This study documented the experiences of health system personnel in the implementation of mass distribution campaigns for the control of Lymphatic Filariasis in rural Guinea. This was an exploratory qualitative study using data collected from implementing actors of mass distribution campaigns in the Bok� health district.
Results showed four main facilitators of mass distribution campaigns rollout in Bok� health district: i) support to the district teams in the organization of the campaigns; ii) involvement of community-based associations in social mobilization; iii) strong adherence of the communities to the different mass distribution campaigns, facilitated through the involvement of community relays, who are members of these communities, in the distribution of drugs; and iv) transparency in the allocation of incentives to drug dispensers and supervisors.
However, the frequent shortages of medicines, the difficulties of access to rural areas and the lack of logistical means for the su-pervision of activities were the main obstacles to the success of the various mass distribution campaigns in Bok�.
The provision of buffer stocks for special areas such as Bok� by national program actors and partners, joint planning of campaign activities with local managers of health systems and services, and improvement of existing mechanisms for motivating health workers, including community health workers, during future campaigns should help to achieve national objectives in the fight against NTDs in Guinea.