Effectiveness of Door-to-Door Hang-Up Campaigns Sample Clauses

Effectiveness of Door-to-Door Hang-Up Campaigns. The door-to-door hang-up campaign was developed in order to increase and sustain the use of LLINs among populations at risk of malaria. Using this method to deliver LLINs to households at the individual and community levels helps achieve high retention and usage of LLINs (Xxxx et al., 2016). Most of the literature shows that door-to-door hang-up activities have increased LLIN use in the communities (Ntuku et al., 2017). In this study, door-to door hang-up activities was defined as the proportion of campaign LLIN hung by CHWs. In a study conducted in the northern regions of Ghana, ProMTP found door-to- door hang- up activities to be very effective in increasing LLIN ownership and use, finding 73% of households with hanging LLINs in 2012, compared to only 45% in 2008 before the initiation of the door-to-door hang-up activities in Ghana (USAID, 2012). In this study, the effectiveness of door-to-door hang-up process was evaluated using the proportion of LLIN hung by CHWs and the unstructured observation. This study’s findings are contrary to the findings of ProMTP. This study found that door-to-door hang- up activities were ineffective at increasing household use of LLINs, with only 8% of households reporting that at least one of their campaign LLINs was hung by a CHW. Only one household in Bosobolo HD reported that CHWs hung their LLIN. In Xxxxxx, 00 households reported that CHWs hung at least one LLIN, and in Gbadolite, no household reported that CHWs had hung LLINs. These findings are consistent with studies conducted in in rural Zambia and in Kasaï Occidental province, DRC. In Zambia, Xxxx et al. (2016) reported that community point distribution was more effective in increasing LLIN use and retention compared to door-to-door hang-up activities (Xxxx et al., 2016). Nkutu et al. (2017) reported that higher LLIN ownership and use rates in Kasai Occidental province were achieved by using the fixed delivery strategy, as opposed to the door-to-door hang-up strategy (Xxxxx et al., 2017). Based on the unstructured observation, the reasons the door-to-door hang-up activities were not effective across the health districts were too few CHWs to carry out the campaign activities, lack of CHWs supervision during the mass-distribution campaign, time limits set by the campaign, and lack of appropriate CHW training on the hang-up process.