINs.

Rwanda

PSI/Rwanda began malaria prevention in 1998 and distributed over 500,000 ITNs and 500,000 retreatment kits through 2004. With funding support from KfW and the Global Fund, PSI introduced long lasting insecticide treated nets (LLINs) in 2005. In its first year, PSI distributed over 190,000 LLINs and over 250,000 LLINs in the first quarter of 2006. About 50% of these are Mamanet branded LLINs and distributed through the public sector directly to pregnant women and children under five at 100% subsidy. PSI is a key partner with the government in their targeted antenatal program. The other 50% are Tuzanet branded LLINs distributed commercially at a highly subsidized price of about US$1. In 2006, PSI is working to further help the government to launch pre-packaged malaria treatment in the public and private sectors.

Southern Sudan

PSI-Sudan launched its first products – a long lasting insecticide treated net (LLIN) and a treated Dumuria-type net – in South Sudan on Africa Malaria Day (April) 2005. With funding from DFID, and in partnership with the Federal Ministry of Health (FMoH), a gradual scale-up has brought LLINs to seven counties of Bahr-El-Ghazal and Equatoria Regions. The program focuses on the commercial sector and non-traditional distributors. In the ten months following the launch, PSI/Sudan sold more than 100,000 LLINs with demand significantly exceeding supply. In 2006, PSI-Sudan will expand its distribution network by using health clinics in 13 counties, with funding from the Global Fund. PSI/Sudan currently leads the development of a national behavior change communications strategy and will support the eventual delivery of Artemisinin-based combination therapy (ACT) in 2006/2007.

Tanzania

The PSI-managed SMARTNET project (Social Marketing of ITNs), funded by DFID and the Royal Netherlands Embassy, has been a trailblazer for the Roll Back Malaria partnership to stimulate commercial ITN production and distribution. Over the past several years PSI/Tanzania has worked with local net manufacturers to ensure that all nets in Tanzania are bundled with a net retreatment kit, Ngao. Since 2005 almost 2.7 million kits were bundled by net manufacturers and the PSI brand is now a household name in much of Tanzania. In addition to those bundled with nets more than 3.1 million Ngao kits socially marketed since 2005.

In 2006, PSI and local net manufacturers are assessing the feasibility of new technology to turn nets into long-lasting treated nets at the factory level, as well as to upgrade Ngao into a longer lasting treatment for bundling. Also in 2006, PSI will implement the communications campaign for the Ministry of Health’s Artemisinin-based combination therapy (ACT) program.

Togo

COMING SOON...

Uganda

PSI Uganda is a key member of the local RBM partnership, the ITN Working Group, the IEC sub-committee and the Malaria and Childhood Illnesses Secretariat (MACIS). PSI distributes SmartNet, a long lasting insecticide treated net (LLIN) and implements national behavior change communications. Launched in December 2000, over 350,000 SmartNet LLINs have been distributed at cost recovery prices, primarily in rural areas outside the capital Kampala. Since 2003 and with funding from USAID, PSI has distributed over 400,000 subsidized LLINs in northern Uganda, an unstable and war torn region of the country.

In 2004, PSI, the Discovery Channel and the Ministry of Health produced an award winning short film as part of the Home Based Management strategy for treatment of malaria in children under five. Targeting illiterate rural populations, a mobile video truck has shown the video in 7 districts, reaching over 8,000 rural Ugandans.

Zambia

PSI affiliate Society for Family Health (SFH) began a pilot project to distribute ITNs and insecticide retreatment kits in 2001. In 2003, with support from DFID, SFH launched the country's first long lasting insecticide treated net (LLIN) program targeting the most vulnerable groups of pregnant women and children under five. As of 2005, 7 of Zambia's 9 provinces were covered by the program distributing over 175,000 LLINs. Funding form USAID and Global Fund has enabled the distribution of over 200,000 highly subsidized LLINs through health centers, in the first four months of 2006.

Zimbabwe

PSI/Zimbabwe’s ITN program currently operates in 3 high burden malaria districts of Zimbabwe. To date, over 83,000 long-lasting insecticide-treated nets (LLINs) have been distributed through antenatal clinics (ANCs) at a highly subsidized cost (US $0.40) to pregnant women and children under 5. Over 80% of the target population has received LLINs in these districts. PSI/Zimbabwe’s partnership with the Ministry also includes input into the national malaria control strategy and distribution of mosquito nets during child immunization campaigns. In 2006, a new UNICEF grant will expand the subsidized LLIN program to 3 additional districts with distribution of 100,000 nets. With Global Fund Round 5 funding, PSI/Zimbabwe will develop communications campaigns for the government’s new Artemisinin-based combination therapy (ACT) policy.

Cambodia

The PSI/Cambodia malaria program focuses on providing affordable and accessible malaria diagnosis, treatment and prevention products in the public and private sectors. In 2003, PSI partnered with the National Malaria Control Program and launched Malacheck (rapid diagnostic test kit) and Malarine, Artemisinin-based combination therapy (ACT). Since 2003, PSI has socially marketed over 350,000 ACT regimens and over 560,000 rapid diagnostic kits. In the fall of 2006, PSI plans to launch new long-lasting insecticide treated prevention products including a hammock net and family sized LLINs available at subsidized prices.

In all malaria program areas, PSI/Cambodia works in close collaboration with the National Centre for Parasitology, Entomology and Malaria Control and the Ministry of Health. PSI also relies on the United Health Network of local NGOs to assist in the facilitation of training programs and communication campaigns.

Haiti

PSI/Haiti, with support from the Global Fund, is a key partner in a national malaria prevention project that started in late 2004. The project brought the first long lasting insecticide treated net Serena, to Haiti. Working with the Ministry of Health and selected NGO partners, PSI/Haiti expects to distribute over 100,000 subsidized nets nationwide in 2006.

Laos

In 2001, PSI/Laos launched SupaTab, the nation's only insecticide mosquito net re-treatment tablet, in close cooperation with the Ministry of Health's Centre for Malaria, Parasitology and Entomology (CMPE). Supported by the Global Fund since 2003, these re-treatment tablets are distributed through the private sector in the malaria-endemic areas, with sales in 2005 exceeding 310,000 units. With further Global Fund and CMPE support, PSI/Laos expanded its malaria prevention program by launching PowerNet long-lasting insecticidal nets (LLINs) in February 2006. PSI anticipates selling its initial allotment of 20,000 LLINs in only three to four months. Both SupaTab and PowerNet products are promoted to Lao families, especially targeting pregnant women and children. A broad communications strategy (mass media, interpersonal communications) is coupled with regular trainings for provincial health officials and pharmacists. In addition to scaling up delivery of these two products in 2006, PSI/Laos will work closely with CMPE to introduce social marketed rapid testing kits and Artemisinin-based combination therapy (ACT).

Myanmar

In June 2003, PSI/Myanmar pioneered the delivery of high-quality malaria diagnosis and treatment services. Through a network of PSI-developed Sun Quality Health franchises, now established with over 500 providers, 340 medical staff have been trained to socially market Sure, a rapid diagnostic kit (RDKs) and Artemisinin-based combination therapy (ACT) at highly subsidized prices. After a pilot phase that ended in 2005, sales totaled 74,000 for RDKs and 28,000 for ACTs.

PSI self-finances a revolving fund to provide Supatab insecticide treatment kits for mosquito nets. Sold at full cost recovery, sales in 2005 totaled more than 225,000 kits. With a small grant from UNICEF, PSI/Myanmar has conducted malaria education activities using television and inter-personal outreach sessions that reached 80,000 people in 2005. Plans for 2006 include training an additional 90 Sun Quality Health doctors, treating 25,000 malaria cases with ACT, sourcing lower-cost ACT and funding to expand treatment nationally, expanding the malaria education activities and selling 250,000 Supatabs.

Nepal

In 2006, PSI/Nepal began malaria control activities in collaboration with the Government of Nepal - Epidemiology and Disease Control Division (EDCD). With funding from the Global Fund, Phase I will train private sector providers, distribute long lasting insecticide treated nets (LLINs) to vulnerable groups and deliver behavior change communication messages in six malaria affected districts within the southern (Terai) plains. Phase II of the project is expected to begin from September 2006 and will expand operation to six additional districts.

PSI/Nepal’s LLIN distribution strategy is primarily through the social mobilization of grass-roots and Community Based Organizations (CBO’s) including district-wide networks of: religious groups (both Buddhist and Hindu): sports clubs; school networks and youth clubs. Behavior change communications and interpersonal communication activities are conducted by CBO’s, through the airing of a highly entertaining six-part radio and televised soap opera, billboards, banners and other printed materials.

Pakistan

PSI affiliate Greenstar Network is one of the largest developing-country, private reproductive health networks in the world. Greenstar clinics and pharmacies deliver comprehensive, affordable, quality health products and services to millions of low-income people throughout Pakistan. With Global Fund support, Greenstar initiated a small pilot project in 2004 to distribute insecticide treated nets (ITNs) in four of the highest risk malaria districts - Karachi, Hyderabad, Lasbela and Muzzafargarh. The project is the first targeted effort of its kind in Pakistan and targets those at highest risk, especially pregnant women and children under 5 years. Project activities include establishing baseline data on knowledge, attitudes and practice of target audience regarding malaria, its prevention and use of mosquito nets and identifying and training local NGOs/Community Based Organizations in net distribution. ITNs were fully launched in the forth quarter of 2005 with plans to expand distribution in 2006 with continued Global Fund support.