This study evaluates a pilot program in Mozambique where a new model for delivering long-lasting insecticidal nets (LLINs) was tested in two rural districts, while two other districts continued with the traditional delivery model. The aim was to compare the coverage of LLIN ownership and use between the intervention (new model) and control (old model) districts. Using a before-after design with a control group, the study surveyed 1,547 households, with data collected 6 months after the LLIN distribution. The survey aimed to identify associations between district categories (intervention vs. control) and key outcomes: LLIN ownership, use, and universal coverage achievement. In conclusion, the pilot program with the new LLIN delivery model led to higher ownership, use, and achievement of universal coverage targets compared to the old model, suggesting that the new delivery model was more effective in increasing access to and use of LLINs.