Literature reviews | Formative research | ||
---|---|---|---|
Barriers to the implementation of malaria case management in Cameroon | Interventions to improve clinicians’ practice in treating uncomplicated malaria | Quantitative | Qualitative |
• Lack of knowledge of the recommended doses for ACT | • Positive effect on presumptive treatment of febrile patients, and the accuracy of the doses and advice given | • Malaria prevalence | • Heterogeneous definition of malaria |
• Pressure to use supplied drugs from governing medical boards of mission facilities | • Provision of RDTs and training on diagnostic tests led to improvements in the appropriate treatment of malaria | • Over-prescription of anti-malarials | • Heterogeneous treatment for malaria |
• Pressure from pharmaceutical marketing agents, providers and community preference of anti-malarial drugs, | • Difficult to draw conclusions from the economic interventions given the limitations of the study design and data available | • Reliance on presumptive diagnosis | • Malaria is an acceptable disease. |
• Few in-service and pre-service training packages and the availability of drug in stock | • None of the studies compared the implementation of an intervention across public and private sector providers | • Availability of testing and ACT | • Broad role of anti-malarials |
• Delivery of ACT to health facilities governed by a plethora of factors ranging from administrative hitches to the absence of an efficient monitoring and evaluation system | • Discrete roles of malaria tests | ||
• Lack of adequate funding for large scale subsidies and inequity in the subsidization rate of ACT between public and private facilities |