Eliminating again, for the last time: A case study of donor support for malaria in Solomon Islands

Burkot, Camilla; Gilbert, Katherine

doi:10.1002/app5.320

Cited by 2 publications

(1 citation statement)

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“…8 11 12 Those studies that have examined the interaction between disease-specific programmes and the broader health system continue to report mixed results, with evidence of both positive and negative impact. [13][14][15][16] Thus, there remains an ongoing need for research into how dual objective programmes may best be operationalised to support both disease-specific and broader HSS objectives.…”

Section: Bmj Global Healthmentioning

confidence: 99%

Pursuing health systems strengthening through disease-specific programme grants: experiences in Tanzania and Sierra Leone

Hemingway

Jalloh

Silumbe³

et al. 2021

BMJ Glob Health

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IntroductionDisease-specific ‘vertical’ programmes and health system strengthening (HSS) ‘horizontal’ programmes are not mutually exclusive; programmes may be implemented with the dual objectives of achieving both disease-specific and broader HSS outcomes. However, there remains an ongoing need for research into how dual objective programmes are operationalised for optimum results.MethodsA qualitative study encompassing four grantee programmes from two partner countries, Tanzania and Sierra Leone, in the Comic Relief and GlaxoSmithKline ‘Fighting Malaria, Improving Health’ partnership. Purposive sampling maximised variation in terms of geographical location, programme aims and activities, grantee type and operational sector. Data were collected via semi-structured interviews. Data analysis was informed by a general inductive approach.Results51 interviews were conducted across the four grantees. Grantee organisations structured and operated their respective projects in a manner generally supportive of HSS objectives. This was revealed through commonalities identified across the four grantee organisations in terms of their respective approach to achieving their HSS objectives, and experienced tensions in pursuit of these objectives. Commonalities included: (1) using short-term funding for long-term initiatives; (2) benefits of being embedded in the local health system; (3) donor flexibility to enable grantee responsiveness; (4) the need for modest expectations; and (5) the importance of micro-innovation.ConclusionHealth systems strengthening may be pursued through disease-specific programme grants; however, the respective practice of both the funder and grantee organisation appears to be a key influence on whether HSS will be realised as well as the overall extent of HSS possible.

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Section: Bmj Global Healthmentioning

confidence: 99%

Pursuing health systems strengthening through disease-specific programme grants: experiences in Tanzania and Sierra Leone

Hemingway

Jalloh

Silumbe³

et al. 2021

BMJ Glob Health

View full text Add to dashboard Cite

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Foreword to Special Issue: Malaria elimination in the Asia‐Pacific

Das¹

2021

Asia & Pacific Policy Stud

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The path to malaria elimination in the Asia-Pacific region, encompassing 21 countries spanning from Afghanistan to Vanuatu, is at an unprecedented crossroad. To be certain, there has been remarkable progress over the past decade. Countries such as Sri Lanka and China have been certified as having eliminated malaria; Malaysia, Bhutan and Timor-Leste are on the cusp of elimination with zero to very few indigenous cases reported in the past 2 to 3 years. The Greater Mekong Subregion has achieved dramatic success: Cambodia has reported zero deaths since 2018 while there has been a reduction of 60%-90% of P. falciparum malaria cases across the subregion from 2020 to 2021, despite COVID-19 disruptions (World Health Organization, 2021). At the same time, with the 2030 goal of elimination committed to by 21 Heads of State firmly before us, there remains much work to be done in the decade ahead. Together, India, Indonesia, Pakistan and Papua New Guinea account for over 80% of the total region's malaria burden (World Health Organization, 2020). Indeed, there are several key challenges ahead.Many of the highest pockets of endemicity are in the hardest-to-reach communities. Surveillance remains a high order of priority in need of strengthening particularly in rural and remote areas. While remarkable progress has been made with regards to P. falciparum, P. vivax continues to present considerable challenges in terms of case management and treatment. Policy reform in areas such as making malaria a notifiable disease still needs robust advocacy efforts. In an era of diminishing resources, malaria elimination efforts increasingly need ways to maximise the long-term benefit of donor funding while increasing domestic resources for malaria and health systems strengthening in the long term.This special issue entitled Malaria elimination in the Asia-Pacific provides critical evidence in many of the areas outlined above, such as reaching hard-to-reach populations, the adequate treatment of P. vivax, examining donor support and policy reform. Wangdi et al. (2021) emphasise the importance of ensuring access to effective interventions for patients at risk in border or forested areas through, for example, mobile clinics, screening posts and village volunteers. Burkot and Gilbert (2021) offer a country perspective from the Solomon Islands on the impact of foreign aid on malaria elimination efforts with recommendations for future priorities on the integration of malaria services within the general health system. Ruwanpura et al. (2021) summarise the missing gaps in data that can help inform a safer and more effective radical cure for P. vivax malaria, including for example on the cost-effectiveness of novel treatment options. Finally, Lamy et al. (2021) explain why making malaria a notifiable disease is an essential policy milestone for countries nearing elimination to detect any new emerging or re-emerging outbreaks and to react quickly. This is also a prerequisite to a robust surveillance system for any other emerging health threat.This i...

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Eliminating again, for the last time: A case study of donor support for malaria in Solomon Islands

Cited by 2 publications

References 20 publications

Pursuing health systems strengthening through disease-specific programme grants: experiences in Tanzania and Sierra Leone

Pursuing health systems strengthening through disease-specific programme grants: experiences in Tanzania and Sierra Leone

Foreword to Special Issue: Malaria elimination in the Asia‐Pacific

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