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A participatory approach to address within‐country cross‐border malaria: the case of Menoreh Hills in Java, Indonesia

BACKGROUND: Malaria remains a significant public health issue in Indonesia. Most of the endemic areas are in the eastern parts of Indonesia, but there are a few remaining foci of persistent endemic malaria in Java, particularly in Menoreh Hills, a region bordering three districts of two provinces on...

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Autores principales: Ahmad, Riris Andono, Ferdiana, Astri, Surendra, Henry, Sy, Tyrone Reden, Herbianto, Deni, Rahayujati, Theodola Baning, Rejeki, Dwi Sarwani Sri, Murhandarwati, E. Elsa Herdiana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7937247/
https://www.ncbi.nlm.nih.gov/pubmed/33676491
http://dx.doi.org/10.1186/s12936-021-03673-7
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author Ahmad, Riris Andono
Ferdiana, Astri
Surendra, Henry
Sy, Tyrone Reden
Herbianto, Deni
Rahayujati, Theodola Baning
Rejeki, Dwi Sarwani Sri
Murhandarwati, E. Elsa Herdiana
author_facet Ahmad, Riris Andono
Ferdiana, Astri
Surendra, Henry
Sy, Tyrone Reden
Herbianto, Deni
Rahayujati, Theodola Baning
Rejeki, Dwi Sarwani Sri
Murhandarwati, E. Elsa Herdiana
author_sort Ahmad, Riris Andono
collection PubMed
description BACKGROUND: Malaria remains a significant public health issue in Indonesia. Most of the endemic areas are in the eastern parts of Indonesia, but there are a few remaining foci of persistent endemic malaria in Java, particularly in Menoreh Hills, a region bordering three districts of two provinces on this island. Despite a commitment to build a partnership to eliminate cross-border malaria, there is a lack of understanding of how this partnership might be translated into an implementable strategic plan. The study aims to provide evidence of how a participatory approach was used to strengthen the cross-border collaboration and stakeholders’ capacity to develop a joint strategic, operational, and costing plan for cross-border malaria elimination. METHODS: A participatory action research was conducted from January to August 2017, involving participants from the village, district, provincial, and national levels. This study was conducted in seven phases, including document review, focus group discussions (FGDs), planning and costing workshops, and a dissemination meeting. A total of 44 participants from primary health centres (PHC) and 27 representatives of affected villages in three districts, 16 participants from the district and provincial malaria programmes and planning bureaus, and 11 participants from the national level were involved in the processes. Data on priority issues, costing, programme coverage, and administration were collected. Thematic coding and feedback were used for analysis. RESULTS: Problems identified by stakeholders included low community awareness and participation in malaria prevention, high mobility across three districts, lack of financial and human resources, lack of inter-district coordination, and poor implementation of migration surveillance. Cross-border strategies identified to address malaria were improving cross-border migration surveillance, strengthening the network, governance, and advocacy of malaria control implementation across borders, and developing the malaria information system. A working group composed of the three districts’ representatives authorized to decide on cross-border issues will be created. CONCLUSIONS: The participatory approach was applicable in cross-border malaria planning for within-country settings and useful in enhancing stakeholders’ capacities as implementers. While done in a participatory way, the joint plan crafted was a non-binding agreement; stakeholders should advocate to ensure adequate funds are poured into mobilizing the programme.
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spelling pubmed-79372472021-03-09 A participatory approach to address within‐country cross‐border malaria: the case of Menoreh Hills in Java, Indonesia Ahmad, Riris Andono Ferdiana, Astri Surendra, Henry Sy, Tyrone Reden Herbianto, Deni Rahayujati, Theodola Baning Rejeki, Dwi Sarwani Sri Murhandarwati, E. Elsa Herdiana Malar J Research BACKGROUND: Malaria remains a significant public health issue in Indonesia. Most of the endemic areas are in the eastern parts of Indonesia, but there are a few remaining foci of persistent endemic malaria in Java, particularly in Menoreh Hills, a region bordering three districts of two provinces on this island. Despite a commitment to build a partnership to eliminate cross-border malaria, there is a lack of understanding of how this partnership might be translated into an implementable strategic plan. The study aims to provide evidence of how a participatory approach was used to strengthen the cross-border collaboration and stakeholders’ capacity to develop a joint strategic, operational, and costing plan for cross-border malaria elimination. METHODS: A participatory action research was conducted from January to August 2017, involving participants from the village, district, provincial, and national levels. This study was conducted in seven phases, including document review, focus group discussions (FGDs), planning and costing workshops, and a dissemination meeting. A total of 44 participants from primary health centres (PHC) and 27 representatives of affected villages in three districts, 16 participants from the district and provincial malaria programmes and planning bureaus, and 11 participants from the national level were involved in the processes. Data on priority issues, costing, programme coverage, and administration were collected. Thematic coding and feedback were used for analysis. RESULTS: Problems identified by stakeholders included low community awareness and participation in malaria prevention, high mobility across three districts, lack of financial and human resources, lack of inter-district coordination, and poor implementation of migration surveillance. Cross-border strategies identified to address malaria were improving cross-border migration surveillance, strengthening the network, governance, and advocacy of malaria control implementation across borders, and developing the malaria information system. A working group composed of the three districts’ representatives authorized to decide on cross-border issues will be created. CONCLUSIONS: The participatory approach was applicable in cross-border malaria planning for within-country settings and useful in enhancing stakeholders’ capacities as implementers. While done in a participatory way, the joint plan crafted was a non-binding agreement; stakeholders should advocate to ensure adequate funds are poured into mobilizing the programme. BioMed Central 2021-03-06 /pmc/articles/PMC7937247/ /pubmed/33676491 http://dx.doi.org/10.1186/s12936-021-03673-7 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Ahmad, Riris Andono
Ferdiana, Astri
Surendra, Henry
Sy, Tyrone Reden
Herbianto, Deni
Rahayujati, Theodola Baning
Rejeki, Dwi Sarwani Sri
Murhandarwati, E. Elsa Herdiana
A participatory approach to address within‐country cross‐border malaria: the case of Menoreh Hills in Java, Indonesia
title A participatory approach to address within‐country cross‐border malaria: the case of Menoreh Hills in Java, Indonesia
title_full A participatory approach to address within‐country cross‐border malaria: the case of Menoreh Hills in Java, Indonesia
title_fullStr A participatory approach to address within‐country cross‐border malaria: the case of Menoreh Hills in Java, Indonesia
title_full_unstemmed A participatory approach to address within‐country cross‐border malaria: the case of Menoreh Hills in Java, Indonesia
title_short A participatory approach to address within‐country cross‐border malaria: the case of Menoreh Hills in Java, Indonesia
title_sort participatory approach to address within‐country cross‐border malaria: the case of menoreh hills in java, indonesia
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7937247/
https://www.ncbi.nlm.nih.gov/pubmed/33676491
http://dx.doi.org/10.1186/s12936-021-03673-7
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