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Insecticide-treated nets mass distribution campaign: benefits and lessons in Zambia

Overview of attention for article published in Malaria Journal, April 2018
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Insecticide-treated nets mass distribution campaign: benefits and lessons in Zambia
Published in
Malaria Journal, April 2018
DOI 10.1186/s12936-018-2314-5
Pubmed ID

Freddie Masaninga, Nawa Mukumbuta, Ketty Ndhlovu, Busiku Hamainza, Pauline Wamulume, Emmanuel Chanda, John Banda, Mercy Mwanza-Ingwe, John M. Miller, Birkinesh Ameneshewa, Abraham Mnzava, Elizabeth Kawesha-Chizema


Zambia was an early adopter of insecticide-treated nets strategy in 2001, and policy for mass distribution with long-lasting insecticidal nets (LLINs) in 2005. Since then, the country has implemented mass distribution supplemented with routine delivery through antenatal care and under five clinics in health facilities. The national targets of universal (100%) coverage and 80% utilization of LLINs have not been attained. Free mass LLIN distribution campaign in Zambia offers important lessons to inform future campaigns in the African region. This study reviewed LLIN free mass distribution campaign information derived from Zambia's national and World Health Organization Global Malaria Programme annual reports and strategic plans published between 2001 and 2016. In 2014, a nationwide mass distribution campaign in Zambia delivered all the 6.0 million LLINs in 6 out of 10 provinces in 4 months between June and September before the onset of the rainy season. Compared with 235,800 LLINs and 2.9 million LLINs distributed on a rolling basis in 2008 and 2013, respectively, the 2014 mass campaign, which distributed 6 million LLINs represented the largest one-time-nationwide LLIN distribution in Zambia. The province (Luapula) with highest malaria transmission, mostly with rural settings recorded 98-100% sleeping spaces in homes covered with LLINs. The percentage of households owning at least 1 LLIN increased from 50.9% in 2006 to 77.7% in 2015. The 2014 mass campaign involved a coordinated response with substantial investments into macro (central) and micro (district) level planning, capacity building, tracking and logistics management supported by a new non-health sector partnership landscape. Coordination of LLIN distribution and logistics benefited from the mobile phone technology to transmit "real time" data on commodity tracking that facilitated timely delivery to districts. Free mass distribution of LLINs policy was adopted in 2005 in Zambia. Consistently implemented, has not only contributed to increased coverage of LLINs, but has also produced the added value and lessons of strengthening joint planning, strategic coordination, partnerships with non-health sector institutions and community engagement with traditional leaders at community. Furthermore, the mass distribution, through improving coverage has indirect added (spin-off) value or impact on other arthropod-borne diseases, in addition to malaria.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 62 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 62 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 12 19%
Researcher 12 19%
Student > Ph. D. Student 11 18%
Student > Bachelor 5 8%
Lecturer 4 6%
Other 4 6%
Unknown 14 23%
Readers by discipline Count As %
Nursing and Health Professions 11 18%
Medicine and Dentistry 10 16%
Social Sciences 6 10%
Agricultural and Biological Sciences 5 8%
Biochemistry, Genetics and Molecular Biology 4 6%
Other 9 15%
Unknown 17 27%

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 April 2018.
All research outputs
of 12,858,386 outputs
Outputs from Malaria Journal
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Outputs of similar age
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Outputs of similar age from Malaria Journal
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Altmetric has tracked 12,858,386 research outputs across all sources so far. This one is in the 40th percentile – i.e., 40% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,775 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.4. This one is in the 30th percentile – i.e., 30% of its peers scored the same or lower than it.
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