Table 1 Specifications of the implementation strategy

Actor(s)

Institutional (health professionals) and community volunteers (household registrars) actors that implemented the campaign. Civil society partners

Action(s)

The health intervention: LLINs universal coverage campaign with the following new implementation strategies

Core components: (i) coupons; (ii) stickers; and (iii) one LLIN for every two people ascription criterion

Complementary components: (i) mapping and micro-planning (improvements added in Stage II); (ii) training; (iii) support supervision

The health intervention: LLINs universal coverage campaign with the following previous implementation strategies

(i) allocation of LLIN is based on sleeping patterns according to data collected during household registration (age, sex, family relationship); (ii) number of LLINs per household known during distribution phase; (iii) distribution points known after household registration; (iv) training and support supervision during all campaign phases

Target(s) of the action

Health professionals and community volunteers (household registrars): knowledge and skills about the intervention

Temporality

Stage I: October–December 2015: Gurue and Sussundenga districts

Stage II: August to November 2016–Nampula province

Stage I: October–December 2015: Alto-Molocue and Machaze districts

Stage II: not applicable^a

Dose: measured in terms of duration, frequency, and coverage

Trainings duration and coverage: 10 days for micro-planning and training of trainers for implementation (5 members of district team), 8 h (1 day) for preparation of registrar trainers (1 registrar trainer per 15 household registrar), 16 h (2 days) for registrar training (assuming 1 registrar can register 20 households per day and 140 households in 7 days), 8 h (1 day) for training of distribution teams (5 members for each distribution team). Seven days for household registration. Five days for LLIN distribution

Frequency: once

Trainings: 3 days for micro-planning, 4 h for preparation of registrar trainers, 4 h for registrar training (1 registrar trainer per 15 household registrar), 4 h for training of data analysts, 56 h (7 days) for analysis of household registration data, 8 h (1 day) for training of distribution teams. Seven (7) days for household registration. Five days for LLIN distribution

Frequency: once

Implementation outcomes

Coverage-type: percentage of LLINs distributed; percentage of target households benefited

Justification

Programmatic justification: the type of household registration, the complex criteria for LLIN attribution, and the long queues to benefit the LLINs related to the previous campaign strategy made it necessary to design the new implementation strategy

Theoretical justification: Socio-ecological model embedded in social practice theory

Theoretical justification: Socio-ecological model. Working with institutional and community actors to achieve better health outcomes