Theme | Malaria |
---|---|
Governance | Difficulty in accessing information from some partners Inadequate collaboration with the private, para-public and religious communities at the district and regional levels Inadequate capacity for management and coordination of control at the regional and district levels Inefficiency in the implementation of SMC strategy? Low availability of funds to support programme management activities Weak cross-border collaboration and networking Difficulty in delimiting partners' intervention zones |
Human resources | Lack of capacity, mobility Lack of adequate motivation Lack of a career plan Inadequate capacity to design at the programme level |
Drugs | Out of stock (management) Incomplete and poor data quality Low storage capacity (districts, sites) Low follow-up of efficiency and resistance Shortage of SP Poor adverse reaction reporting Weak quality control Counterfeit medicines |
Service provision | Absence of initial treatment prior to transfer of severe malaria case What happened to tablets/drug left to the parents after 1st SMC distribution? Insufficient directly observed SP treatment Organizational deficiency in ANC Low coverage of pregnant women with IPT2/3 at ANC Insufficient funding for LLIN EC campaign and operational costs Poor compliance with guidelines Insufficient coverage of services |
Use of prevention methods | Non-optimal use of LLINs, IPT Absence of insecticides for impregnating curtains Population's poor perceptions of the use of LLINs Low utilization/late attendance of ANC for IPT/SP Insufficient mechanism for monitoring home dosing Insufficient coverage of services |
Monitoring and evaluation | Difficulty in collecting community and private data Availability, quality, completeness, timeliness and archiving of data Inadequate supervision Insufficient dissemination of research results Lack of data on mortality due to malaria Weak monitoring system |
Public support or buy-in | Poor adoption of behaviors in favour of the fight against malaria Insufficiency, reluctance, non-adherence to the 2 home doses of the SMC by some parents Fixed strategy disallowed by some parents, door-to-door preference as for national immunization days |