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Effective management of district-level malaria control and elimination: Implementing quality and participative process improvements

Agins, Bruce; Case, Peter; Chandramohan, Daniel; Chen, Ingrid; Chikodzore, Rudo; Chitapi, Precious; Chung, Amanda; Gosling, Roly; Gosling, Jonathan; Gumbi, Matsiliso; Ikeda, Daniel; Madinga, Munashe; Mnguni, Peliwe; Murungu, Joseph; Gueye, Cara Smith; Murungu, Joseph; Gueye, Cara Smith; Tulloch, Jim; Viljoen, Greyling

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Authors

Bruce Agins

Daniel Chandramohan

Ingrid Chen

Rudo Chikodzore

Precious Chitapi

Amanda Chung

Roly Gosling

Jonathan Gosling

Matsiliso Gumbi

Daniel Ikeda

Munashe Madinga

Peliwe Mnguni

Joseph Murungu

Cara Smith Gueye

Joseph Murungu

Cara Smith Gueye

Jim Tulloch

Greyling Viljoen



Abstract

Although it is widely recognized that strong program management is essential to achieving better health outcomes, this priority is not recognized in malaria programmatic practices. Increased management precision offers the opportunity to improve the effectiveness of malaria interventions, overcoming operational barriers to intervention coverage and accelerating the path to elimination. Here we propose a combined approach involving quality improvement, quality management, and participative process improvement, which we refer to as Combined Quality and Process Improvement (CQPI), to improve upon malaria program management. We draw on evidence from other areas of public health, as well as pilot implementation studies in Eswatini, Namibia and Zimbabwe to support the proposal. Summaries of the methodological approaches employed in the pilot studies, overview of activities and an outline of lessons learned from the implementation of CQPI are provided. Our findings suggest that a malaria management strategy that prioritizes quality and participative process improvements at the district-level can strengthen teamwork and communication while enabling the empowerment of subnational staff to solve service delivery challenges. Despite the promise of CQPI, however, policy makers and donors are not aware of its potential. Investments are therefore needed to allow CQPI to come to fruition.

Citation

Agins, B., Case, P., Chandramohan, D., Chen, I., Chikodzore, R., Chitapi, P., …Viljoen, G. (2022). Effective management of district-level malaria control and elimination: Implementing quality and participative process improvements. BMC Public Health, 22(1), Article 140. https://doi.org/10.1186/s12889-021-12322-2

Journal Article Type Article
Acceptance Date Jan 20, 2022
Online Publication Date Jan 20, 2022
Publication Date Jan 20, 2022
Deposit Date Feb 17, 2022
Publicly Available Date Feb 17, 2022
Journal BMC Public Health
Electronic ISSN 1471-2458
Publisher BioMed Central
Peer Reviewed Peer Reviewed
Volume 22
Issue 1
Article Number 140
DOI https://doi.org/10.1186/s12889-021-12322-2
Keywords Public Health, Environmental and Occupational Health, Malaria, Participative Action Research, Quality Improvement
Public URL https://uwe-repository.worktribe.com/output/8676397
Additional Information Received: 4 June 2021; Accepted: 28 November 2021; First Online: 20 January 2022; : ; : No ethics approval was sought for this research in practice paper.; : Not Applicable; : No authors report any competing or conflicts of interest

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