Malaria programme personnel’s experiences, perceived barriers and facilitators to implementing malaria elimination strategy in South Africa
Abstract Background South Africa has set an ambitious goal targeting to eliminate malaria by 2018, which is consistent with the United Nations Sustainable Development Goals’ call to end the epidemic of malaria by 2030 across the globe. There are conflicting views regarding the feasibility of malaria...
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ftdoajarticles:oai:doaj.org/article:b5ab501e6d374e3287fdce6c39721341 2023-05-15T15:16:29+02:00 Malaria programme personnel’s experiences, perceived barriers and facilitators to implementing malaria elimination strategy in South Africa Khumbulani Welcome Hlongwana Benn Sartorius Joyce Tsoka-Gwegweni 2018-01-01T00:00:00Z https://doi.org/10.1186/s12936-017-2154-8 https://doaj.org/article/b5ab501e6d374e3287fdce6c39721341 EN eng BMC http://link.springer.com/article/10.1186/s12936-017-2154-8 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-017-2154-8 1475-2875 https://doaj.org/article/b5ab501e6d374e3287fdce6c39721341 Malaria Journal, Vol 17, Iss 1, Pp 1-13 (2018) Malaria Elimination Eradication Implementation Healthcare workers Facilitators Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2018 ftdoajarticles https://doi.org/10.1186/s12936-017-2154-8 2022-12-31T04:15:11Z Abstract Background South Africa has set an ambitious goal targeting to eliminate malaria by 2018, which is consistent with the United Nations Sustainable Development Goals’ call to end the epidemic of malaria by 2030 across the globe. There are conflicting views regarding the feasibility of malaria elimination, and furthermore studies investigating malaria programme personnel’s perspectives on strategy implementation are lacking. Methods The study was a cross-sectional survey conducted in 2014 through a face-to-face investigator-administered semi-structured questionnaire to all eligible and consenting malaria programme personnel (team leader to senior manager levels) in three malaria endemic provinces (KwaZulu-Natal, Mpumalanga, and Limpopo) of South Africa. Results The overall response rate was 88.6% (148/167) among all eligible malaria personnel. The mean age of participants was 47 years (SD 9.7, range 27–70), and the mean work experience of 19.4 years (SD 11.1, range 0–42). The majority were male (78.4%), and 66.9% had secondary level education. Awareness of the malaria elimination policy was high (99.3%), but 89% contended that they were never consulted when the policy was formulated and few had either seen (29.9%) or read (23%) the policy, either in full or in part. Having read the policy was positively associated with professional job designations (managers, EHPs and entomologists) (p = 0.010) and tertiary level education (p = 0.042). There was a sentiment that the policy was neither sufficiently disseminated to all key healthcare workers (76.4%) nor properly adapted (68.9%) for the local operational context in the elimination strategy. Most (89.1%) participants were not optimistic about eliminating malaria by 2018, as they viewed the elimination strategy in South Africa as too theoretical with unrealistic targets. Other identified barriers included inadequate resources (53.5%) and high cross-border movements (19.8%). Conclusions Most participants were not positive that South Africa could achieve the ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 17 1 |
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Malaria Elimination Eradication Implementation Healthcare workers Facilitators Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Malaria Elimination Eradication Implementation Healthcare workers Facilitators Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Khumbulani Welcome Hlongwana Benn Sartorius Joyce Tsoka-Gwegweni Malaria programme personnel’s experiences, perceived barriers and facilitators to implementing malaria elimination strategy in South Africa |
topic_facet |
Malaria Elimination Eradication Implementation Healthcare workers Facilitators Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background South Africa has set an ambitious goal targeting to eliminate malaria by 2018, which is consistent with the United Nations Sustainable Development Goals’ call to end the epidemic of malaria by 2030 across the globe. There are conflicting views regarding the feasibility of malaria elimination, and furthermore studies investigating malaria programme personnel’s perspectives on strategy implementation are lacking. Methods The study was a cross-sectional survey conducted in 2014 through a face-to-face investigator-administered semi-structured questionnaire to all eligible and consenting malaria programme personnel (team leader to senior manager levels) in three malaria endemic provinces (KwaZulu-Natal, Mpumalanga, and Limpopo) of South Africa. Results The overall response rate was 88.6% (148/167) among all eligible malaria personnel. The mean age of participants was 47 years (SD 9.7, range 27–70), and the mean work experience of 19.4 years (SD 11.1, range 0–42). The majority were male (78.4%), and 66.9% had secondary level education. Awareness of the malaria elimination policy was high (99.3%), but 89% contended that they were never consulted when the policy was formulated and few had either seen (29.9%) or read (23%) the policy, either in full or in part. Having read the policy was positively associated with professional job designations (managers, EHPs and entomologists) (p = 0.010) and tertiary level education (p = 0.042). There was a sentiment that the policy was neither sufficiently disseminated to all key healthcare workers (76.4%) nor properly adapted (68.9%) for the local operational context in the elimination strategy. Most (89.1%) participants were not optimistic about eliminating malaria by 2018, as they viewed the elimination strategy in South Africa as too theoretical with unrealistic targets. Other identified barriers included inadequate resources (53.5%) and high cross-border movements (19.8%). Conclusions Most participants were not positive that South Africa could achieve the ... |
format |
Article in Journal/Newspaper |
author |
Khumbulani Welcome Hlongwana Benn Sartorius Joyce Tsoka-Gwegweni |
author_facet |
Khumbulani Welcome Hlongwana Benn Sartorius Joyce Tsoka-Gwegweni |
author_sort |
Khumbulani Welcome Hlongwana |
title |
Malaria programme personnel’s experiences, perceived barriers and facilitators to implementing malaria elimination strategy in South Africa |
title_short |
Malaria programme personnel’s experiences, perceived barriers and facilitators to implementing malaria elimination strategy in South Africa |
title_full |
Malaria programme personnel’s experiences, perceived barriers and facilitators to implementing malaria elimination strategy in South Africa |
title_fullStr |
Malaria programme personnel’s experiences, perceived barriers and facilitators to implementing malaria elimination strategy in South Africa |
title_full_unstemmed |
Malaria programme personnel’s experiences, perceived barriers and facilitators to implementing malaria elimination strategy in South Africa |
title_sort |
malaria programme personnel’s experiences, perceived barriers and facilitators to implementing malaria elimination strategy in south africa |
publisher |
BMC |
publishDate |
2018 |
url |
https://doi.org/10.1186/s12936-017-2154-8 https://doaj.org/article/b5ab501e6d374e3287fdce6c39721341 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 17, Iss 1, Pp 1-13 (2018) |
op_relation |
http://link.springer.com/article/10.1186/s12936-017-2154-8 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-017-2154-8 1475-2875 https://doaj.org/article/b5ab501e6d374e3287fdce6c39721341 |
op_doi |
https://doi.org/10.1186/s12936-017-2154-8 |
container_title |
Malaria Journal |
container_volume |
17 |
container_issue |
1 |
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1766346777038946304 |