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Challenges to the implementation of malaria policies in Malawi

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dc.date.accessioned 2019-08-19T12:20:12Z
dc.date.available 2019-08-19T12:20:12Z
dc.date.issued 2019-06-28 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/14124
dc.description.abstract Despite malaria prevention initiatives, malaria remains a major health problem in Malawi, especially for pregnant mothers and children under the age of five. To reduce the malaria burden, Malawi established its first National Malaria Control Programme in 1984. Implementation of evidence-based policies contributed to malaria prevalence dropping from 43% in 2010 to 22% in 2017. In this study, we explored challenges to implementing malaria policies in Malawi from the perspective of key stakeholders in the country. In this qualitative study, we conducted in-depth interviews with 27 key informants from April to July 2015. We stopped sampling new participants when themes became saturated. Purposive and snowballing sampling techniques were used to identify key informants including malaria researchers that were policy advisors, policy makers, programme managers, and other key stakeholders. Interviews were conducted in English, recorded and transcribed, and imported into QSR Nvivo 11 for coding and analysis. Data were analysed using the qualitative content analysis approach. Participants identified three main categories of challenges to the implementation of malaria policies. First structural challenges include inadequate resources, unavailability of trained staff, poor supervision and mentorship of staff, and personnel turnover in government. The second challenge is unilateral implementation of policies. The third category is the inadequately informed policy development and includes lack of platforms to engage with communities, top-down approach in policy formulation and lack of understanding of socio-cultural factors affecting policy uptake by communities. Conclusions: Policy makers should recognize that inadequate support of policy objectives leads to an implementation gap. Therefore, policy development and implementation should not be viewed as distinct, but rather as interactive processes shaping each other. Support for health policy and systems research should be mobilized to strengthen the health system. Detailed assessment of implementation challenges to specific malaria policies should also be conducted to address these challenges and support the shift from the paradigm of malaria prevention and control to elimination in Malawi. en
dc.format.medium Print en
dc.subject MALAWI en
dc.subject MALARIA en
dc.subject POLICY IMPLEMENTATION en
dc.title Challenges to the implementation of malaria policies in Malawi en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume 19 en
dc.BudgetYear 2019/20 en
dc.ResearchGroup Research Use and Impact Assessment en
dc.SourceTitle BMC Health Services Research en
dc.ArchiveNumber 10918 en
dc.PageNumber Online en
dc.outputnumber 9976 en
dc.bibliographictitle Mwendera, C.A., de Jager, C., Longwe, H., Kumwenda, S., Hongoro, C., Phiri, K. & Mutero, C.M. (2019) Challenges to the implementation of malaria policies in Malawi. <i>BMC Health Services Research</i>. 19:Online. en
dc.publicationyear 2019 en
dc.contributor.author1 Mwendera, C.A. en
dc.contributor.author2 de Jager, C. en
dc.contributor.author3 Longwe, H. en
dc.contributor.author4 Kumwenda, S. en
dc.contributor.author5 Hongoro, C. en
dc.contributor.author6 Phiri, K. en
dc.contributor.author7 Mutero, C.M. en


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