From: Barriers to prompt and effective malaria treatment among the poorest population in Kenya
Short to medium term interventions | |||
---|---|---|---|
Affordability factors | Acceptability factors | Availability factors | Broader health system factors |
• Provide ACTs through the retail sector • Re-enforce the free malaria treatment policy in public health facilities • Educate people on the free malaria treatment policy | • Improve communication skills for health workers • Educate community on the importance of drug adherence • Strengthen transparency and accountability of health services to the community (e.g. making information on resources readily accessible to the community through their representatives) | • Extend operating hours for dispensaries and health centres to include weekends • Improve management skills for health workers and health facility committees • Ensure sustained supply of anti-malarials, adjust supply for seasonality • Provide housing facilities for health workers working at primary care level in remote rural areas | • Recruit more health workers in primary care facilities • Take services close to the people through mobile clinics and outreach programmes • Improve overall availability of drugs and other supplies |
Long term interventions | |||
• Remove user fees in public health facilities • Provide social protection for the poor and vulnerable through strengthening livelihoods | • Build culturally sensitive health systems (educate health workers on need to respect clients and be sensitive to their needs) • Empower clients to demand good health services through information and communication at grass root level | • Build additional primary health care facilities in remote areas • Increase the number of health workers in rural remote areas to at least two health workers per facility | • Address the problem of health workers shortage • Improve organization and administration of service, for example through packaging services in way that minimizes waiting time • Improve the organization and working culture of the public health system |