Skip to main content

Table 2 Summary of Findings, by thematic area

From: Operational challenges to continuous LLIN distribution: a qualitative rapid assessment in four countries

Thematic area Specific area Key findings
Quantification   -All programmes conduct annual quantification exercises to produce supply needs
-Both population estimates as well as facility consumption data are used to produce LLIN quantifications
-Poor data quality at the facility level results in national-level estimations that may have errors
Logistics systems Distribution management -LLIN distribution managed separately from other commodities
-Ideal scenario is integrated distribution; practical solution is separate
-Bulk of nets was not identified as a major challenge for distribution
-Heavily led by partner organizations
Supply and restock -Each country had a different frequency of restock
-Commodities with dedicated funding and distribution most reliable supply chain (e.g. HIV, EPI, LLIN)
-Order placed primarily top-down “push” not bottom-up
Stock-outs Occurrence -All countries had reported stock-outs by facilities
Remedy -Make-shift stock-out corrections
-No clear stock-out guidelines in any country
Training   -Lack of funding available
-Focused on new staff
Data management Collection -Overwhelming amount of registers and report forms for health workers to fill out at the facility level
-Missing data were common in registers that were reviewed
-Special LLIN distribution register produced by partner organizations
Use -Facilities rarely used data for progress tracking
-National and sub-national programme staff used facility reported data
-National malaria programme conducted surveys in addition to routine data to track programme impact