The power of test kits: Inducing change from below

1. The power of test kits:Inducing change from below Tobias Schüth Kyrgyz-Swiss Health Reform Support Project

2. Objective: Exclusive selling of iodised salt through local dealers Strategy: Testing campaign of salt in all households with information on IDD Documentation of test results including the name of the dealer from whom salt was bought Contact with all local salt dealers demanding provision of iodised salt (consumer pressure) Provision of test kits to all dealers (winning dealers as allies) The power of test kits:Inducing change from below

3. The setting: 2 areas, 2 variations of one strategy 1) Jumgal rayon, 40,000 people, remote mountainous region of Naryn oblast 2) Remaining 4 rayons of Naryn oblast and Naryn city with 210,000 people The power of test kits:Inducing change from below

4. Two variations of one strategy 1)Jumgal rayon Tests done by Village Health Committees and staff of Family Group Practices (FGP) Test kits given to all dealers (kits for iodate salt only) 2)Naryn oblast Tests done by Staff of Family Group Practices No test kits to dealers The power of test kits:Inducing change from below

5. Testing campaign, Jumgal rayon

6. Testing campaign, Jumgal rayon

7. Testing campaign, Jumgal rayon

8. Testing campaign, Jumgal rayon

9. Testing campaign, Jumgal rayon

10. Testing campaign, Jumgal rayon

11. Testing campaign, Jumgal rayon

12. Testing campaign, Naryn oblast

13. Testing campaign, Naryn oblast

14. Testing campaign, Naryn oblast

15. Testing campaign, Naryn oblast

16. Testing campaign, Naryn oblast

17. Testing campaign, Naryn oblast

18. Testing campaign, Naryn oblast

19. The dealers and their salt

20. The dealers and their salt

21. Costs of initial testing campaign and one monitoring round The power of test kits:Inducing change from below

22. Conclusions The combination of a salt testing campaign in households and of involvement of dealers can dramatically increase consumption of iodised salt in a very short time. Provision of test kits to dealers can influence the kind of salt people consume The intervention is very low cost The power of test kits:Inducing change from below

23. Extension of the campaign March 03: initial testing campaign in Jalalabad oblast (800,000 population) Further oblasts until June 03 The power of test kits:Inducing change from below