a. Contribution of integrated campaign distribution of long-lasting insecticidal nets to coverage of target groups and total populations in malaria-endemic areas in Madagascar. Schellenberg JR, Abdulla S, Nathan R, Mukasa O, Marchant TJ, Kikumbih N, et al., et al. Washington: IMF; 2012. Fig. Chavasse D, Kolwicz C, Smith B. 46. Two of the studies with a temporal comparison evaluated time-limited delivery of fully subsidized ITNs42,43,47,48 and two analysed continuous delivery of partially subsidized ITNs.3,36,38–40 As such, the interpretation of ITN ownership among households and ITN use among children under 5 between survey years varies by study design and delivery strategy. The majority of strategies delivered to a targeted population of children under 5 or pregnant women. Free delivery on orders over $80. Costs and effects of two public sector delivery channels for long-lasting insecticidal nets in Uganda. 44. (IRS or indoor-residual spray* or indoor-spray*).ot,tw,ab,fs,kw,ti,hw,nm. Terlouw DJ, Morgah K, Wolkon A, Dare A, Dorkenoo A, Eliades MJ, et al., et al. Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England. Choose from contactless Same Day Delivery, Drive Up and more. Characteristics associated with financial and economic costs of insecticide-treated nets (ITNs) in areas with endemicity for, Table 4. In nonrandomized studies, identification of the channel through which the ITN is delivered (i.e. The Disc-O-Bed Large Cam-O-Bunk Cot provides plenty of room to kick back and relax while taking up less room than a 3-person tent! Kolaczinski JH, Kolaczinski K, Kyabayinze D, Strachan D, Temperley M, Wijayanandana N, et al., et al. It cannot, therefore, be used for making bed nets. Total insect protection. The economic cost per child death averted was US$ 1242 for a national voucher scheme. Markets, voucher subsidies and free nets combine to achieve high bed net coverage in rural Tanzania. IMPACT_RAD "coyote_sc" ... Spokane Mosquito Net Bed Canopy Alvantor Color: Navy Wayfair North America $ 123.99. Household ownership and use of insecticide treated nets among target groups after implementation of a national voucher programme in the United Republic of Tanzania: plausibility study using three annual cross sectional household surveys. Malaria continues to represent a major public health problem in areas of endemicity, with an estimated 225 million cases worldwide in 2009.1 The 2015 goals of the World Health Organization’s (WHO’s) Roll Back Malaria Partnership are to reduce global malaria cases by 75% from 2000 levels and to reduce malaria deaths to near zero through universal coverage by effective prevention and treatment interventions.1 Among other preventive interventions, WHO recommends the use of insecticide-treated … Beds, though, are not the only places where nets are useful. REPLACEMENT CANOPY AND SIDE MOSQUITO NETTING SET ONLY. Assessment of a national voucher scheme to deliver insecticide-treated mosquito nets to pregnant women. (Submitted: 24 August 2011 – Revised version received: 31 January 2012 – Accepted: 02 February 2012 – Published online: 06 July 2012. Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England.b. Mosquito Net Round Pop-up Double Size,Canopy Mesh Netting Bedroom Insect Bedding. SOLIG Net, white assorted colours, 150 cm. Mosquito net mosquito net mosquito net canopy bed canopy for double beds … (community health worker* or village health worker* or (home manag* adj5 malaria)).ot,tw,ab,fs,kw,ti,hw,nm. ... please call Target Guest Services at 1-800-591-3869. In the district-level studies, financial costs ranged from US$ 8.20 to US$ 10.54 per ITN delivered. The strategy evaluated in one delivered ITNs during a stand-alone campaign. The quality of studies with a randomized or nonrandomized control group and of those using an interrupted time-series design was assessed using the Cochrane risk of bias checklist15 and Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria.18. Grabowsky M, Nobiya T, Ahun M, Donna R, Lengor M, Zimmerman D, et al., et al. 49. Two of the four used a cross-sectional design to evaluate strategies at either the national or district levels. Easy to keep clean as it can be washed in a machine. Only the cluster-randomized controlled trial directly compared different delivery strategies.22–24 One strategy involved subsidized sale, promoted by social marketing, of ITNs to the general population plus free distribution of long-lasting insecticidal nets to pregnant women at antenatal care clinics. ITN ownership among households ranged from 1.3% to 94% and ITN use among children under 5, which is typically lower than the prevalence of household ITN ownership, ranged from 12% to 94%. TCIN: 79580175. Studies of retail-based delivery reported financial costs of US$ 5.47 and US$ 11.16 per ITN delivered in Burkina Faso and Malawi, respectively, and of US$ 12.57 and US$ 18.72 per treated-net–year in the United Republic of Tanzania and Malawi, respectively. USA De&qw Thickened Castle Tent Mosquito Nets Encrypted Double Bed Canopy Set Breathable Castle Tent-b QUEEN2. (treatment or antimalaria* or artemisinin-combination treat* or artemisinin-combination therap* or artemether lumefantrine or artesunate or amodiaquine or mefloquine or chloroquine or primaquine).ot,tw,ab,fs,kw,ti,hw,nm. The lightweight, 8 tethered section fiber glass frame attaches to the round plugs on your Disc-O-Bed or Kid-O-Bunk for a secure fit. The concentration index in each revealed higher ITN ownership or use among the least poor groups. In response to the Roll Back Malaria Partnership’s targets for universal coverage, considerable efforts have been made recently to scale up ITN delivery. Recent studies have found that the most common reported reasons for non-use of nets included discomfort of nets primarily due to heat and the perception of low mosquito density [14–18], outdoor sleeping , fears about insecticide used in treated nets [16, 19] and difficulty hanging a net . Agha S, Van Rossem R, Stallworthy G, Kusanthan T. The impact of a hybrid social marketing intervention on inequities in access, ownership and use of insecticide-treated nets. The highest ownership was reported in the poorest quintile in four campaigns that integrated the delivery of free ITNs with measles vaccination. A total of 378 households in the Adjumani district of Uganda were surveyed 5–7 months after distribution of partially subsidized ITNs to pregnant women through antenatal care clinics27 and 264 households in the North A district of Zanzibar were surveyed 5 months after ITN delivery during a stand-alone ITN campaign.41 Responses revealed use by 94% of children under 5 in households surveyed in the Adjumani district and by 87% of children under 5 in the North A district. 42. If the item details above aren’t accurate or complete, we want to know about it. 6 or 7 or 8 or 9 or 10 or 11 or 12 or 13 or 14 or 15 or 16 or 17 or 18 or 19 or 20 or 21 or 22 or 23 or 24 or 25 or 26 or 27 or 28 or 29 or 30 or 31 or 32 or 33 or 34 or 35 or 36. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Most strategies that used routine health services targeted pregnant women or children under 5. Mosquito Bed Nets (7 results) Products (7) Articles Filter. Not for children under 3 yrs. Shop for Mosquito Nets at REI - FREE SHIPPING With $50 minimum purchase. WARNING: choking hazard - small parts. Review of delivery strategies for insecticide treated mosquito nets: are we ready for the next phase of malaria control efforts? Double Single Queen Canopy Bed Curtain Dome Stopping Mosquito Net Midges Insect. Willey B, Smith L, Armstrong Schellenberg J. http://www.hsr-symposium.org/images/stories/5scale_up_delivery_malaria_control.pdf. health and retail). 39. 43. AMAZON First, two authors (BW and LSP) independently screened titles and abstracts to determine which papers should undergo full-text assessment for eligibility. Noor AM, Amin AA, Akhwale WS, Snow RW. IMPACT_RAD "coyote_sc" Pillowfort. Beer N, Ali A, de Savigny D, Al-Mafazy AW, Ramsan M, Abass A, et al., et al. ), Bulletin of the World Health Organization 2012;90:672-684E. Bulletin of the World Health Organization, Volume 90, Number 9, September 2012, 633-712. In Ghana, a follow-up survey conducted 38 months after the initial survey revealed that ownership among households had decreased by 18%, to 74%. If you, your partner or kids tend to move about a lot during the night, try our range of handy grippers to keep everything in its place. If you are prone to mosquito bites, you will love a handy mosquito net, designed to be hung above the bed… See how a store is chosen for you. Evaluation designs for adequacy, plausibility and probability of public health programme performance and impact. Thwing J, Hochberg N, Vanden Eng J, Issifi S, Eliades MJ, Minkoulou E, et al., et al. Kulkarni MA, Vanden Eng J, Desrochers RE, Cotte AH, Goodson JL, Johnston A, et al., et al. Three studies presented the concentration index of ITN ownership among households or ITN use among children under 5. In nonrandomized studies, identification of the channel through which the ITN is delivered (i.e. The team at Pest Masters looks … For decades, health officials have battled malaria with insecticides, bed nets and drugs. Retained papers underwent full-text review (performed independently by BW and LSP) to determine whether they described studies that satisfied the following criteria: subjects resided in areas where. You are more likely to touch the netting when sleeping under a cone-shaped net, which could allow insects to bite through. Washington: Population Services International; 2005. The research team found that mosquitoes that sat on the surfaces for six minutes—a typical resting time on bed nets—would absorb the medicine needed to kill the malaria parasite in them. Rectangular bed nets are a great option because they reduce your chance of touching the net while you sleep. Nano Mosquito Pyramid Insect Shield Net Shelter. Of the six studies reporting ownership by > 60% of households, four used an uncontrolled cross-sectional survey design, surveying 300–3000 households 1–3 years after delivery began. * This LIGHT BEIGE canopy and curtain netting set fits gazebos that were sold at Target … Select Same Day Delivery or Drive Up for easy contactless purchases. Popay J, Roberts H, Sowden A, Petticrew M, Britten N, Arai L, et al., et al. Integrating insecticide-treated bednets into a measles vaccination campaign achieves high, rapid and equitable coverage with direct and voucher-based methods. When bunked, there's 21 inches of head room for your buddy on the bottom bunk. 3 summarizes the characteristics of the strategies used to deliver ITNs at scale using the categories presented by Kilian et al. Eighteen studies reported ITN ownership among households and/or ITN use among children under 5 (Table 2). The other strategy involved only subsidized sale, promoted by social marketing, of ITNs to the general population through retailers. A mosquito net is a type of meshed curtain that is circumferentially draped over a bed or a sleeping area, to offer the sleeper barrier protection against bites and stings from mosquitos, flies, and other pest insects, and thus against the diseases they may carry. Filters were used to limit the search to humans and to publication dates from January 2000 to December 2010. It is simplistic to interpret the findings of this review as providing a single recommendation to policy-makers on which ITN delivery strategy to adopt. Can we systematically review studies that evaluate complex interventions? $41.19 - $48.69 Compared to (8) 8 reviews with an average rating of 4.25 out of 5 stars. The World Health Organization credits insecticide-treated bed nets with preventing an estimated 1.3 billion cases of malaria and 6.8 million deaths from the disease since the year 2000. Drape the net … One study evaluated equity on the basis of urban and rural residence and twelve studies evaluated it on the basis of a household asset index. Evaluating delivery systems: complex evaluations and plausibility inference. Nothing But Nets is a global grassroots campaign to raise awareness, funds, and voices to fight malaria. The lightweight, 8 tethered section fiber glass frame attaches to the round plugs on your Disc-O-Bed or Kid-O-Bunk for a secure fit. The evaluation of large-scale health programmes has been highlighted as a “top priority in global health”. The Medical Research Council recommends that the evaluation of complex interventions include information on the context and implementation of interventions. Blackburn BG, Eigege A, Gotau H, Gerlong G, Miri E, Hawley WA, et al., et al. One study considered the continuous delivery of free ITNs through antenatal clinics.25 Two studies evaluated combined strategies.27,29,30 In one, ITNs were delivered to pregnant women through antenatal clinics on a continuous basis by use of a partially subsidized voucher system and to children under 5 through a campaign integrated with measles vaccination, at full subsidy.29,30 In the other, ITNs were delivered under a full subsidy to pregnant women through antenatal clinics on a continuous basis and for free to children under 5 during a stand-alone campaign on a time-limited basis.27. Fourteen studies delivered ITNs only to children under 5 and/or pregnant women (Table 1 and Table 2, both available at: http://www.who.int/bulletin/volumes/90/9/11-094771). Cost or cost-effectiveness estimates were most sensitive to the assumed ITN lifespan (i.e. We therefore conducted a systematic review to synthesize recent evidence on the delivery of ITNs (including long-lasting insecticidal nets) at scale in malaria-endemic areas by documenting and characterizing the strategies for delivering ITNs at scale (at the district level or higher); summarizing ITN ownership among households and ITN use among children under 5, stratified by measures of equity when possible; summarizing the reported cost or cost-effectiveness of different strategies; and synthesizing information on reported factors influencing delivery of ITNs at scale. Comparisons of costs and cost-effectiveness across these strategies are challenging because of variations in the methods of economic analysis used and in the scale of delivery, as emphasized previously.53 Nonetheless, the cost of delivering ITNs across the strategies was reasonably comparable. Write a Review AU $19.95 New. Grabowsky M, Farrell N, Hawley W, Chimumbwa J, Hoyer S, Wolkon A, et al., et al. Characteristics of strategies to deliver insecticide-treated nets (ITNs) at scale in areas with endemicity for, Table 2. Of the 18 studies reporting data on ITN ownership among households and ITN use among children under 5, the study design in two (a cluster-randomized controlled trial. One study described the delivery of partially subsidized ITNs at the district level through sales by health facility staff. A systematic review was conducted to identify studies that reported on the delivery of ITNs (including long-lasting insecticidal nets) at scale. Distribution of insecticide-treated bednets during an integrated nationwide immunization campaign – Togo, West Africa, December 2004. Spend this time at home to refresh your home decor style! Shop for outdoor patio mosquito netting online at Target. A systematic review was conducted to identify studies that reported on the delivery of ITNs (including long-lasting insecticidal nets) at scale. Preventing malaria in Malawi. Developing and evaluating complex interventions: the new Medical Research Council guidance. Seven studies from six countries described multiple concurrent or sequential delivery strategies, particularly continuous strategies in combination with a time-limited campaign. Habicht JP, Victora C, Vaughan J. Available from: http://www.imf.org/external/pubs/ft/weo/2011/01/index.htm. 47. 40. Pope M. Synthesising qualitative research. Screening was a two-stage process. Drape the net over that and you're all set for a bug-less night. 38 or 39 or 40 or 41 or 42 or 43 or 44 or 45 or 46. Kweku M, Webster J, Taylor I, Burns S, Dedzo M. Public-private delivery of insecticide-treated nets: a voucher scheme in Volta Region, Ghana. Of the 18 studies reporting data on ITN ownership among households and ITN use among children under 5, the study design in two (a cluster-randomized controlled trial22–24 and a quasi-experimental study without randomization21) involved comparison areas, and the study design in four involved a temporal comparison. Cost-effectiveness of social marketing of insecticide-treated nets for malaria control in the United Republic of Tanzania. Comparisons of costs and cost-effectiveness across these strategies are challenging because of variations in the methods of economic analysis used and in the scale of delivery, as emphasized previously. These studies showed wide variability in ITN ownership among households and ITN use among children under 5. The study that evaluated equity in terms of urban and rural residence was based on data from a national survey performed after partially subsidized delivery of ITNs to pregnant women and children under five at health centres. Double Single Queen Canopy Bed Curtain Dome Stopping Mosquito Net Midges Insect. Barriers involving cost were common at the user level, whereas barriers involving stock-outs and poor logistics for ITN procurement and transport were common at the implementer level. Kolaczinski J, Hanson K. Costing the distribution of insecticide-treated nets: a review of cost and cost-effectiveness studies to provide guidance on standardization of costing methodology. The first objective was to document and characterize the strategies for delivering ITNs at scale and was guided by a framework adapted from Kilian et al. If you have a specific question about this item, you may consult the item's label, contact the manufacturer directly or call Target Guest Services at 1-800-591-3869. Long lasting insecticide treated travel nets, luxurious silk canopies and mosquito netting by the metre. Find nursery furniture & accessories at low prices from Target. Our expert team will determine exactly what type of pests you have in your home or business and come up with a customized plan to target and eliminate them, for good! Victora CG, Black RE, Boerma JT, Bryce J. Distributing insecticide-treated bednets during measles vaccination: a low-cost means of achieving high and equitable coverage. 3 and Table 2). Hanson K, Marchant T, Nathan R, Mponda H, Jones C, Bruce J, et al., et al. Our experience in conducting this review suggests that future synthesis of evidence involving large-scale delivery of complex public health interventions would benefit from improved consistency of reporting of the implementation process by included studies. Shepperd S, Lewin S, Straus S, Clarke M, Eccles MP, Fitzpatrick R, et al., et al. Permastik Mosquito Bed Net. ... Hammock bed length: 115 Inches. ITN ownership in Ghana was 90%, whereas ownership in Zambia was 88% in rural areas and 82% in urban areas. Content analysis and narrative synthesis were used to identify important influences on delivering ITNs at scale and themes were assessed across the different ITN delivery strategies. They are hung from a special mosquito net frame located above the bed. The Malawi ITN delivery model. Screening was a two-stage process. The reference lists from eligible papers were hand-searched for additional relevant citations. All strategies involving time-limited integrated campaigns and stand-alone campaigns targeted children under 5, whereas strategies using retailers and community-based delivery provided ITNs to the general population. Comparative cost analysis of insecticide-treated net delivery strategies: sales supported by social marketing and free distribution through antenatal care. Ten studies reported on the cost or cost-effectiveness of ITNs (Table 3). Grabowsky M, Nobiya T, Selanikio J. Skarbinski J, Massaga JJ, Rowe AK, Kachur SP. All data relevant to the review were extracted from final included papers into an Access database (Microsoft, Redmond, United States of America). Read full description Print preview This review was supported by the Alliance for Health Services and Policy Research, World Health Organization, which commissioned this work as a background paper for the First Global Symposium on Health Systems Research. Bed net ownership in Kenya: the impact of 3.4 million free bed nets. On your next camping trip, sleep peacefully knowing they'll never make it through the Disc-O-Bed Mosquito Net and Frame. 51. limit 50 to (humans and yr = â€2000 -Current”). Curbside Pickup Available NOW! The majority of equity evidence was from uncontrolled studies: in general, strategies that used time-limited delivery of fully subsidized ITNs were equitable or pro-poor, in contrast to strategies that used continuous delivery of partially subsidized ITNs. Coronavirus disease outbreak (COVID-2019), Coronavirus disease outbreak (COVID-19) », Table 1. Measuring impact in the Millennium Development Goal era and beyond: a new approach to large-scale effectiveness evaluations. The remaining three were cost-effectiveness studies that also presented cost per death or per disability-adjusted life year averted. The effectiveness of ITN delivery strategies was not compared using meta-analysis because study designs were too variable. Wiseman V, Hawley WA, ter Kuile FO, Phillips-Howard PA, Vulule JM, Nahlen BL, et al., et al. Create your own insect protection, repair screens or make a baby carriage net. • Insecticide-treated nets are more effective than untreated nets. Citation data for identified papers were exported to EndNote (Thomson Reuters, Carlsbad, USA), where duplicates were removed. Creating an “enabling environment” for taking insecticide treated nets to national scale: the Tanzanian experience. Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M.. Thin Mesh Netting … Guyatt HL, Gotink MH, Ochola SA, Snow RW. Moreover, the review demonstrates how a framework for characterizing delivery strategies can prove useful in synthesizing evidence, which may help policy-makers formulate implementation strategies to deliver ITNs to populations in their local settings. To share your task and make your job easier, Target … ITN ownership among households ranged from 1.3% to 94% and ITN use among children under 5, which is typically lower than the prevalence of household ITN ownership, ranged from 12% to 94%. Relevant papers from the grey literature were identified by searching Eldis and WHOLIS databases and Roll Back Malaria, Malaria Consortium, Africa Malaria Network Trust, and The Global Fund to Fight AIDS, Tuberculosis and Malaria web sites. You are more likely to touch the netting when sleeping under a cone-shaped net, which could allow insects to bite through. Impact of mass distribution of free long-lasting insecticidal nets on childhood malaria morbidity: the Togo National Integrated Child Health Campaign. The above item details were provided by the Target Plus™ Partner. METAL STRUCTURE NOT INCLUDED. Lengeler C. Insecticide-treated bed nets and curtains for preventing malaria. 4 out of 5 stars (4) Total ratings 4, AU $14.95 New. Information on factors influencing delivery of ITNs at scale was available for 12 of 20 studies (Table 4). Size: 48” w x 72” (122 cm x 198 cm). Our bed nets are machine washable and will not tear, pull apart or shrink when washed correctly. UPC: 846241008265. One study had a quasi-experimental design and evaluated continuous delivery of partially subsidized ITNs through health care facilities.21 The other two used a cross-sectional design to assess the fully subsidized delivery of ITNs during a stand-alone campaign27 or during a campaign integrated with measles vaccination.46, Nine studies presented the equity ratio, or sufficient data for its calculation, of ITN ownership among households or ITN use among children under 5 (Fig. Shop for mosquito net gazebo online at Target. OTraki Pop up Mosquito Net 72 x 78 x 59 inch Anti Mosquito Bed Tent Free Standing Foldable Large Popup Bottom Netting for Outdoor Travel Trip Baby Kids Adult 200 x 180 x 150 cm The economic cost per child death averted was US$ 1242 for a national voucher scheme35 and US$ 2924 for a retail sector programme involving partially subsidized delivery.36 The economic cost per disability-adjusted life year averted was similar, at US$ 100 and US$ 107.25,36. Six studies were implemented on a national level, two on a regional scale and 12 at the district level (of which three took place in only one district). AIFUSI Mosquito Net for Bed, King Size Bed Canopy Hanging Curtain Netting, Round Hoop Sheer Bed Canopy for All Kids Baby Cribs and Adult Beds Fit Twin, Full, Queen. Exclusive to mosquitonets.com, this design has a very roomy interior and two entrances on each side of the bed. (malaria control or malaria intervention* or vector control* or vector management).ot,tw,ab,fs,kw,ti,hw,nm. See our price match guarantee. Effect of large-scale social marketing of insecticide-treated nets on child survival in rural Tanzania. First, two authors (BW and LSP) independently screened titles and abstracts to determine which papers should undergo full-text assessment for eligibility. Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, England.c. The mosquito,… 3 summarizes the characteristics of the strategies used to deliver ITNs at scale using the categories presented by Kilian et al.14 Routine health services, retailers and community-based agents were used to deliver ITNs on a continuous basis. Of the latter studies, three reported a concentration index and nine reported an equity ratio. Both studies reporting a high prevalence of ITN use among children under 5 also had an uncontrolled cross-sectional design. De Allegri M, Marschall P, Flessa S, Tiendrebeogo J, Kouyate B, Jahn A, et al., et al. Maidenhead: Open University Press; 2007. pp 142-152. 3). When autocomplete results are available use up and down arrows to review and enter to select. This net is tightly woven to prevent mosquitoes and no see ums from saddling up next to you while you sleep. Drape the net over that and you're all set for a bug-less night. Prices, promotions, styles and availability may vary by store & online. 4 out of 5 stars (4) Total ratings 4, AU $14.95 New. The main cost was the ITNs themselves, a cost frequently supported by donor funding, and all of the cost-effectiveness estimates were most sensitive to ITN lifespan and proportion of ITNs actually used. 38. Process evaluation in randomised controlled trials of complex interventions. physical viability and duration of insecticide protection) and the proportion of ITNs actually used (leakage). Sustained high coverage of insecticide-treated bednets through combined catch-up and keep-up strategies. The quality of studies with a randomized or nonrandomized control group and of those using an interrupted time-series design was assessed using the Cochrane risk of bias checklist. The strategy evaluated in one delivered ITNs during a stand-alone campaign.41 The other investigated a combined strategy involving delivery of fully subsidized ITNs to children under 5 through a campaign integrated with measles vaccination and partially subsidized ITNs to pregnant women through antenatal clinics.29,30, In five studies, ITN ownership or use was higher in the least poor quintile. We all love the great outdoors, but sometimes it feels like they could be a little greater - like if the mosquitoes never bothered you. Marchant T, Schellenberg D, Nathan R, Armstrong-Schellenberg J, Mponda H, Jones C, et al., et al. Hanson K, Kikumbih N, Armstrong Schellenberg J, Mponda H, Nathan R, Lake S, et al., et al. Training and supervision of staff was often highlighted as a facilitator at the implementer level and cooperation across departments or ministries and stakeholder involvement were highlighted at the policy level. 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