. CC-BY-NC-ND 4 . 0 International licenseIt is made available under a is the author / funder , who has granted medRxiv a license to display the preprint in perpetuity

Ongoing long-lasting insecticide-treated net distribution efforts are 1 insufficient to maintain high rates of use among children in rural Uganda 2 3 4 Claire M. Cote, Varun Goel, Rabbison Muhindo, Emmanuel Baguma, Moses 5 Ntaro, Bonnie E. Shook-Sa, Raquel Reyes, Sarah G. Staedke, Edgar M. 6 Mulogo, Ross M. Boyce 7 8 1. Gillings School of Global Public Health, University of North Carolina at Chapel 9 Hill, Chapel Hill, NC, USA 10 11 2. Department of Geography, University of North Carolina at Chapel Hill, Chapel 12 Hill, NC, USA 13 14 3. Carolina Population Center, University of North Carolina at Chapel Hill, Chapel 15 Hill, NC, USA 16 17 4. Department of Community Health, Mbarara University of Science and 18 Technology, Mbarara, Uganda 19 20 5. Department of Biostatistics, Gillings School of Global Public Health, University 21 of North Carolina at Chapel Hill, Chapel Hill, NC, USA 22 23 6. Division of Hospital Medicine, UNC School of Medicine, University of North 24 Carolina at Chapel Hill, Chapel Hill, NC, USA 25 26 7. London School of Hygiene and Tropical Medicine, London, UK 27 28 8. Institute of Global Health and Infectious Diseases, UNC School of Medicine, 29 University of North Carolina at Chapel Hill, Chapel Hill, NC, USA 30 31 *Corresponding Author: 32 33 Ross M. Boyce 34 Division of Infectious Diseases 35 University of North Carolina at Chapel Hill 36 130 Mason Farm Road, CB 7030 37 Chapel Hill, NC 27599 38 roboyce@med.unc.edu 39 40 Running Title: LLIN distribution in rural Uganda 41 42 Words: Abstract 200 | Text – 3,472 43 44 . CC-BY-NC-ND 4.0 International license It is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. (which was not certified by peer review) The copyright holder for this preprint this version posted March 1, 2021. ; https://doi.org/10.1101/2021.02.26.21252527 doi: medRxiv preprint

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