Mass distribution campaign of Long-Lasting Insecticidal Nets (LLINs) during the Covid-19 pandemic in Uganda: Lessons Learned

Abstract Background: Uganda implemented its fourth mass campaign for the distribution of Long-Lasting Insecticidal Nets (LLINs) in 2020 during the Covid-19 pandemic. This context necessitated modification of implementation guidelines. This article describes the process, challenges and lessons learned. Methods: Revised implementation guidelines were followed in the process of carrying out the LLIN distribution campaign. Lessons learned were captured from documented activities and reports. Results: A total of 27,789,044 nets were distributed in 11,287,392 households. Coverage of the net distribution was 93.7% with an average of 5.1 people per household. The campaign design was modified to follow Covid-19 Standard Operating Procedures (SOPs) namely social distancing for all distribution activities, use of Personal Protective Equipment (PPE), utilization of e-platforms for training and meetings, electronic data management systems with the use of smartphones and simultaneous registration and distribution. The adaptations worked effectively albeit with a few challenges. Conclusions: Campaign modifications due to covid-19 pandemic were effective in meeting the goals of distribution of mosquito nets. Electronic data management was key in monitoring distribution activities. Trial registration: Not Applicable