Feedback on Field
Assessment of LLIN
Continuous Distribution
in Zambia
13th February, 2014
Aspects of Implementation Assessed
• Coordination
• Logistics and supply chain
• Reporting and data collection
• Monitoring and supervision
• Training/ re-orientation
• Malaria messaging/ BCC
Challenges
ANC Distribution
•
•
•
•
Limited storage space at district and HF levels
Stock outs at district and HF levels
Poor documentation of nets distributed
Little or no monitoring/ supervision of distribution
activities at HF level
• Little training on use of storage and distribution
tools
• Disparities in malaria messaging
Under 5 Distribution
• Who to give net to is ambiguous
• LLIN distribution not captured in
register
• Poor documentation of nets
distributed
Community-based Distribution
• Distances from some communities to HF
• Criteria for issuing coupon to community
member
School-based Distribution
• Limited storage capacity at district and
school levels
• Selection of grades in primary school for net
distribution
• Knowledge of malaria messaging at school
level (SHN Coordinators)
Recommendations
General
• Committee for CD to be formed at national
level
• Similar committees to be formed at
provincial levels
• Provincial level team should be trained in
the use of the NetCalc tool
• Draft guideline to be finalized and adopted
by ministries and partners for LLIN CD
ANC & Under 5 Distribution
ANC & Under 5 Distribution
• Nets to be given to only children completing
measles 1 vaccination (for <5 distribution)
• Improvise available registers for recording net
distribution <5 years
• Re-orientation on use of tools at HF for net stocks
and distribution
• Improve supervision of net distribution at HF and
develop specific checklist for net distribution
ANC & Under 5 Distribution
• Re-orientation on malaria messaging
• Provide job aids on malaria messaging
• More efficient supply chain system to be
instituted to get nets to HFs
• Thresholds and modalities for LLIN
replenishment to be agreed and instituted
Community-based Distribution
Community-based Distribution
• Identify storage hubs closer to communities
for the redemption of coupons
• Agree on context-specific criteria for issuing
coupons in addition to general criteria
School-based Distribution
School-based Distribution
• Nets to be moved to districts close to the
agreed time of distribution of July
• Grades 1 and 4 agreed as selected classes in
primary school for school distribution
• SHN and school head to be oriented on
malaria messaging
• Provide guide on malaria messaging at
school level