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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 ministry
Advocate more government funding and seek additional donors
Planning and coordinationAbsence 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 capacityLack 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
SMEWeak 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