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Table 1 Bottlenecks in MALARIA programme implementation in West Africa

From: Seeking research questions from implementers: considerations for leveraging ground actors research needs in the fight against malaria in West Africa

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