Insights from LLIN post-distribution monitoring surveys in the malaria transmission foci of the Dominican Republic: implications for quantification and distribution strategies

Poor washing and drying practices are prevalent in both areas, low LLIN use was observed in Azua and some LLIN coverage gaps were measured in both foci. Urgent behavioural change strategies are needed to improve LLIN care in both foci and to increase LLIN use in Azua, alongside revisions to LLIN quantification methods to ensure full coverage of all sleeping spaces in use during installation. Heterogeneities in LLINs use across foci suggest the need for monitoring use in each distribution area to identify individual gaps and promptly address them.