Table 2 Main considerations for implementation of malaria prophylaxis among forest goers as a strategy

Prophylaxis as a part of malaria elimination strategy

1. Employ different strategy that includes prophylaxis and other malaria prevention measures to target at-risk populations; working with VHVs to reach community members and coordinating with private sector/other government to reach workers

2. Recommended to pilot prophylaxis in high burden area

Choice of regimen

3. Evidence of efficacy and funding sources for anti-malarials are key determinants

4. Less complex and minimum number of tablets are preferable to avoid perceived side effects

Delivery of prophylaxis and provider

5. Significantly constrained by lack of transportation and communication barriers in remote communities

6. Strengthening capacity of local health workers and providers are crucial to monitor adherence and follow-up of patients

Messages about prophylaxis

7. Knowledge about asymptomatic malaria could be beneficial to create a better understanding of prophylaxis and encourage its uptake as a prevention therapy