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Long-lasting insecticide-treated nets | ● Unclear/outdated targeting | ● Does not cover mobile population | ● Insufficient supplies of LLINs and resource mechanism for distribution |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 |