TY - JOUR
T1 - Evaluation of the malaria elimination programme in Muara Enim Regency
T2 - a qualitative study from Indonesia
AU - Hasyim, Hamzah
AU - Marini, Heni
AU - Misnaniarti, Misnaniarti
AU - Flora, Rostika
AU - Liberty, Iche Andriyani
AU - Elagali, Ahmed
AU - Hartoni, Hartoni
AU - Maharani, Fadhilah Eka
N1 - Funding Information:
The authors thank the District Health Office of Muara Enim for their assistance in recruiting eligible subjects and providing data to ensure the success of this study.
Funding Information:
The enhancement of IEC is cross programmed, with educational campaigns complementing screening sessions focused on malaria prevention. Collaborative efforts involve various sectors, including mining corporations, to disseminate counselling materials emphasizing rain tank drum management, proper closure, cleaning practices, and keeping cattle away from residential areas. Some PHCs establish cross-border partnerships, while mining corporations in the Tanjung Enim region offer counselling services. Advocacy directed at mining firms aims to secure financial resources for malaria control. Public-private partnerships, supported by memorandums of understanding, involve health facilities in Muara Enim, collaborating with governmental entities like the Ministry of Health and the Provincial Health Service for funding. Partnerships extend to mosquito control, quality assurance checks, cross-check examinations, and cross-notification processes with various institutions. Inadequate educational resources on malaria persist in specific PHCs, as seen in the absence of local educational materials. The augmentation of human resources involves revitalizing services for healthcare professionals, addressing gaps in training for malaria programme managers and laboratory personnel, and reorganized under the Regency Health Office to manage the malaria programme.
Funding Information:
The Directorate General of Higher Education funded the research of this article, Ministry of Education, Culture, Research, and Technology, the Republic of Indonesia with the Fiscal Year 2023, following the Penelitian Dasar Kompetitif Nasional (PDKN) contract number 059/E5/PG.02.00.PL/2023, accurately corresponds to the funding contract number provided by the Penelitian Dasar Kompetitif Nasional (PDKN) for our research project in the year 2023.
Publisher Copyright:
© The Author(s) 2024.
PY - 2024/2/12
Y1 - 2024/2/12
N2 - Background: Malaria remains an enduring public health concern in Indonesia, exacerbated by its equatorial climate that fosters the proliferation of Anopheles mosquitoes. This study seeks to assess the performance of the malaria elimination programme comprehensively. Methods: Between May and August 2022, a qualitative study was conducted in Muara Enim Regency, South Sumatra Province, involving 22 healthcare professionals from diverse backgrounds. These informants were strategically chosen for their pivotal roles in providing profound insights into various facets of the malaria elimination programme. This encompasses inputs such as human resources, budgetary allocation, and infrastructural support; processes like case identification and management, capacity enhancement, epidemiological surveillance, prevention measures, outbreak control, and enhanced communication and educational initiatives; and, notably, the programme’s outcomes. Data were collected through 3-h Focus Group Discussions (FGDs) divided into two groups, each with 12 participants: healthcare professionals and programme managers. Additionally, in-depth interviews (IDIs) were conducted with ten informants. Employing the Input-Process-Output (IPO) model, this study meticulously analysed the healthcare system dynamics and the interventions’ efficacy. Results: The study unveiled many challenges during the input phase, including the absence of entomologists and a shortage of diagnostic tools. Despite these obstacles, it documented remarkable accomplishments in the output domain, marked by significant advancements in the distribution of mosquito nets and the successful implementation of the Early Warning System (EWS). Despite the adversities, the programme has made substantial strides towards malaria elimination. Conclusions: Urgent action is imperative to bolster the effectiveness of the malaria elimination programme. Key measures encompass augmenting the entomologist workforce, optimizing resource allocation, and ensuring stringent adherence to regional regulations. Addressing these concerns will enhance programme efficacy, yielding enduring public health benefits. This research substantially contributes to Indonesia’s ongoing malaria elimination endeavours, furnishing actionable insights for programme enhancement. Consequently, this research holds significant importance for the malaria elimination drive.
AB - Background: Malaria remains an enduring public health concern in Indonesia, exacerbated by its equatorial climate that fosters the proliferation of Anopheles mosquitoes. This study seeks to assess the performance of the malaria elimination programme comprehensively. Methods: Between May and August 2022, a qualitative study was conducted in Muara Enim Regency, South Sumatra Province, involving 22 healthcare professionals from diverse backgrounds. These informants were strategically chosen for their pivotal roles in providing profound insights into various facets of the malaria elimination programme. This encompasses inputs such as human resources, budgetary allocation, and infrastructural support; processes like case identification and management, capacity enhancement, epidemiological surveillance, prevention measures, outbreak control, and enhanced communication and educational initiatives; and, notably, the programme’s outcomes. Data were collected through 3-h Focus Group Discussions (FGDs) divided into two groups, each with 12 participants: healthcare professionals and programme managers. Additionally, in-depth interviews (IDIs) were conducted with ten informants. Employing the Input-Process-Output (IPO) model, this study meticulously analysed the healthcare system dynamics and the interventions’ efficacy. Results: The study unveiled many challenges during the input phase, including the absence of entomologists and a shortage of diagnostic tools. Despite these obstacles, it documented remarkable accomplishments in the output domain, marked by significant advancements in the distribution of mosquito nets and the successful implementation of the Early Warning System (EWS). Despite the adversities, the programme has made substantial strides towards malaria elimination. Conclusions: Urgent action is imperative to bolster the effectiveness of the malaria elimination programme. Key measures encompass augmenting the entomologist workforce, optimizing resource allocation, and ensuring stringent adherence to regional regulations. Addressing these concerns will enhance programme efficacy, yielding enduring public health benefits. This research substantially contributes to Indonesia’s ongoing malaria elimination endeavours, furnishing actionable insights for programme enhancement. Consequently, this research holds significant importance for the malaria elimination drive.
KW - Achievements
KW - Anopheles mosquitoes
KW - Challenges
KW - Elimination programme
KW - Equatorial climate
KW - Healthcare
KW - Indonesia
KW - Malaria
KW - Public health
KW - Qualitative study
UR - http://www.scopus.com/inward/record.url?scp=85185117821&partnerID=8YFLogxK
U2 - 10.1186/s12936-024-04857-7
DO - 10.1186/s12936-024-04857-7
M3 - Article
C2 - 38347633
AN - SCOPUS:85185117821
SN - 1475-2875
VL - 23
JO - Malaria Journal
JF - Malaria Journal
IS - 1
M1 - 43
ER -
