Bottom-up approach to strengthen community-based malaria control strategy from community health workers’ perceptions of their past, present, and future: a qualitative study in Palawan, Philippines
Tóm tắt
Microscopists have active roles in bringing malaria diagnosis and treatment closer to households in Palawan, the highest malaria-endemic province in the Philippines. To accelerate the elimination of malaria in Palawan, we performed a study based on the bottom-up approach to provide profound data to strengthen this community-based malaria control from the microscopists’ point of view. We performed a qualitative cross-sectional study in Palawan. Four focus group discussions with 50 microscopists were conducted in Palawan from November 2010 to February 2011. During the discussions, the following open-ended questions were addressed: motivation for applying to be microscopists in the “Past” category; job satisfaction, role, problems, and saddest and happiest experiences working as microscopists in the “Present” category; and willingness towards task shifting in the “Future” category. Data were transcribed and analyzed by framework analysis using the NVivo software program. The present study innovatively proposed the following strategies: reinforcement strategy (adequate supplies and settings), highly prioritized additional strategies (improving social status of microscopists, issuing a travel budget, and including indigenous populations), regional additional strategies (additional malaria control in the southern region and task shifting in the northern region), and less prioritized additional strategies (employment policy and health checkup). A bottom-up approach using microscopists’ perceptions would be a valuable method to propose practical and effective additional strategies for strengthening community-based malaria control.
Tài liệu tham khảo
Provincial Health Office of Palawan. Provincial health report, 2012. Palawan: Provincial Health Office of Palawan; 2012.
Angluben RU, Trudeau MR, Kano S, Tongol-Rivera P. Kilusan Ligtas Malaria: advancing social mobilization towards sustainable malaria control in the province of Palawan, the Philippines. Trop Med Heal. 2008;36:45–9.
Sunguya BF, Mlunde LB, Ayer R, Jimba M. Towards eliminating malaria in high endemic countries: the roles of community health workers and related cadres and their challenges in integrated community case management for malaria: a systematic review. Malar J. 2017;16:10. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28049486. Cited 8 Mar 2018.
Matsumoto-Takahashi ELA, Tongol-Rivera P, Villacorte EA, Angluben RU, Yasuoka J, Kano S, et al. Determining the active role of microscopists in community awareness-raising activities for malaria prevention: a cross-sectional study in Palawan, the Philippines. Malar J. 2013;12:384. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24175934
Matsumoto-Takahashi ELA, Tongol-Rivera P, Villacorte EA, Angluben RU, Yasuoka J, Kano S, et al. Determining the impact of community awareness-raising activities on the prevention of malaria transmission in Palawan, the Philippines. Parasitol Int. 2014;63:519–26.
Matsumoto-Takahashi ELA, Tongol-Rivera P, Villacorte EA, Angluben RU, Jimba M, Kano S. Patient knowledge on malaria symptoms is a key to promoting universal access of patients to effective malaria treatment in Palawan, the Philippines. PLoS One. 2015;10:e0127858. Available from: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0127858. Cited 22 June 2015.
“The Harvard Interfaculty Program on Health Systems”. A strategy for health care reform: catalyzing change from the bottom up [Internet]. 2006. Available from: http://www.phsi.harvard.edu/pdfs/reform.pdf. Cited 23 Feb 2015
Carrin G, Buse K, Heggenhougen K, Quah SR. Health systems policy, finance, and organization [Internet]. San Diego: Elsevier publications; 2010. Available from: https://books.google.com/books?id=IEXUrc0tr1wC&pgis=1. Cited 23 Feb 2015.
Glenton C, Scheel IB, Pradhan S, Lewin S, Hodgins S, Shrestha V. The female community health volunteer programme in Nepal: decision makers’ perceptions of volunteerism, payment and other incentives. Soc Sci Med. 2010;70:1920–7. Available from: http://linkinghub.elsevier.com/retrieve/pii/S027795361000198X. Cited 1 Sept 2017
King M, King L, Willis E, Munt R, Semmens F. The experiences of remote and rural Aboriginal Health Workers and registered nurses who undertook a postgraduate diabetes course to improve the health of Indigenous Australians. Contemp Nurse. 2012;42:107–17. Available from: http://www.tandfonline.com/doi/abs/10.5172/conu.2012.42.1.107. Cited 1 Sept 2017
Sundararajan R, Kalkonde Y, Gokhale C, Greenough PG, Bang A. Barriers to malaria control among marginalized tribal communities: a qualitative study. PLoS One. 2013;8:e81966. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3869659&tool=pmcentrez&rendertype=abstract. Cited 3 Mar 2015
Kim SS, Ali D, Kennedy A, Tesfaye R, Tadesse AW, Abrha TH, et al. Assessing implementation fidelity of a community-based infant and young child feeding intervention in Ethiopia identifies delivery challenges that limit reach to communities: a mixed-method process evaluation study. BMC Public Health. 2015;15:316. Available from: http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-015-1650-4. Cited 1 Sept 2017
National Statistical Coordination Board. Population of the Philippines census years 1799 to 2010. Manila: National Statistical Coorfinaion Board; 2012.
Kitzinger J. Qualitative research. Introducing focus groups. BMJ. 1995;311:299–302.
Rabiee F. Focus-group interview and data analysis. Proc Nutr Soc. 2004;63:655–60.
Pope C, Ziebland S, Mays N. Qualitative research in health care. Analysing qualitative data. BMJ. 2000;320:114–6.
World Health Organization. WHO model list of essential medicines 18th list. 2013. Available from: http://www.who.int/medicines/publications/essentialmedicines/en/index.html. Cited 1 Sept 2017
World Health Organization. World malaria report 2016: World Health Organization; 2016.
Howes RE, Battle KE, Mendis KN, Smith DL, Cibulskis RE, Baird JK, et al. Global epidemiology of Plasmodium vivax. Am J Trop Med Hyg. 2016;95:15–34. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27402513. Cited 1 Sept 2017.
Singh D, Negin J, Otim M, Orach CG, Cumming R. The effect of payment and incentives on motivation and focus of community health workers: five case studies from low- and middle-income countries. Hum Resour Health. 2015;13:58. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26169179. Cited 5 Sept 2017.
Xu J-W, Xu Q-Z, Liu H, Zeng Y-R. Malaria treatment-seeking behaviour and related factors of Wa ethnic minority in Myanmar: a cross-sectional study. Malar J. 2012;11:417. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3529692&tool=pmcentrez&rendertype=abstract. Cited 13 Feb 2015.
Wen S, Harvard KE, Gueye CS, Canavati SE, Chancellor A, Ahmed B-N, et al. Targeting populations at higher risk for malaria: a survey of national malaria elimination programmes in the Asia Pacific. Malar J. 2016;15:271. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27165296. Cited 1 Sept 2017.
Chuquiyauri R, Paredes M, Peñataro P, Torres S, Marin S, Tenorio A, et al. Socio-demographics and the development of malaria elimination strategies in the low transmission setting. Acta Trop. 2012;121:292–302. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22100446. Cited 1 Sept 2017.
Ng’ang’a PN, Shililu J, Jayasinghe G, Kimani V, Kabutha C, Kabuage L, et al. Malaria vector control practices in an irrigated rice agro-ecosystem in central Kenya and implications for malaria control. Malar J. 2008;7:146. Available from: http://www.malariajournal.com/content/7/1/146. Cited 3 Mar 2015.
Raghavendra K, Barik TK, Reddy BPN, Sharma P, Dash AP. Malaria vector control: from past to future. Parasitol Res. 2011;108:757–79. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21229263. Cited 3 Mar 2015.
World Health Organization. Malaria vector control and personal protection. World Health Organ. Tech Rep Ser. 2006;936:1–62. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16623084. Cited 13 Feb 2015.
Killeen GF, Smith TA, Ferguson HM, Mshinda H, Abdulla S, Lengeler C, et al. Preventing childhood malaria in Africa by protecting adults from mosquitoes with insecticide-treated nets. PLoS Med. 2007;4:e229. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1904465&tool=pmcentrez&rendertype=abstract. Cited 13 Feb 2015.
Matsumoto-Takahashi ELA, Kano S. Evaluating active roles of community health workers in accelerating universal access to health services for malaria in Palawan, the Philippines. Trop Med Health. 2016;44:10. Available from: http://tropmedhealth.biomedcentral.com/articles/10.1186/s41182-016-0008-7. Cited 15 Apr 2016.
Okyere E, Mwanri L, Ward P. Is task-shifting a solution to the health workers’ shortage in Northern Ghana? Kumar S, editor. PLoS One. 2017;12:e0174631. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28358841. Cited 1 Sept 2017.
Tsolekile LP, Abrahams-Gessel S, Puoane T. Healthcare professional shortage and task-shifting to prevent cardiovascular disease: implications for low- and middle-income countries. Curr Cardiol Rep. 2015;17:115. Available from: http://link.springer.com/10.1007/s11886-015-0672-y. Cited 1 Sept 2017.