Table 2 Implementation challenges and solutions
Category | Implementation challenge | Solution |
|---|---|---|
Funding | Insufficient funding for IVM activities (indoor residual spraying, larval source management, and ITN mass distribution campaigns), diagnostic tools, first-line treatments and sulfadoxine–pyrimethamine for IPTp, and SBCC activities | Mobilize resources in the government through the elevation of the NMCP within the ministry Advocate more government funding and seek additional donors |
Planning and coordination | Absence of an exit strategy for free distribution of ITNs No plan for sustainability of routine ITN distribution SBCC plans without clear objectives Weak coordination and integration across the ministry Poor management of supply chain systems | Improve ITN distribution strategies through campaigns and routine health services Increase collaboration with the private sector and across other ministries Establishing an integrated SBCC plan |
Staff capacity | Lack of coordination across organizations implementing SBCC activities Low staff capacity to conduct malaria control activities and limited experience with IVM Training needed for health facility staff to make a diagnosis Lack of entomological experience | Increase capacity of health facility staff and train community health workers |
SME | Weak HIS Lack of integration of monitoring systems Delayed reporting and neglected malaria indicators Insufficient SME capacity to conduct analysis and interpret data Incomplete data collection and poor data quality Inadequate data management and use | Strengthen HIS systems Increase data use and implement quarterly reports Improved communication within SME unit |