Progress, challenges and priorities for malaria elimination in South Africa

Moonasar, Devanand; Davies, Craig; Balawanth, Ryleen; Misiani, Eunice; Shandukani, Mbavhalelo; Raman, Jaishree; Pillay, Yogan

doi:10.1080/0035919x.2021.1890274

Cited by 6 publications

(5 citation statements)

References 9 publications

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“…Participant 2 revealed that the Department of Health sought help from partners to assist with screening activities at the illegal border crossings, but this was still not enough given the number of illegal border crossings. These findings are consistent with other research that found that the existing human resources were inadequate to effectively implement active surveillance activities in the three malaria-endemic provinces in SA [22].…”

Section: Discussionsupporting

confidence: 92%

“…Other studies suggest that the MOSASWA initiative needed to be strengthened because of the constant risk of importation from the high-endemic areas and countries [18]. There has been extensive literature on malaria in SA, with most focusing on malaria elimination [18][19][20][21][22]. In evaluating the progress, however, very little research focused on cross-border measures to prevent imported malaria, which is one of the requirements for achieving elimination.…”

Section: Introductionmentioning

confidence: 99%

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Perceived Health System Challenges of Implementing Cross-Border Malaria Preventive Measures at Ports of Entry in KwaZulu-Natal

Munsense

Tsoka-Gwegweni

2023

Annals of Global Health

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Background: Cross-border movements, especially from a malaria-endemic neighbour, contribute to importation of malaria, as they provide favourable conditions for malaria transmission in the receiving country. In the KwaZulu-Natal (KZN) province of South Africa (SA), the uMkhanyakude district is one of the endemic malaria areas where the borders are characterised by frequent cross-border movements of travellers coming into the province, mostly from Mozambique. Many studies have suggested that regional efforts through the implementation of cross-border measures are needed in both the high-and low-endemic countries to effectively address imported malaria. The implementation of cross-border measures to prevent imported malaria has led to a significant decline in malaria cases in KZN and SA; however, those measures are subjected to various challenges.Objective: This study sought to determine the health system challenges of implementing cross-border preventive measures for imported malaria at the Kosi Bay, Kwaphuza and Golela ports of entry in KZN.Methods: This inquiry consisted of a mixed methods approach, of which the qualitative component is reported here. In-depth interviews were conducted with four purposively selected health officers working at the legal and illegal ports of entry of the KZN province. Data were coded manually and then analysed using thematic data and descriptive analyses.Results: This study identified operational and prevention challenges. The related operational challenges included travellers' non-disclosure and refusal, uncontrolled cross-border movements and poor coverage as well as shortage of staff. The prevention challenges included lack of novelty in the existing cross-border preventive measures, insecurity and illegal migration. Concerning travellers' non-disclosure and refusal to cooperate, these issues occur at the legal ports of entry of Kosi Bay and Golela, where travellers were less cooperative in disclosing their health-related information to health border officers. They were more eager to cross and attend to their business. The findings revealed a lack of new ideas in the existing cross-border measures for the prevention *Author affiliations can be found in the back matter of this article Munsense and Tsoka-Gwegweni Annals of Global Health

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Perceived Health System Challenges of Implementing Cross-Border Malaria Preventive Measures at Ports of Entry in KwaZulu-Natal

Munsense

Tsoka-Gwegweni

2023

Annals of Global Health

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“… 54 Also, Grobbelaar et al state that Momconnect mobile health application has been used to improve health communication and consultations as well as providing antenatal care services and to connect pregnant women to health services during the pandemic. 31 While much attention and resources were allocated towards virus containment, 43 the MalariaConnect mobile application has been utilized to intensify malaria reporting, monitoring and speed up malaria notifications during COVID-19 in Mpumalanga, Limpopo and KwaZulu-Natal provinces in South Africa. To speed up contact tracing activities, the University of Cape Town together with the regulatory authorities developed a mobile-based contact tracing application called COVi-ID.…”

Section: Results Analysis and Discussionmentioning

confidence: 99%

Virtual healthcare services and digital health technologies deployed during coronavirus disease 2019 (COVID-19) pandemic in South Africa: a systematic review

Mbunge

Batani

Gaobotse

et al. 2022

Global Health Journal

121

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“…The information guidelines help program managers to conduct more comprehensive and focused malaria program surveillance activities to maintain the disease certification [15]. Existing guidelines can provide technical guidance and supervision of program activities, as well as recommend strengthening and improving the implementation of malaria elimination interventions [21], [22].…”

Section: Discussionmentioning

confidence: 99%

Migration Surveillance as a Maintenance Effort of Malaria Elimination Status (Study in Banyumas Regency, Central Java, Indonesia, 2021)

Paramesti

Rejeki²,

Wijayanti³

et al. 2022

Open Access Maced J Med Sci

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Background: Banyumas Regency is a malaria-receptive area with the occurrence of imported cases, particularly in sub-districts with the potential for transmission and even extraordinary events. To eliminate malaria in the regency, Migration surveillance is needed. Therefore, this study aims to evaluate implementing a malaria migration surveillance system to maintain its elimination status in Banyumas Regency in 2021. Method: This qualitative case study was conducted in Banyumas Regency with a total of 9 informants consisting of 2 people from the Health Office, 4 from the Community Health Center, 2 from the Health Laboratory, and 1 village head. Data was collected through Forum Group Discussions, in-depth interviews, and secondary data through document review. This study also adopted content analysis with a thematic network approach. Result: There are several limitations to implementing malaria migration surveillance, namely the lack of human resources, ineffective implementation of village regulations, and the lack of public awareness in reporting symptoms of malaria. Therefore, comprehensive training, policies socialization, improved partnerships, and application-based village reporting are required to maintain the elimination of migration surveillance.

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Progress, challenges and priorities for malaria elimination in South Africa

Cited by 6 publications

References 9 publications

Perceived Health System Challenges of Implementing Cross-Border Malaria Preventive Measures at Ports of Entry in KwaZulu-Natal

Perceived Health System Challenges of Implementing Cross-Border Malaria Preventive Measures at Ports of Entry in KwaZulu-Natal

Virtual healthcare services and digital health technologies deployed during coronavirus disease 2019 (COVID-19) pandemic in South Africa: a systematic review

Migration Surveillance as a Maintenance Effort of Malaria Elimination Status (Study in Banyumas Regency, Central Java, Indonesia, 2021)

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