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Strengthening management, community engagement, and sustainability of the subnational response to accelerate malaria elimination in Namibia

Chung, Amanda Marr; Love, Eliza; Neidel, Julie; Mendai, Idah; Nairenge, Sakeus; van Wyk, Lesley Anne; Rossi, Sara; Larson, Erika; Case, Peter; Gosling, Jonathan; Viljoen, Greyling; Hove, Macdonald; Agins, Bruce; Hamanyela, Jerobeam; Gosling, Roland

Authors

Amanda Marr Chung

Eliza Love

Julie Neidel

Idah Mendai

Sakeus Nairenge

Lesley Anne van Wyk

Sara Rossi

Erika Larson

Jonathan Gosling

Greyling Viljoen

Macdonald Hove

Bruce Agins

Jerobeam Hamanyela

Roland Gosling



Abstract

Leadership and management skills are critical for health programs to deliver high-quality interventions in complex systems. In malaria-eliminating countries, national and subnational health teams are reorienting strategies to address focal transmission while preventing new cases and adapting to decentralization and declines in external financing. A capacity-strengthening program in two regions in Namibia helped malaria program implementers identify and address key operational, political, and financial challenges. The program focused on developing skills and techniques in problem-solving and teamwork, engaging decision-makers, and using financial evidence to prioritize domestic resources for malaria through participatory approaches. Results of the program included an observed 40% increase in malaria case reporting, 32% increase in reporting and tracing of imported malaria cases, 10% increase in malaria case management, integration of malaria activities into local operational plans, and an increase in subnational resources for malaria teams. To promote program sustainability beyond the implementation period, key program aspects were institutionalized into existing health system structures, program staff were trained in change leadership, and participants integrated the skills and approaches into their professional roles. A capacity-strengthening program with joint focus on leadership, management, and advocacy has potential for application to other health issues and geographies.

Journal Article Type Article
Acceptance Date Jan 26, 2022
Online Publication Date Apr 11, 2022
Publication Date 2022-06
Deposit Date Apr 19, 2022
Publicly Available Date Jun 16, 2022
Journal American Journal of Tropical Medicine and Hygiene
Print ISSN 0002-9637
Publisher American Society of Tropical Medicine and Hygiene
Peer Reviewed Peer Reviewed
Volume 106
Issue 6
Pages 1646-1652
DOI https://doi.org/10.4269/ajtmh.21-1195
Keywords Virology; Infectious Diseases; Parasitology
Public URL https://uwe-repository.worktribe.com/output/9363765
Publisher URL https://www.ajtmh.org/view/journals/tpmd/106/6/article-p1646.xml

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