Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Apr 21;14:171.
doi: 10.1186/s12936-015-0686-3.

A Qualitative Study of Perceptions of a Mass Test and Treat Campaign in Southern Zambia and Potential Barriers to Effectiveness

Affiliations
Free PMC article

A Qualitative Study of Perceptions of a Mass Test and Treat Campaign in Southern Zambia and Potential Barriers to Effectiveness

Kafula Silumbe et al. Malar J. .
Free PMC article

Abstract

Background: A mass test and treat campaign (MTAT) using rapid diagnostic tests (RDTs) and artemether-lumefantrine (AL) was conducted in Southern Zambia in 2012 and 2013 to reduce the parasite reservoir and progress towards malaria elimination. Through this intervention, community health workers (CHWs) tested all household members with rapid diagnostic tests (RDTs) and provided treatment to those that tested positive.

Methods: A qualitative study was undertaken to understand CHW and community perceptions regarding the MTAT campaign. A total of eight focus groups and 33 in-depth and key informant interviews were conducted with CHWs, community members and health centre staff that participated in the MTAT.

Results: Interviews and focus groups with CHWs and community members revealed that increased knowledge of malaria prevention, the ability to reach people who live far from health centres, and the ability of the MTAT campaign to reduce the malaria burden were the greatest perceived benefits of the campaign. Conversely, the primary potential barriers to effectiveness included refusals to be tested, limited adherence to drug regimens, and inadequate commodity supply. Study respondents generally agreed that MTAT services were scalable outside of the study area but would require greater involvement from district and provincial medical staff.

Conclusions: These findings highlight the importance of increased community sensitization as part of mass treatment campaigns for improving campaign coverage and acceptance. Further, they suggest that communication channels between the Ministry of Health, National Malaria Control Centre and Medical Stores Limited may need to be improved so as to ensure there is consistent supply and management of commodities. Continued capacity building of CHWs and health facility supervisors is critical for a more effective programme and sustained progress towards malaria elimination.

Figures

Figure 1
Figure 1
Mass Test and Treat study districts and health facilities (HF) in Southern Province.

Similar articles

See all similar articles

Cited by 5 articles

References

    1. Chizema-Kawesha E, Miller JM, Steketee RW, Mukonka VM, Mukuka C, Mohamed AD, et al. Scaling up malaria control in Zambia: progress and impact 2005–2008. Am J Trop Med Hyg. 2010;83:480–8. doi: 10.4269/ajtmh.2010.10-0035. - DOI - PMC - PubMed
    1. Zambia Ministry of Health, N.M.C.C. National Malaria Control Programme Strategic Plan 2011-2015. 2012: Lusaka, Zambia
    1. Kern SE, Tiono AB, Makanga M, Gbadoe AD, Premji Z, Gaye O, et al. Community screening and treatment of asymptomatic carriers of Plasmodium falciparum with artemether-lumefantrine to reduce malaria disease burden: a modelling and simulation analysis. Malar J. 2011;10:210. doi: 10.1186/1475-2875-10-210. - DOI - PMC - PubMed
    1. Okell LC, Ghani AC, Lyons E, Drakeley CJ. Submicroscopic infection in Plasmodium falciparum-endemic populations: a systematic review and meta-analysis. J Infect Dis. 2009;200:1509–17. doi: 10.1086/644781. - DOI - PubMed
    1. Larsen DA, Bennett A, Silumbe K, Hamainza B, Yukich JO, Keating J, et al.: Population-wide malaria testing and treatment with rapid diagnostic tests and artemether-lumefantrine in Southern Zambia: a community randomized step-wedge control trial design. Am J Trop Med Hyg 2015, [Epub ahead of print]. - PMC - PubMed
Feedback