Table 2.

Summary of Findings, by thematic area

Thematic area	Specific area	Key findings
Quantification		-All programmes conduct annual quantification exercises to produce supply needs -Both population estimates as well as facility consumption data are used to produce LLIN quantifications -Poor data quality at the facility level results in national-level estimations that may have errors
Logistics systems	Distribution management	-LLIN distribution managed separately from other commodities -Ideal scenario is integrated distribution; practical solution is separate -Bulk of nets was not identified as a major challenge for distribution -Heavily led by partner organizations
	Supply and restock	-Each country had a different frequency of restock -Commodities with dedicated funding and distribution most reliable supply chain (e.g. HIV, EPI, LLIN) -Order placed primarily top-down “push” not bottom-up
Stock-outs	Occurrence	-All countries had reported stock-outs by facilities
	Remedy	-Make-shift stock-out corrections -No clear stock-out guidelines in any country
Training		-Lack of funding available -Focused on new staff
Data management	Collection	-Overwhelming amount of registers and report forms for health workers to fill out at the facility level -Missing data were common in registers that were reviewed -Special LLIN distribution register produced by partner organizations
	Use	-Facilities rarely used data for progress tracking -National and sub-national programme staff used facility reported data -National malaria programme conducted surveys in addition to routine data to track programme impact