Understanding challenges to malaria elimination in Nepal: a qualitative study with an embedded capacity-building exercise
Abstract Background The Nepalese Government has made significant progress toward the elimination of malaria. However, given the surge in the prevalence of non-communicable diseases, such as diabetes and hypertension, and the localized nature of malaria prevalence, malaria elimination will remain a c...
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ftdoajarticles:oai:doaj.org/article:8fb065e08f68486f9814cd851236ea80 2023-05-15T15:10:57+02:00 Understanding challenges to malaria elimination in Nepal: a qualitative study with an embedded capacity-building exercise Shiva Raj Adhikari Vishnu P. Sapkota Arjun K. Thapa Yubraj Acharya 2019-12-01T00:00:00Z https://doi.org/10.1186/s12936-019-3081-7 https://doaj.org/article/8fb065e08f68486f9814cd851236ea80 EN eng BMC https://doi.org/10.1186/s12936-019-3081-7 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-019-3081-7 1475-2875 https://doaj.org/article/8fb065e08f68486f9814cd851236ea80 Malaria Journal, Vol 18, Iss 1, Pp 1-10 (2019) Nepal Malaria Elimination Health systems Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2019 ftdoajarticles https://doi.org/10.1186/s12936-019-3081-7 2022-12-31T12:24:38Z Abstract Background The Nepalese Government has made significant progress toward the elimination of malaria. However, given the surge in the prevalence of non-communicable diseases, such as diabetes and hypertension, and the localized nature of malaria prevalence, malaria elimination will remain a challenge. In the current study, the authors sought to understand local perceptions on threats to malaria elimination in three endemic districts. Methods The authors conducted a capacity-building exercise embedded within a qualitative study. The study component aimed to understand how local policymakers and actors perceive challenges in malaria elimination. For them to be able to articulate the challenges, however, an understanding of malaria elimination in the context of a broader health system in Nepal would be required. The capacity-building component, thus, involved providing that knowledge. Results Although the prevalence of malaria is high in the three districts where the study was conducted, there are significant gaps in human resources, diagnosis and treatment, and the provision of indoor residual spraying and long-lasting insecticide treated nets. More importantly, the authors’ experience suggests that it may be possible to capitalize on local expertise in order to identify gaps in malaria elimination at a sub-national level by building in a capacity-building exercise within a study. Conclusions Locals in three malaria-endemic districts of Nepal perceive that there are significant gaps in human resources, diagnosis and treatment, the provision of insecticide treated nets, and indoor residual spraying. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 18 1 |
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Directory of Open Access Journals: DOAJ Articles |
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Nepal Malaria Elimination Health systems Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Nepal Malaria Elimination Health systems Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Shiva Raj Adhikari Vishnu P. Sapkota Arjun K. Thapa Yubraj Acharya Understanding challenges to malaria elimination in Nepal: a qualitative study with an embedded capacity-building exercise |
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Nepal Malaria Elimination Health systems Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background The Nepalese Government has made significant progress toward the elimination of malaria. However, given the surge in the prevalence of non-communicable diseases, such as diabetes and hypertension, and the localized nature of malaria prevalence, malaria elimination will remain a challenge. In the current study, the authors sought to understand local perceptions on threats to malaria elimination in three endemic districts. Methods The authors conducted a capacity-building exercise embedded within a qualitative study. The study component aimed to understand how local policymakers and actors perceive challenges in malaria elimination. For them to be able to articulate the challenges, however, an understanding of malaria elimination in the context of a broader health system in Nepal would be required. The capacity-building component, thus, involved providing that knowledge. Results Although the prevalence of malaria is high in the three districts where the study was conducted, there are significant gaps in human resources, diagnosis and treatment, and the provision of indoor residual spraying and long-lasting insecticide treated nets. More importantly, the authors’ experience suggests that it may be possible to capitalize on local expertise in order to identify gaps in malaria elimination at a sub-national level by building in a capacity-building exercise within a study. Conclusions Locals in three malaria-endemic districts of Nepal perceive that there are significant gaps in human resources, diagnosis and treatment, the provision of insecticide treated nets, and indoor residual spraying. |
format |
Article in Journal/Newspaper |
author |
Shiva Raj Adhikari Vishnu P. Sapkota Arjun K. Thapa Yubraj Acharya |
author_facet |
Shiva Raj Adhikari Vishnu P. Sapkota Arjun K. Thapa Yubraj Acharya |
author_sort |
Shiva Raj Adhikari |
title |
Understanding challenges to malaria elimination in Nepal: a qualitative study with an embedded capacity-building exercise |
title_short |
Understanding challenges to malaria elimination in Nepal: a qualitative study with an embedded capacity-building exercise |
title_full |
Understanding challenges to malaria elimination in Nepal: a qualitative study with an embedded capacity-building exercise |
title_fullStr |
Understanding challenges to malaria elimination in Nepal: a qualitative study with an embedded capacity-building exercise |
title_full_unstemmed |
Understanding challenges to malaria elimination in Nepal: a qualitative study with an embedded capacity-building exercise |
title_sort |
understanding challenges to malaria elimination in nepal: a qualitative study with an embedded capacity-building exercise |
publisher |
BMC |
publishDate |
2019 |
url |
https://doi.org/10.1186/s12936-019-3081-7 https://doaj.org/article/8fb065e08f68486f9814cd851236ea80 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 18, Iss 1, Pp 1-10 (2019) |
op_relation |
https://doi.org/10.1186/s12936-019-3081-7 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-019-3081-7 1475-2875 https://doaj.org/article/8fb065e08f68486f9814cd851236ea80 |
op_doi |
https://doi.org/10.1186/s12936-019-3081-7 |
container_title |
Malaria Journal |
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18 |
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1 |
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1766341884468264960 |