Timing of the distribution and place of abode of distributor

In the HST arm the health worker went to the community after reporting at work and most of the time this was after 8 am. In the ComDT arms however, the distribution was often done from dawn till 8 am and then after 6 pm when people had return from their farms.

· “We distribute at dawn. It was explained that, when you take the drug, you do not eat until after an hour, so it made me distribute it early in the morning” (CDD).

· “We assembled the people at dawn and distributed the drugs and as I already said, it was the teacher who did the work. It was done from house to house, even whilst you’re asleep, he knocks at your door to give it to you” (Key Informant).

Since distributors in the ComDT arm lived in the communities, it was easier for them to work odd hours. None of the implementation health staff lived in the communities. They had to commute to the communities to get the drugs distributed and this had implications for proper coverage rates.