Abstract
Introduction: The DRC had planned 23 mass distribution campaigns distribution of long-lasting insecticidal nets (LLIN) for the years 2018-2020, the implementation of which spanned from 2018 to July 2021. This article reviews the campaign’s planning process, the results, challenges, and lessons learned. Methods: A descriptive method was used to postpone the planning and implementation process according to the National Malaria Control Program (NMCP) standards adapted to the COVID-19 context. The changes and adaptations implemented as well as the challenges encountered are described. Results: Between January 2018 to June 2021, 23 LLIN mass distribution campaigns were organized in the DRC with the financial support of The Global Fund to Fight against Tuberculosis, AIDS and Malaria (GFTAM) and Against Malaria Foundation (AMF) allowing the distribution of 55,273,473 LLINs to 19,048,372 households at risk of malaria transmission with an average of 2.9 LLINs per household. The enumerated population (111,081,191) exceeded 7% of the micro plans projected population (102,790,391) while the number of households enumerated (19,311,629) was 3% lower compared to the micro planning projection households (19,862,417). Compared to a reported household coverage of 96% of households achieved over the expected households, the independent monitoring carried out revealed 91% of households served in the intervention areas. The main reasons for not reaching households mentioned by the respondents were absence at the time of distribution (26%) followed by the loss of vouchers (16%). Several communication channels were used among which, community workers were the most frequently mentioned (63.1%), followed by radios (18.5%) and churches (12.4%). Conclusion: Good planning, effective coordination of stakeholders, and revision of the implementing campaigns methods following the COVID-19 were factors in the success of this campaign. An effort to respect the schedules for renewing LLINs in households, coupled with good continuous distribution, is necessary to maintain the gains and hope for an impact in terms of morbidity and mortality reduction of malaria.
Highlights
The Democratic Republic of Congo (DRC) had planned 23 mass distribution campaigns distribution of long-lasting insecticidal nets (LLIN) for the years 2018-2020, the implementation of which spanned from 2018 to July 2021
This study focuses on the campaign’s funding the GFTAM, including the four campaigns postponed from 2017 to 2018 and the 21 campaigns planned for 2018-2021 with co-financing from AccessMalaria Foundation (AMF) to purchase the LLINs from 2019 for 9 out of 21 provinces
During the 23 LLIN distribution campaigns organized in 20 provinces, a total of 111,081,191 people were enumerated in 19,311,629 households (Table 1)
Summary
The DRC had planned 23 mass distribution campaigns distribution of long-lasting insecticidal nets (LLIN) for the years 2018-2020, the implementation of which spanned from 2018 to July 2021. During the development of the global technical strategy for malaria 2016-2030 (GTS 2016-2030) and the call for RBM Partnership to end malaria in “Action and Investment to Defeat Malaria 2016-2030” (AIM 2016-2030), the World Health Organization (WHO) estimated a 212 million malaria cases and 429,000 deaths due to malaria worldwide in 2015 [1] [2] [3]. This represented a reduction of 22% of cases and 50% of deaths compared to the situation in 2000 [3]. To revive the momentum for progress, the WHO and the Roll Back Malaria (RBM) partnership, initiated in 2018, the “from a high burden to a strong impact” approach (HBHI) for 11 countries which account for nearly 70% of malaria cases and deaths in the world, with 10 in
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