1. Feedback on Field Assessment of LLIN Continuous Distribution in Zambia
13th February, 2014

2. Aspects of Implementation Assessed
Coordination
Logistics and supply chain
Reporting and data collection
Monitoring and supervision
Training/ re-orientation
Malaria messaging/ BCC

3. Challenges
Viewed as separate activities for continuous and campaign but should be a continuum of activities mutually reinforcing for both beneficiaries and health system

4. 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

5. Who to give net to is ambiguous
Under 5 Distribution
Who to give net to is ambiguous
LLIN distribution not captured in register
Poor documentation of nets distributed

6. Community-based Distribution
Distances from some communities to HF
Criteria for issuing coupon to community member

7. 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)

8. Recommendations

9. 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

10. 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

11. 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

12. 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

13. 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