RBM Strategic Framework for Scaling-up ITN Programs: Role of NetMark Time Development of Commercial Market Subsidized Time-Limited Interventions Sustained Equity Provision Integrated strategy that strikes balance between sustainability and equity through targeted subsidies What is USAID/NetMark Plus’ role within this framework? Focus on all three elements through Increased budget, extended time-frame, expanded terms of reference and geographic coverage

NetMark’s Role in Commercial Expansion: Present and Future Time Development of Commercial Market Subsidized Time-Limited Interventions Sustained Equity Provision Joint planning with NMCPs, RBM partners Partnered with 80% of global ITN production capacity - strategic investments in expanded African production, distribution and promotion capacity Launched national level marketing efforts with commercial partners in Nigeria, Senegal and Zambia - (Ghana and Mali in process) - Preparing to expand into approximately 10 more countries Established markets for variety of affordable ITNs ($4 -$7 to the consumer) Strategic investments to accelerate the availability of improved technology (Long-lasting nets)

NetMark Plus Will Facilitate Links Between Commercial and Market Priming Efforts Time Development of Commercial Market Subsidized Time-Limited Interventions Sustained Equity Provision Strategic partnerships with PSI and other NGOs implementing market priming activities (Benin, Mali and Zambia) Strengthen investments by African distributors while priming markets currently beyond their reach through joint long-term planning Expand access to affordable ITNs beyond current reach of commercial sector

NetMark Plus will facilitate integration of commercial, market priming and targeted subsidy Interventions Time Development of Commercial Market Subsidized Time-Limited Interventions Sustained Equity Provision Partnership with UNICEF and others to design and implement voucher/coupon programs via ante-natal clinics Field testing a variety of approaches and using OR to determine the most effective and best balance Work with international and local partners to design models for targeted subsidies that can benefit from GFATM

Key lessons and issues for NEtMark Plus Taxes and tariffs on ITNs remain a major obstacle to commercial expansion Need to build broader partnerships that integrate commercial and subsidized approaches Local distributors require more direct support, and new distribution networks must be accessed Need for affordable and improved technologies because of retreatment challenges

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