LLINs have played an important role in the remarkable success in reducing malaria burden over the past decade. URC scales up cost-effective vector control interventions to reduce malaria transmission. This includes distribution of LLINs accompanied by social and behavior communication change (SBCC) activities to promote LLIN use.

Key approaches to increasing prevention of malaria through LLINs include:

Providing community-level distribution of LLINs

Work with community-based workers to distribute LLINs and mobilize communities for health promotional activities. In areas with large numbers of migrants and mobile populations (MMPs), continuous distribution of LLINs for newly arrived workers should be emphasized to ensure full coverage. Regular visits to areas where LLINs were distributed should be conducted to assess gaps and replace damaged or no longer efficacious nets.

Monitoring net coverage and use

Mass campaigns are a cost-effective way to rapidly achieve high and equitable coverage, but coverage gaps start to appear almost immediately. Net deterioration, loss of nets, and population growth are regularly occurring issues that require continuous distribution. To reduce gaps and ensure equitable coverage, promote regular monitoring of net coverage and use with community workers and health facility staff. Monitoring should track LLIN household coverage, condition, and use. Conduct LLIN replenishment based on findings to ensure full coverage.

Community-level promotion of LLIN care and use

Targeted social and behavior change communication (SBCC) activities emphasize malaria prevention and treatment messages through interpersonal communication with reinforcement through small media and community mobilization. Desirable LLIN behaviors promoted through these activities include importance and use of LLINs, proper maintenance, and the need to carry the net whenever working overnight in forested areas. Distribution includes interpersonal communication on the use and maintenance of LLINs.