Malaria Frontline Project: strategic approaches to improve malaria control program leveraging experiences from Kano and Zamfara States, Nigeria, 2016–2019

Adewole, Adefisoye; Ajumobi, Olufemi; Waziri, Ndadilnasiya Endie; Umar, Amina A.; Bala, Usaini; Gidado, Saheed; Ugbenyo, Gideon; Simple, Edwin; Igbaver, Isaac; Attahiru, Adam; Michael, Charles A; Uba, Belinda; Nguku, Patrick; Uhomoibhi, Perpetua; Muhammad, Basheer; Ismael, Munira; Cash, Shelby; Williamson, John; McElroy, Peter D.; Kachur, S. Patrick; Asamoa, Kwame

doi:10.1186/s12913-023-09143-x

Cited by 3 publications

(1 citation statement)

References 21 publications

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“…Data-driven health facility supportive supervisory visits by state and LGA level officers based on program performance is an objective way to support health facilities and LGAs. These were designed to elicit ongoing changes in health worker´s practice and behavior over time and improve service delivery performance [ 8 ]. On-the-job training and mentoring of health facility workers by the LGA team helped build health workers´ capacity in malaria case management, data management, and use for decision making.…”

Section: Project Evaluationmentioning

confidence: 99%

Improving health information system for malaria program management: malaria frontline project lessons learned from Kano and Zamfara States, Nigeria, 2016-2019

Adewole,

Ajumobi,

Waziri

et al. 2023

Pan Afr Med J

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The U.S. Centers for Disease Control and Prevention in collaboration with the National Malaria Elimination Program and the African Field Epidemiology Network established the Malaria Frontline Project to provide innovative approaches to improve the malaria program implementation in Kano and Zamfara States, Nigeria. Innovative approaches such as malaria bulletin, malaria monitoring wall chart, conduct of ward level data validation meetings and malaria dashboard have helped improve the use of data for decision making at all levels. Innovative approaches deployed during the project implementation facilitated data analysis and a better understanding of malaria program performance and data utilization for decision making at all levels. These innovative approaches may improve malaria control program performance in Nigeria and other resource limited countries.

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Section: Project Evaluationmentioning

confidence: 99%

Improving health information system for malaria program management: malaria frontline project lessons learned from Kano and Zamfara States, Nigeria, 2016-2019

Adewole,

Ajumobi,

Waziri

et al. 2023

Pan Afr Med J

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Assessment of uptake of sulphadoxine-pyrimethamine for intermittent preventive treatment among pregnant women in Osun State, Nigeria

Adegbola,

Ogboye,

Ijarotimi

et al. 2024

Transactions of the Royal Society of Tropical Medicine and Hygiene

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Background About 32 million pregnant women are at the risk of malaria infection yearly in malaria-endemic sub-Saharan Africa. To mitigate the risks associated with malaria in pregnancy, the WHO recommends ≥3 doses of intermittent preventive treatment in pregnancy (IPTp) with sulphadoxine-pyrimethamine (SP), covering from the second trimester of pregnancy until delivery. Methods This cross-sectional study assessed the uptake and extent of adherence with IPTp-SP among pregnant women in Osun State, Nigeria, from October 2020 to March 2021. Assessment of the uptake was done by extracting information from the validated case report forms. Venous blood samples were obtained to assess the levels of sulphadoxine in plasma through HPLC-UV. Results In total, 49.24%, 38.17% and 12.58% of the study participants obtained 1, 2 and ≥3 doses of IPTp-SP, respectively. In assessing the extent of adherence, 46.67% obtained their last dose within 28 d before sample collection. Uptake of IPTp-SP is not associated with gravidity (p=0.603), but is weakly associated with the age of the study participants (p=0.04). The median (IQR) plasma sulphadoxine concentration was 10.6248 (2.8124–27.1242) ug/mL. Conclusions Utilisation of the intervention is still very low and adherence appears to be inadequate among the study population, suggesting that more advocacy on the IPTp-SP strategy and the implementation of directly observed therapy is necessary.

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Possibility of the optimum monitoring and evaluation (M&E) production frontier for risk-informed health governance in disaster-prone districts of West Bengal, India

Mukherjee,

Batta

2024

J Health Popul Nutr

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An efficient M&E system in public healthcare is crucial for achieving universal health coverage in low- and middle-income countries, especially when the need for service remains unmet due to the exposure of the population to disaster risks and uncertainties. Current research has conducted exploratory and predictive analyses to estimate the determinants of sustainable M&E solutions for ensuring uninterrupted access during and after disasters. The aim was to estimate the efficiency of reaching a higher M&E production frontier via the Cobb‒Douglas model and stochastic frontier model as the basic theoretical and empirical frameworks. The research followed a deductive approach and used a stratified purposive sampling method to collect data from different layers of health and disaster governance in a flood-prone rural setting in the Malda, South 24 Parganas and Purulia districts in West Bengal, India. The present mixed-method study revealed multiple challenges in healthcare seeking during disasters and how a well-structured M&E system can increase system readiness to combat these challenges. The stochastic frontier model estimated the highest M&E frontier producing the most attainable M&E effectiveness through horizontal convergence between departments, enhanced coordination, the availability of frontline health workers at health centers, the adoption of learned innovation and the outsourcing of the evaluation component to external evaluators to improve M&E process quality. Although the study has several limitations, it shows the potential to increase technical and allocative efficiency through building skills in innovative techniques and applying them in process implementation. In the future, research on strategy improvement followed by real-world evidence-based policy advocacy is needed to increase the impact of M&E on access to healthcare services.

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Malaria Frontline Project: strategic approaches to improve malaria control program leveraging experiences from Kano and Zamfara States, Nigeria, 2016–2019

Cited by 3 publications

References 21 publications

Improving health information system for malaria program management: malaria frontline project lessons learned from Kano and Zamfara States, Nigeria, 2016-2019

Improving health information system for malaria program management: malaria frontline project lessons learned from Kano and Zamfara States, Nigeria, 2016-2019

Assessment of uptake of sulphadoxine-pyrimethamine for intermittent preventive treatment among pregnant women in Osun State, Nigeria

Possibility of the optimum monitoring and evaluation (M&E) production frontier for risk-informed health governance in disaster-prone districts of West Bengal, India

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