Table 3 Problems Identified during Phase 2
Problem | Magelang | Purworejo | Kulonprogo |
|---|---|---|---|
System | |||
Funding (amount and budgeting mechanism) | ✓ | ✓ | – |
Intersectoral coordination | ✓ | ✓ | ✓ |
Current regulation at village and sub-district level | ✓ | ✓ | ✓ |
Community malaria workers (inadequate numbers or skills) | ✓ | ✓ | ✓ (inadequate in skills) |
Health care workers (inadequate in numbers or skills) | ✓ | ✓ | – |
Lack of stakeholders’ commitment (leadership) | ✓ (District) | ✓ (District, Sub-district, Village) | ✓ (Village) |
Lack of infrastructure and facilities (Labs, consumable, RDT, Bednets) | ✓ | ✓ | – |
Confusion about case definition among health care workers (import vs. indigenous), particularly in cross-border villages | ✓ | – | ✓ |
Community | |||
KAP is low: Perceived fear from malaria Treatment adherence Community participation in migration surveillance is poor | ✓ | ✓ | ✓ |
High cross-border mobility | ✓ | – | ✓ |
Imported cases from outside Java Island | ✓ | ✓ | ✓ |
Environmental | |||
Difficult geographical accessibility | ✓ | ✓ | ✓ |
Breeding place along many rivers | ✓ | ✓ | ✓ |