The Logistics of Millions of Nets

Here is how they nets made their way to Mali. I quote Steven Phillips, ExxonMobil's Medical Director for Global Issues and Projects as he tells of the logistics of a campaign to get bed nets, which protect people against malaria, to hundreds of thousands of people.

Here is the story of how each of the 2.26 million nets will make their way into the hands of a pregnant Malian mother and all mothers with children under age five (The nets were funded by a consortium including the U.S. President's Malaria Initiative, the Canadian Red Cross, Malaria No More, and the UN Foundation's Nothing But Nets campaign.):

Orders were placed with a manufacturer who sourced the nets from Vietnam, seven months pre-campaign. The nets were contained and shipped in 58 "high cube containers" (40 x 9-1/2 x 8 feet), from Vietnam to a sorting transit point in Spain. Each container holds about 38,000 nets.

The cargo was sorted and re-loaded to a second ship for its journey through the Straits of Gibraltar and down the West African coast to Dakar, Senegal. It took 55 days for the shipment to arrive in the port of Dakar.

Over the next two to three weeks the cargo was transported over 1,200 kilometers of road and rail to Bamako, Mali. It required a further seven days to clear customs.

The 58 containers were transferred to the only three warehouses in the country large to store them. They filled the three 1100 square-metre warehouses.

The distribution plan called for 40 health districts to receive shipments in six regions of the country over a radius of 600 km from Bamako. A single transport company won the tender and used 60 runs by 40 trucks to deliver bales of uncrated nets. Transport was about 50 percent on "tire roads" which are paved, and 50 percent on unpaved dirt roads. It required ten days to accomplish this phase. Many of the roads would have been impassable in the rainy season. The paradox was striking – the nets could only be delivered reliably during the dry season, when malaria risk is the lowest.

From the 40 district locations nets were subdivided for shipment to 975 health centers. It took one to 10 days to accomplish this. While awaiting trans-shipment, the bales of nets were often subject to "outdoor warehousing" with a hired security guard sitting on top of the bales to prevent theft.

From the health centers, the nets were sent to 2,000-3,000 distribution points with a radius of 5-20 km. This was accomplished via a variety of transportation modes including bicycle, donkey-cart, camel and "push-push", a local cart-like conveyance pushed by human power.

For mothers who could not make it to the final distribution points, mobile teams on bicycles and motorcycles would deliver the nets to their villages and dwellings. In the end, all of Mali's 15,000 villages are covered.

Elapsed time: seven months. Number of people coordinating logistics: six. Lost or damaged nets: none.