Community facilitators and barriers to a successful implementation of mass drug administration and indoor residual spraying for malaria prevention in Uganda: a qualitative study
Abstract Background There is growing interest to add mass drug administration (MDA) to the already existing malaria prevention strategies, such as indoor residual spraying (IRS). However, successful MDA and IRS requires high population-wide coverage, emphasizing the importance of community acceptanc...
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ftdoajarticles:oai:doaj.org/article:b08883ea38924f369e36b99fff6bc4cc 2023-05-15T15:16:03+02:00 Community facilitators and barriers to a successful implementation of mass drug administration and indoor residual spraying for malaria prevention in Uganda: a qualitative study Humphrey Wanzira Susan Naiga Ronald Mulebeke Fred Bukenya Mariam Nabukenya Osborn Omoding Dorothy Echodu Adoke Yeka 2018-12-01T00:00:00Z https://doi.org/10.1186/s12936-018-2624-7 https://doaj.org/article/b08883ea38924f369e36b99fff6bc4cc EN eng BMC http://link.springer.com/article/10.1186/s12936-018-2624-7 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-018-2624-7 1475-2875 https://doaj.org/article/b08883ea38924f369e36b99fff6bc4cc Malaria Journal, Vol 17, Iss 1, Pp 1-8 (2018) Mass drug administration Indoor residual spraying Malaria Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2018 ftdoajarticles https://doi.org/10.1186/s12936-018-2624-7 2022-12-31T02:10:35Z Abstract Background There is growing interest to add mass drug administration (MDA) to the already existing malaria prevention strategies, such as indoor residual spraying (IRS). However, successful MDA and IRS requires high population-wide coverage, emphasizing the importance of community acceptance. This study’s objectives were to identify community-level facilitators and barriers during the implementation of both MDA and IRS in communities with high malaria transmission intensity. Methods This was a qualitative study conducted in two sub-counties in Katakwi district. Kapujan sub-county residents received two rounds of IRS and MDA while Toroma sub-county residents received two rounds of IRS only. Key informant interviews and focus group discussions were conducted with key influential district and sub-county personnel and community members. Data were analysed using thematic analysis. Transcripts and interview notes from the in-depth interviews were analysed using a coding scheme developed from pre-defined topics together with themes emerging from the data. The Nvivo software program was used to aggregate the data by codes and to present study findings. Results Overall, 14 key informants were interviewed: 4 from Katakwi district and 5 each from Kapujan and Toroma sub-counties. Five focus group discussions were conducted: 4 with community members (men and women), 2 in each sub-county and one with medical staff of Toroma health centre IV. Important themes for consideration raised by the respondents include community sensitization, conducting implementation during the low activity dry season, involvement of government and local leadership, use of the competent locally composed team, community knowledge of malaria effects and consequences, combining interventions and evidence of malaria reduction from interventions. Potential barriers such as spreading of misinformation regarding interventions, the strong unpleasant smell from Actellic and inadequate duration of engagement with the community should be taken into ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Toroma ENVELOPE(36.274,36.274,62.752,62.752) Malaria Journal 17 1 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Mass drug administration Indoor residual spraying Malaria Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Mass drug administration Indoor residual spraying Malaria Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Humphrey Wanzira Susan Naiga Ronald Mulebeke Fred Bukenya Mariam Nabukenya Osborn Omoding Dorothy Echodu Adoke Yeka Community facilitators and barriers to a successful implementation of mass drug administration and indoor residual spraying for malaria prevention in Uganda: a qualitative study |
topic_facet |
Mass drug administration Indoor residual spraying Malaria Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background There is growing interest to add mass drug administration (MDA) to the already existing malaria prevention strategies, such as indoor residual spraying (IRS). However, successful MDA and IRS requires high population-wide coverage, emphasizing the importance of community acceptance. This study’s objectives were to identify community-level facilitators and barriers during the implementation of both MDA and IRS in communities with high malaria transmission intensity. Methods This was a qualitative study conducted in two sub-counties in Katakwi district. Kapujan sub-county residents received two rounds of IRS and MDA while Toroma sub-county residents received two rounds of IRS only. Key informant interviews and focus group discussions were conducted with key influential district and sub-county personnel and community members. Data were analysed using thematic analysis. Transcripts and interview notes from the in-depth interviews were analysed using a coding scheme developed from pre-defined topics together with themes emerging from the data. The Nvivo software program was used to aggregate the data by codes and to present study findings. Results Overall, 14 key informants were interviewed: 4 from Katakwi district and 5 each from Kapujan and Toroma sub-counties. Five focus group discussions were conducted: 4 with community members (men and women), 2 in each sub-county and one with medical staff of Toroma health centre IV. Important themes for consideration raised by the respondents include community sensitization, conducting implementation during the low activity dry season, involvement of government and local leadership, use of the competent locally composed team, community knowledge of malaria effects and consequences, combining interventions and evidence of malaria reduction from interventions. Potential barriers such as spreading of misinformation regarding interventions, the strong unpleasant smell from Actellic and inadequate duration of engagement with the community should be taken into ... |
format |
Article in Journal/Newspaper |
author |
Humphrey Wanzira Susan Naiga Ronald Mulebeke Fred Bukenya Mariam Nabukenya Osborn Omoding Dorothy Echodu Adoke Yeka |
author_facet |
Humphrey Wanzira Susan Naiga Ronald Mulebeke Fred Bukenya Mariam Nabukenya Osborn Omoding Dorothy Echodu Adoke Yeka |
author_sort |
Humphrey Wanzira |
title |
Community facilitators and barriers to a successful implementation of mass drug administration and indoor residual spraying for malaria prevention in Uganda: a qualitative study |
title_short |
Community facilitators and barriers to a successful implementation of mass drug administration and indoor residual spraying for malaria prevention in Uganda: a qualitative study |
title_full |
Community facilitators and barriers to a successful implementation of mass drug administration and indoor residual spraying for malaria prevention in Uganda: a qualitative study |
title_fullStr |
Community facilitators and barriers to a successful implementation of mass drug administration and indoor residual spraying for malaria prevention in Uganda: a qualitative study |
title_full_unstemmed |
Community facilitators and barriers to a successful implementation of mass drug administration and indoor residual spraying for malaria prevention in Uganda: a qualitative study |
title_sort |
community facilitators and barriers to a successful implementation of mass drug administration and indoor residual spraying for malaria prevention in uganda: a qualitative study |
publisher |
BMC |
publishDate |
2018 |
url |
https://doi.org/10.1186/s12936-018-2624-7 https://doaj.org/article/b08883ea38924f369e36b99fff6bc4cc |
long_lat |
ENVELOPE(36.274,36.274,62.752,62.752) |
geographic |
Arctic Toroma |
geographic_facet |
Arctic Toroma |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 17, Iss 1, Pp 1-8 (2018) |
op_relation |
http://link.springer.com/article/10.1186/s12936-018-2624-7 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-018-2624-7 1475-2875 https://doaj.org/article/b08883ea38924f369e36b99fff6bc4cc |
op_doi |
https://doi.org/10.1186/s12936-018-2624-7 |
container_title |
Malaria Journal |
container_volume |
17 |
container_issue |
1 |
_version_ |
1766346366994350080 |