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Table 2 Implementation challenges and solutions

From: Are new national malaria strategic plans informed by the previous ones? A comprehensive assessment of sub-Saharan African countries from 2001 to present

CategoryImplementation challengeSolution
FundingInsufficient 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 activitiesMobilize resources in the government through the elevation of the NMCP within the ministryAdvocate more government funding and seek additional donors
Planning and coordinationAbsence of an exit strategy for free distribution of ITNsNo plan for sustainability of routine ITN distributionSBCC plans without clear objectivesWeak coordination and integration across the ministryPoor management of supply chain systemsImprove ITN distribution strategies through campaigns and routine health servicesIncrease collaboration with the private sector and across other ministriesEstablishing an integrated SBCC plan
Staff capacityLack of coordination across organizations implementing SBCC activitiesLow staff capacity to conduct malaria control activities and limited experience with IVMTraining needed for health facility staff to make a diagnosisLack of entomological experienceIncrease capacity of health facility staff and train community health workers
SMEWeak HISLack of integration of monitoring systemsDelayed reporting and neglected malaria indicatorsInsufficient SME capacity to conduct analysis and interpret dataIncomplete data collection and poor data qualityInadequate data management and useStrengthen HIS systemsIncrease data use and implement quarterly reportsImproved communication within SME unit