Sustainability of Intervention for Home Management of Malaria: The Nigerian Experience

Ajayi, IkeOluwapo O.; Jegede, Ayodele Samuel

doi:10.4172/2161-0711.1000175

Cited by 6 publications

(15 citation statements)

References 13 publications

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“…Volunteer health workers need refresher training and proper supervision [ 66 ] 2. Limitations with assessment of sustainability over time [ 67 , 68 ] 3. Severe shortage of drugs [ 67 , 68 ] 4.…”

Section: Resultsmentioning

confidence: 99%

“…Limitations with assessment of sustainability over time [ 67 , 68 ] 3. Severe shortage of drugs [ 67 , 68 ] 4. Weaknesses with formal health systems with timing of distribution of medical services [ 33 ] 5.…”

Section: Resultsmentioning

confidence: 99%

“…Satisfaction of being able to contribute to community well-being [ 70 ] 2. Incentives/recognition by cardinal staff and community leaders [ 68 , 70 ] 3. Supportive community environment [ 68 ] 4.…”

Section: Resultsmentioning

confidence: 99%

“…Incentives/recognition by cardinal staff and community leaders [ 68 , 70 ] 3. Supportive community environment [ 68 ] 4. Perceived benefit of intervention [ 33 , 39 ] 5.…”

Section: Resultsmentioning

confidence: 99%

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Toward the sustainability of health interventions implemented in sub-Saharan Africa: a systematic review and conceptual framework

et al. 2015

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BackgroundSub-Saharan Africa (SSA) is facing a double burden of disease with a rising prevalence of non-communicable diseases (NCDs) while the burden of communicable diseases (CDs) remains high. Despite these challenges, there remains a significant need to understand how or under what conditions health interventions implemented in sub-Saharan Africa are sustained. The purpose of this study was to conduct a systematic review of empirical literature to explore how health interventions implemented in SSA are sustained.MethodsWe searched MEDLINE, Biological Abstracts, CINAHL, Embase, PsycInfo, SCIELO, Web of Science, and Google Scholar for available research investigating the sustainability of health interventions implemented in sub-Saharan Africa. We also used narrative synthesis to examine factors whether positive or negative that may influence the sustainability of health interventions in the region.ResultsThe search identified 1819 citations, and following removal of duplicates and our inclusion/exclusion criteria, only 41 papers were eligible for inclusion in the review. Twenty-six countries were represented in this review, with Kenya and Nigeria having the most representation of available studies examining sustainability. Study dates ranged from 1996 to 2015. Of note, majority of these studies (30 %) were published in 2014. The most common framework utilized was the sustainability framework, which was discussed in four of the studies. Nineteen out of 41 studies (46 %) reported sustainability outcomes focused on communicable diseases, with HIV and AIDS represented in majority of the studies, followed by malaria. Only 21 out of 41 studies had clear definitions of sustainability. Community ownership and mobilization were recognized by many of the reviewed studies as crucial facilitators for intervention sustainability, both early on and after intervention implementation, while social and ecological conditions as well as societal upheavals were barriers that influenced the sustainment of interventions in sub-Saharan Africa.ConclusionThe sustainability of health interventions implemented in sub-Saharan Africa is inevitable given the double burden of diseases, health care worker shortage, weak health systems, and limited resources. We propose a conceptual framework that draws attention to sustainability as a core component of the overall life cycle of interventions implemented in the region.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Incentives/recognition by cardinal staff and community leaders [ 68 , 70 ] 3. Supportive community environment [ 68 ] 4. Perceived benefit of intervention [ 33 , 39 ] 5.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Toward the sustainability of health interventions implemented in sub-Saharan Africa: a systematic review and conceptual framework

et al. 2015

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“…Similarly, in a sub-study conducted under MMP in the same area as the current study "monetary incentives'' received by the HAs during their trainings were feared to have weakened the sustainability of the health animator approach [35]. Indeed, the forms and modes of delivery of incentives in volunteerbased initiatives are critical but they remain less studied [36]. In Kenya, adaptation of a malaria control intervention (odour-baited mosquito traps) to local context by providing a source of solar energy to householders increased community acceptance and uptake of the intervention [37].…”

Section: Discussionmentioning

confidence: 82%

Community factors affecting participation in larval source management for malaria control in Chikwawa District, Southern Malawi

Gowelo

McCann

Koenraadt

et al. 2020

Malar J

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Background: To further reduce malaria, larval source management (LSM) is proposed as a complementary strategy to the existing strategies. LSM has potential to control insecticide resistant, outdoor biting and outdoor resting vectors. Concerns about costs and operational feasibility of implementation of LSM at large scale are among the reasons the strategy is not utilized in many African countries. Involving communities in LSM could increase intervention coverage, reduce costs of implementation and improve sustainability of operations. Community acceptance and participation in community-led LSM depends on a number of factors. These factors were explored under the Majete Malaria Project in Chikwawa district, southern Malawi. Methods: Separate focus group discussions (FGDs) were conducted with members from the general community (n = 3); health animators (HAs) (n = 3); and LSM committee members (n = 3). In-depth interviews (IDIs) were conducted with community members. Framework analysis was employed to determine the factors contributing to community acceptance and participation in the locally-driven intervention. Results: Nine FGDs and 24 IDIs were held, involving 87 members of the community. Widespread knowledge of malaria as a health problem, its mode of transmission, mosquito larval habitats and mosquito control was recorded. High awareness of an association between creation of larval habitats and malaria transmission was reported. Perception of LSM as a tool for malaria control was high. The use of a microbial larvicide as a form of LSM was perceived as both safe and effective. However, actual participation in LSM by the different interviewee groups varied. Labour-intensiveness and time requirements of the LSM activities, lack of financial incentives, and concern about health risks when wading in water bodies contributed to lower participation. Conclusion: Community involvement in LSM increased local awareness of malaria as a health problem, its risk factors and control strategies. However, community participation varied among the respondent groups, with labour and time demands of the activities, and lack of incentives, contributing to reduced participation. Innovative tools that can reduce the labour and time demands could improve community participation in the activities. Further studies are required to investigate the forms and modes of delivery of incentives in operational community-driven LSM interventions.

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Sustainability of Health Assistance

Isabekova

2023

Global Dynamics of Social Policy

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This chapter aims to provide an empirical operationalization and conceptual definition of sustainability in the context of health aid. Based on an overview of the literature on health interventions, it adapts and extends the existing frameworks to provide a comprehensive basis for analyzing this phenomenon. As sustainability may have diverse and, at times, contradictory connotations for different stakeholders, this chapter encourages a precise empirical operationalization of this term, following Iwelunmor et al. (Implementation Science, 11, 1–27, 2016). Conceptually, this chapter adopts Shediac-Rizkallah and Bone’s (Health Education Research, 13, 87–108, 1998) definition of sustainability as maintaining benefits, continuity of project activities, and building the capacity of a recipient community but extends it by further clarifying “community” and “capacity-building.” To this end, it builds on the works of Labonte and Laverack (Critical Public Health, 11(2), 111–127, 2001a, Critical Public Health, 11(2), 129–138, 2001b) and insights the author of this book gained during her fieldwork in the Kyrgyz Republic. Furthermore, acknowledging the high level of uncertainty associated with the assessment of sustainability, this chapter outlines the critical factors associated with the sustainability of health aid. These are financing; the political and economic situation in the recipient country; historical, systemic, and cultural factors pertinent to the context; and organizational factors related to the health intervention itself.

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Sustainability of Intervention for Home Management of Malaria: The Nigerian Experience

Cited by 6 publications

References 13 publications

Toward the sustainability of health interventions implemented in sub-Saharan Africa: a systematic review and conceptual framework

Toward the sustainability of health interventions implemented in sub-Saharan Africa: a systematic review and conceptual framework

Community factors affecting participation in larval source management for malaria control in Chikwawa District, Southern Malawi

Sustainability of Health Assistance

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