Table 3.

Responses from nurse survey to open-ended question 11 “In a potential scale-up, what are your recommendations for improving the program?”

Responses	Count (n=134)	Percentage
Network connectivity should be improved	38	28.5
More nurses or clinic staff should be trained to issue vouchers	27	20
Workflow should be shortened	10	7.5
LLINsa should be available within, or closer to, the health facility	8	6
An alternative way to issue vouchers to participants without phones should be considered	7	5
More training sessions for voucher issuers is needed	6	4.5
Staff bonus or motivation for voucher issuers should be considered and given on time	6	4.5
The health care facility or program should provide a phone that can be used for voucher issuance	6	4.5
The number of forms that voucher issuers need to fill out should be reduced	5	4
Nurses should receive a message with the voucher number to confirm that clients have received the voucher	4	3
The retailer shops should have a greater stock of LLINs	4	3
LLINs should also be issued to children younger than 5 years	3	2
Women without phones should continue to use a proxy phone	2	1.5
There should be more than one retailer associated with each health facility	2	1.5
LLINs and vouchers should be issued at regular mobile clinics	1	0.75
One SMS text message during issuance is enough	1	0.75
There should be posters that explain the program	1	0.75
LLINs of different sizes and colors should be available	1	0.75
LLIN mesh size should be smaller	1	0.75
Vouchers should be available more promptly	1	0.75

^aLLIN: long-lasting insecticidal net.