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Table 2 Technical, operational, and resource allocation challenges of key malaria interventions elicited from key informant interviews

From: Namibia’s path toward malaria elimination: a case study of malaria strategies and costs along the northern border

Issues discussed

Operational

Technical

Resource allocation

Indoor residual spraying

Access and weather difficulties

Does not cover mobile population

Insufficient spray men

Homeowner/community refusals

Delayed insecticide procurement in 2008

Late staff payments

Not as effective against outdoor biting/resting vectors

Turnover/retraining

Irregular trainings

No documented strategy on targeting populations

Lack of some IRS equipment

Long-lasting insecticide-treated nets

Unclear/outdated targeting

Does not cover mobile population

Insufficient supplies of LLINs and resource mechanism for distribution

High turnover of community volunteers

Not as effective against outdoor biting/resting vectors

LLINs misused by recipients

Insufficient IEC for proper use of LLINs

Diagnosis & treatment

No official change in policy (until 2012)

Trainings not organized or timed to coincide with new commodity rollout

No concentrated strategy across regions

Insufficient IEC for dispelling myths and emphasizing need for prompt diagnosis and treatment

Some malaria patients reluctant to provide accurate contact or place of origin information.

Some health workers perceive RDTs to be too time-consuming

Surveillance/Reporting

No analysis/feedback

Reporting systems not linked across health system levels or regions

Lack of personnel

Private sector not included