Quality Micro-Planning Processes - Key Strategy for Achieving High Quality LLINs Campaign: Pilot Report from Cross-River State Nigeria

Abstract

Background: Nigeria is one of the two epicenters of malaria transmission across the globe and contributes to 40 percent global malaria burden. The LLINs distribution campaign is one of the significant and nationally acceptable strategic routes of delivering nets to the entire population across the country. Micro planning of the campaign has been completed in the state in readiness for LLINs 2019 distribution campaign. This study therefore tends to highlight the achievements of this concluded micro-planning processes in identifying all the campaigns needs and challenges while plan and proffer solutions to achieve the high quality campaign outcomes. Study design: This is a qualitative study involving the engagement of all RBM stakeholders. It entailed desk reviews, meetings, community engagements, development and adaptation of programme tools, Akubue Augustine Uchenna et al.: Quality Micro-Planning Processes -Key Strategy for Achieving High Quality LLINs Campaign: Pilot Report from Cross-River State Nigeria quantification, estimation of all the campaign needs using the WHO standardized estimates and inauguration of formed campaign work streams required for quality LLINs campaign implementations. Average volume of a bale of 0.14cubic meter, minimum volume of 120% of expected space considering the 20% handling area within the store facility and average access door space of >2.95sq meter) were used as standards for estimation. All variables were analyzed using Microsoft excel package and Health Mappers. Results: Comprehensive Advocacy, logistic and training plans that included and defined the roles and expectations of all the many stakeholders were developed. Micro plan population of 4,251,387 for 2019 with 2,361,882 LLINs, 6.613.3 m 3 and handling areas requirement of 1,322m 3 were estimated. A total of 11,864 personnel with their responsibilities were identified and trained including estimated costs of NGN387,143,880 at unit operational cost of NGN 166.34 for the delivery of 1 LLIN to the household. Advocacy kits with print materials for the campaign were pre-tested by health educator and identified programme challenges were highlighted. Conclusion: This study therefore underscores the importance of good micro-planning process for high quality LLINs campaign as recommended by WHO for the achievement of LLINs universal coverage.

The Potential of Digital Data Collection Tools for Long-lasting Insecticide-Treated Net Mass Campaigns in Nigeria: Formative Study

“…As described in Table S1 in Multimedia Appendix 1 , the characteristics of paper-based systems have a high dependence on individual capacity (ie, how an individual performs his or her task and the capacity of supervisors to effectively monitor activities across a wide geographic area), which are inherently exposed to several potential risks [ 19 ]. For example, during microplanning, there was a lack of reliable, up-to-date population figures of census units or village-level population, which resulted in gaps and discrepancies in household registration or net distribution planning [ 27 ]. During the training, participants’ attendance checks and bank verification for payment took a long time (at least a month), which might reduce staff motivation.…”