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Table 4 Recommendations from study findings relating to the supply side

From: Assessing demand-side barriers to uptake of intermittent preventive treatment for malaria in pregnancy: a qualitative study in two regions of Uganda

Stakeholders and coordination Strengthen linkages between government and implementing partners
Encourage vertical integration of health programmes, e.g. malaria and maternal and child health
Policies and guidelines Ensure implementation of the most recent WHO policy recommendation of monthly IPTp administration after the first trimester
Clarify policy of encouraging male involvement in ANC, ensuring women attending without their partners are not disadvantaged
Provision of ANC services Ensure ANC is offered consistently in all health centres II, III, IV and hospitals as per national policy
Encourage professional behaviour among health workers to create a positive ANC experience for all clients
Provide incentives such as mosquito nets to encourage early and frequent ANC attendance
Supply chain Consider supplying SP free-of-charge to private health facilities
Capacity building Train health workers on malaria in pregnancy and IPTp to improve knowledge of the IPTp guidelines
Consider use of alternative, non-disruptive training methods
Provide guidance on differentiating between mild and severe side effects of SP and emphasize the importance of taking SP as directly observed therapy
Monitoring and evaluation Ensure supply of standard recording and reporting tools to health facilities
Ensure forms are designed to capture all plausible scenarios
Improve health workers’ data management skills and provide clear guidelines with regard to recording conventions
In addition to assessing completeness and timeliness of reported facility-level data, feedback should also be provided with regard to data accuracy