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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 supplySparse spread out populationsLate completion of field work activities and late arrival of samples in the labInadequate storage facilities and large volume of supplies
Health facility basedPeriodic stock outs of ALs and RDTsNon adherence to MOH malaria management algorithmsCharging user-fees for RDT diagnosisInadequate office space for use by the studySlow or non-response by the DHMTs on various issues impacting the studyLack of proper records of stocks of RDTs and ACTs
TechnicalOld handheld computers with slow charging, poor power retention and breakdownsLengthy and arduous data reconciliation process due to wrong handheld computer entriesManual download of handheld computers needing staff presence overnightLong periods of trainingLong and complex training strategies
PoliticalIndustrial strike by MOH staffEnactment of new constitution with introduction of new taxes