Do mosquito nets signal the death of social enterprise?

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In social enterprise circles, one of the movement's signal successes has been the sale of mosquito nets to prevent malaria in Africa.

Whuh-oh:

Recently, Dr. Arata Kochi, the blunt new director of the World Health Organization’s malaria program, declared that as far as he was concerned, “the debate is at an end.” Virtually the only way to get the nets to poor people, he said, is to hand out millions free.

In doing so, Dr. Kochi turned his back on an alternative long favored by the Clinton and Bush administrations — distribution by so-called social marketing, in which mosquito nets are sold through local shops at low, subsidized prices — $1 or so for an insecticide-impregnated net that costs $5 to $7 from the maker — with donors underwriting the losses and paying consultants to come up with brand names and advertise the nets.

“The time for social marketing of bed nets in a big way is over,” Dr. Kochi said in an interview. “It can become a supplemental strategy for urban areas and middle-income countries.”

Two years ago, social marketing was at the heart of a scandal when it was revealed that the United States Agency for International Development, or USAid, which distributes foreign aid, was spending 95 percent of its malaria budget on consultants and 5 percent on goods like nets, drugs and insecticide. Under attack from several senators championing the fight against malaria, the agency later announced that it would spend at least half its budget on goods.

Senator Tom Coburn, Republican of Oklahoma, called the new W.H.O. policy “a great move,” adding, “We knew social marketing doesn’t work.”

 

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