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Acceptability and perceived barriers to reactive focal mass drug administration in the context of a malaria elimination program in Magude district, Southern Mozambique: A qualitative study

This study analysed acceptability and perceived barriers to reactive focal mass drug administration (rfMDA) among community members exposed to community engagement campaigns and malaria elimination interventions in Magude district, following mass drug administration (MDA) in the same district. The s...

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Autores principales: Cuinhane, Carlos Eduardo, Galatas, Beatriz, Lopez, Julia Montaña, Djive, Helder, Nhantumbo, Hoticha, Murato, Ilda, Saúte, Francisco, Aide, Pedro, Munguambe, Khátia, Torres, Neusa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10065238/
https://www.ncbi.nlm.nih.gov/pubmed/37000890
http://dx.doi.org/10.1371/journal.pone.0283160
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author Cuinhane, Carlos Eduardo
Galatas, Beatriz
Lopez, Julia Montaña
Djive, Helder
Nhantumbo, Hoticha
Murato, Ilda
Saúte, Francisco
Aide, Pedro
Munguambe, Khátia
Torres, Neusa
author_facet Cuinhane, Carlos Eduardo
Galatas, Beatriz
Lopez, Julia Montaña
Djive, Helder
Nhantumbo, Hoticha
Murato, Ilda
Saúte, Francisco
Aide, Pedro
Munguambe, Khátia
Torres, Neusa
author_sort Cuinhane, Carlos Eduardo
collection PubMed
description This study analysed acceptability and perceived barriers to reactive focal mass drug administration (rfMDA) among community members exposed to community engagement campaigns and malaria elimination interventions in Magude district, following mass drug administration (MDA) in the same district. The study used a formative qualitative study design, consisting of 56 semi-structured interviews with community members, including community leaders, household heads, women of reproductive age, members of the community and adolescents, 4 semi-structured interviews with community health workers, 9 semi-structured interviews with healthcare professionals; and 16 focus group discussions with the general adult population. Data were collected between June and September 2017. A content thematic analysis approach was used to analyse the data. The results of this study showed that rfMDA was accepted due to awareness about the intervention, experience of a previous similar programme, the MDA campaign, and due to favourable perceptions built on the believe that rfMDA would help to prevent, treat and eliminate malaria in the community. Perceived barriers to rfMDA include lack of access to accurate information, reluctance to take a pregnancy test, concern on drug adverse reactions, and reluctance to take antimalarial drugs without any symptom. In conclusion, the community found rfMDA acceptable for malaria intervention. But more community engagement is needed to foster community involvement and self-appropriation of the malaria programme elimination.
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spelling pubmed-100652382023-04-01 Acceptability and perceived barriers to reactive focal mass drug administration in the context of a malaria elimination program in Magude district, Southern Mozambique: A qualitative study Cuinhane, Carlos Eduardo Galatas, Beatriz Lopez, Julia Montaña Djive, Helder Nhantumbo, Hoticha Murato, Ilda Saúte, Francisco Aide, Pedro Munguambe, Khátia Torres, Neusa PLoS One Research Article This study analysed acceptability and perceived barriers to reactive focal mass drug administration (rfMDA) among community members exposed to community engagement campaigns and malaria elimination interventions in Magude district, following mass drug administration (MDA) in the same district. The study used a formative qualitative study design, consisting of 56 semi-structured interviews with community members, including community leaders, household heads, women of reproductive age, members of the community and adolescents, 4 semi-structured interviews with community health workers, 9 semi-structured interviews with healthcare professionals; and 16 focus group discussions with the general adult population. Data were collected between June and September 2017. A content thematic analysis approach was used to analyse the data. The results of this study showed that rfMDA was accepted due to awareness about the intervention, experience of a previous similar programme, the MDA campaign, and due to favourable perceptions built on the believe that rfMDA would help to prevent, treat and eliminate malaria in the community. Perceived barriers to rfMDA include lack of access to accurate information, reluctance to take a pregnancy test, concern on drug adverse reactions, and reluctance to take antimalarial drugs without any symptom. In conclusion, the community found rfMDA acceptable for malaria intervention. But more community engagement is needed to foster community involvement and self-appropriation of the malaria programme elimination. Public Library of Science 2023-03-31 /pmc/articles/PMC10065238/ /pubmed/37000890 http://dx.doi.org/10.1371/journal.pone.0283160 Text en © 2023 Cuinhane et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Cuinhane, Carlos Eduardo
Galatas, Beatriz
Lopez, Julia Montaña
Djive, Helder
Nhantumbo, Hoticha
Murato, Ilda
Saúte, Francisco
Aide, Pedro
Munguambe, Khátia
Torres, Neusa
Acceptability and perceived barriers to reactive focal mass drug administration in the context of a malaria elimination program in Magude district, Southern Mozambique: A qualitative study
title Acceptability and perceived barriers to reactive focal mass drug administration in the context of a malaria elimination program in Magude district, Southern Mozambique: A qualitative study
title_full Acceptability and perceived barriers to reactive focal mass drug administration in the context of a malaria elimination program in Magude district, Southern Mozambique: A qualitative study
title_fullStr Acceptability and perceived barriers to reactive focal mass drug administration in the context of a malaria elimination program in Magude district, Southern Mozambique: A qualitative study
title_full_unstemmed Acceptability and perceived barriers to reactive focal mass drug administration in the context of a malaria elimination program in Magude district, Southern Mozambique: A qualitative study
title_short Acceptability and perceived barriers to reactive focal mass drug administration in the context of a malaria elimination program in Magude district, Southern Mozambique: A qualitative study
title_sort acceptability and perceived barriers to reactive focal mass drug administration in the context of a malaria elimination program in magude district, southern mozambique: a qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10065238/
https://www.ncbi.nlm.nih.gov/pubmed/37000890
http://dx.doi.org/10.1371/journal.pone.0283160
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