摘要
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.
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.
作者
Joris Losimba Likwela
Adrien N’siala Kumbi
Michèle Luntadila Kiamenga
Mireille Lusiense Zena
Daniela Mundele Iris
Simon-Pierre Kazadi Mutuba
Eric Mukomena Sompwe
Patrick Kanku-Ka-Lukusa
Albert Kalonji Ntumba
Ghislain Makhan Yav
Didier Gasigwa Baneti
Eric Tsasa Mbuku
Charlotte Ndolerire Isingoma
Muriel Nzazi Nsambu
Philippe Lukanu Ngwala
Joris Losimba Likwela;Adrien N’siala Kumbi;Michèle Luntadila Kiamenga;Mireille Lusiense Zena;Daniela Mundele Iris;Simon-Pierre Kazadi Mutuba;Eric Mukomena Sompwe;Patrick Kanku-Ka-Lukusa;Albert Kalonji Ntumba;Ghislain Makhan Yav;Didier Gasigwa Baneti;Eric Tsasa Mbuku;Charlotte Ndolerire Isingoma;Muriel Nzazi Nsambu;Philippe Lukanu Ngwala(SANRU Asbl, Kinshasa, Democratic Republic of the Congo;Public Health Department, Faculty of Medicine and Pharmacy, University of Kisangani, Kisangani, Democratic Republic of the Congo;National Malaria Control Program, Kinshasa, Democratic Republic of the Congo;School of Public Health, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo;Financial Support and Management Unit, Ministry of Public Health, Prevention and Hygiene, Kinshasa, Democratic Republic of the Congo;Interchuch Medical Assistance World Heath, Kinshasa, Democratic Republic of the Congo;World Health Organisation, Kinshasa Sub-Office, Democratic Republic of the Congo;Department of Family Medicine et Primary Health Care, Protestant University of Congo, Kinshasa, Democratic Republic of the Congo)
