Table 5 Midlands Year 1 challenges
Challenge | Solution | Year 1 change from baseline to endline |
|---|---|---|
Treatment of confirmed malaria cases with ACTs | Supportive supervision, community training | Chirumhanzu: 7% (93% to 100%) Kwekwe: 11% (89% to 100%) |
Case investigation rates | Submission of weekly disease surveillance meeting reports with action taken | Chirumhanzu: 0% (100% to 100%) Kwekwe: 19% (80% to 99%) |
Poor data quality | Implemented a weekly surveillance meeting and bulletin | Improvements to data quality, completeness, and timeliness with weekly review of data in 72% of facilities in Chirumhanzu and 100% of facilities in Kwekwe |
Inadequate LSM | Identify and map breeding sites, train locals on scooping and environmental modification | Chirumhanzu: 78% of sites identified and mapped (1/73 sites to 58/73 sites) |
Lack of knowledge about foci management | Train EHPs, identify and map foci, conduct contact screening and treatment | 2 contacts identified, screened, and treated during initiation of foci investigation activities |