RT Journal Article SR Electronic T1 School Distribution as Keep-Up Strategy to Maintain Universal Coverage of Long-Lasting Insecticidal Nets: Implementation and Results of a Program in Southern Tanzania JF Global Health: Science and Practice JO GLOB HEALTH SCI PRACT FD Johns Hopkins University- Global Health. Bloomberg School of Public Health, Center for Communication Programs SP 251 OP 263 DO 10.9745/GHSP-D-16-00040 VO 4 IS 2 A1 Lalji, Shabbir A1 Ngondi, Jeremiah M A1 Thawer, Narjis G A1 Tembo, Autman A1 Mandike, Renata A1 Mohamed, Ally A1 Chacky, Frank A1 Mwalimu, Charles D A1 Greer, George A1 Kaspar, Naomi A1 Kramer, Karen A1 Mlay, Bertha A1 Issa, Kheri A1 Lweikiza, Jane A1 Mutafungwa, Anold A1 Nzowa, Mary A1 Willilo, Ritha A A1 Nyoni, Waziri A1 Dadi, David A1 Ramsan, Mahdi M A1 Reithinger, Richard A1 Magesa, Stephen M YR 2016 UL http://www.ghspjournal.org/content/4/2/251.abstract AB A school-based net distribution program, piloted in the Southern Zone of Tanzania to sustain ≥80% universal net coverage previously attained through mass campaigns, successfully issued nets to nearly all eligible students and teachers. Keys to success included:Effective collaboration between the Ministry of Health, local government, and implementing partnersSocial mobilization to sensitize the community about the importance of net useDevelopment of a mobile application to facilitate data collection and analysisTanzania successfully scaled up coverage of long-lasting insecticidal nets (LLINs) through mass campaigns. To sustain these gains, a school-based approach was piloted in the country’s Southern Zone starting in 2013, called the School Net Program 1 (SNP1). We report on the design, implementation, monitoring, and outputs of the second round (SNP2) undertaken in 2014. SNP2 was conducted in all schools in Lindi, Mtwara, and Ruvuma regions, targeting students in primary (Standards 1, 3, 5, and 7) and secondary (Forms 2 and 4) schools and all teachers. In Lindi region, 2 additional classes (Standards 2 and 4) were targeted. LLIN distribution data were managed using an Android software application called SchoolNet. SNP2 included 2,337 schools, 473,700 students, and 25,269 teachers. A total of 5,070 people were trained in LLIN distribution (487 trainers and 4,583 distributors), and 4,392 (434 ward and 3,958 village) community change agents undertook sensitization and mobilization. A total of 507,775 LLINs were distributed to schools, with 464,510 (97.9% of those registered) students and 24,206 (95.8% of those registered) school teachers receiving LLINs. LLIN ownership and use is expected to have increased, potentially further reducing the burden of malaria in the Southern Zone of Tanzania.