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Table 2 Thematic summary of challenges in respective areas of study activities

From: Community-based intermittent mass testing and treatment for malaria in an area of high transmission intensity, western Kenya: development of study site infrastructure and lessons learned

Field basedPoor road networks, unreliable electricity supply
Sparse spread out populations
Late completion of field work activities and late arrival of samples in the lab
Inadequate storage facilities and large volume of supplies
Health facility basedPeriodic stock outs of ALs and RDTs
Non adherence to MOH malaria management algorithms
Charging user-fees for RDT diagnosis
Inadequate office space for use by the study
Slow or non-response by the DHMTs on various issues impacting the study
Lack of proper records of stocks of RDTs and ACTs
TechnicalOld handheld computers with slow charging, poor power retention and breakdowns
Lengthy and arduous data reconciliation process due to wrong handheld computer entries
Manual download of handheld computers needing staff presence overnight
Long periods of training
Long and complex training strategies
PoliticalIndustrial strike by MOH staff
Enactment of new constitution with introduction of new taxes