Acceptability and perceived barriers to reactive focal mass drug administration in the context of a malaria elimination program in Magude district, Southern Mozambique: A qualitative study
Author:
Cuinhane Carlos Eduardo,Galatas Beatriz,Lopez Julia Montaña,Djive Helder,Nhantumbo Hoticha,Murato Ilda,Saúte Francisco,Aide Pedro,Munguambe Khátia,Torres Neusa
Abstract
This study analysed acceptability and perceived barriers to reactive focal mass drug administration (rfMDA) among community members exposed to community engagement campaigns and malaria elimination interventions in Magude district, following mass drug administration (MDA) in the same district. The study used a formative qualitative study design, consisting of 56 semi-structured interviews with community members, including community leaders, household heads, women of reproductive age, members of the community and adolescents, 4 semi-structured interviews with community health workers, 9 semi-structured interviews with healthcare professionals; and 16 focus group discussions with the general adult population. Data were collected between June and September 2017. A content thematic analysis approach was used to analyse the data. The results of this study showed that rfMDA was accepted due to awareness about the intervention, experience of a previous similar programme, the MDA campaign, and due to favourable perceptions built on the believe that rfMDA would help to prevent, treat and eliminate malaria in the community. Perceived barriers to rfMDA include lack of access to accurate information, reluctance to take a pregnancy test, concern on drug adverse reactions, and reluctance to take antimalarial drugs without any symptom. In conclusion, the community found rfMDA acceptable for malaria intervention. But more community engagement is needed to foster community involvement and self-appropriation of the malaria programme elimination.
Funder
The Bill and Melinda Gates Foundation
Obra Social “la Caixa” Partnership for the Elimination of Malaria in Southern Mozambique
Publisher
Public Library of Science (PLoS)
Subject
Multidisciplinary
Reference27 articles.
1. Towards malaria elimination in the MOSASWA (Mozambique, South Africa and Swaziland) region.;D Moonasar;Malar J.,2016
2. A multiple program for malaria elimination in southern Mozambique (the Magude project): A before-after study.;B Galatas;PLoS ONE,2020
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