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Table 7 Health provider, community health vounteers and community resident suggestions for overcoming care-seeking barriers, Care-Seeking Behavior Study, Madagascar, 2018

From: Experiences and perceptions of care-seeking for febrile illness among caregivers, pregnant women, and health providers in eight districts of Madagascar

Community residents

HPs and CHVs

•Improve the geographical accessibility of public health facilities

•Strengthen communications and awareness amongst CR for malaria prevention and timely care-seeking

•Ensure availability of malaria related commodities at health facilities

•Upgrade existing hospitals (materials, logistics);

•Strengthen human resources at HFs (in terms of number and skills)

•Ensure more professionalism and welcoming behavior from healthcare providers

•Work to reduce insecurity and bandits (i.e., "dahalo")

•Reduce fees charged to patients at HFs

•Improve HF-patient communication

•Improve the geographical accessibility of public HFs by building more HFs

•Strengthen communications and awareness of CRs for malaria prevention and timely care-seeking

•Ensure availability of malaria-related commodities at health facilities

•Improve patient welcome and reception

•Strengthen the capacity of CHVs and other healthcare providers

•Provide incentives to CRs to seek care in HFs