Perception of Malaria Chemoprevention Interventions in Infants and Children in Eight Sub-Saharan African Countries: An End User Perspective Study

Preventive chemotherapy interventions have been identified as key tools for malaria prevention and control. Although a large number of publications have reported on the efficacy and safety profile of these interventions, little literature exists on end-user experience. The objective of this study wa...

Full description

Bibliographic Details
Main Authors: Céline Audibert, André-Marie Tchouatieu
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Tropical Medicine and Infectious Disease
Subjects:
Online Access:https://www.mdpi.com/2414-6366/6/2/75
_version_ 1797534687668731904
author Céline Audibert
André-Marie Tchouatieu
author_facet Céline Audibert
André-Marie Tchouatieu
author_sort Céline Audibert
collection DOAJ
description Preventive chemotherapy interventions have been identified as key tools for malaria prevention and control. Although a large number of publications have reported on the efficacy and safety profile of these interventions, little literature exists on end-user experience. The objective of this study was to provide insights on the perceptions and attitudes towards seasonal malaria chemoprevention (SMC) and intermittent preventive treatment of infants (IPTi) to identify drivers of and barriers to acceptance. A total of 179 in-depth qualitative interviews were conducted with community health workers (CHWs), health center managers, parents of children receiving chemoprevention, and national decision makers across eight countries in sub-Saharan Africa. The transcribed verbatim responses were coded and analyzed using a thematic approach. Findings indicate that, although SMC is largely accepted by end users, coverage remained below 100%. The main causes mentioned were children’s absenteeism, children being sick, parents’ reluctance, and lack of staff. Regarding IPTi, results from participants based in Sierra Leone showed that the intervention was generally accepted and perceived as efficacious. The main challenges were access to water, crushing the tablets, and high staff turnover. SMC and IPTi are perceived as valuable interventions. Our study identified the key elements that need to be considered to facilitate the expansion of these two interventions to different geographies or age groups.
first_indexed 2024-03-10T11:33:01Z
format Article
id doaj.art-b72935145a83473bb5935aae34162163
institution Directory Open Access Journal
issn 2414-6366
language English
last_indexed 2024-03-10T11:33:01Z
publishDate 2021-05-01
publisher MDPI AG
record_format Article
series Tropical Medicine and Infectious Disease
spelling doaj.art-b72935145a83473bb5935aae341621632023-11-21T19:05:46ZengMDPI AGTropical Medicine and Infectious Disease2414-63662021-05-01627510.3390/tropicalmed6020075Perception of Malaria Chemoprevention Interventions in Infants and Children in Eight Sub-Saharan African Countries: An End User Perspective StudyCéline Audibert0André-Marie Tchouatieu1Medicines for Malaria Venture, 1215 Geneva, SwitzerlandMedicines for Malaria Venture, 1215 Geneva, SwitzerlandPreventive chemotherapy interventions have been identified as key tools for malaria prevention and control. Although a large number of publications have reported on the efficacy and safety profile of these interventions, little literature exists on end-user experience. The objective of this study was to provide insights on the perceptions and attitudes towards seasonal malaria chemoprevention (SMC) and intermittent preventive treatment of infants (IPTi) to identify drivers of and barriers to acceptance. A total of 179 in-depth qualitative interviews were conducted with community health workers (CHWs), health center managers, parents of children receiving chemoprevention, and national decision makers across eight countries in sub-Saharan Africa. The transcribed verbatim responses were coded and analyzed using a thematic approach. Findings indicate that, although SMC is largely accepted by end users, coverage remained below 100%. The main causes mentioned were children’s absenteeism, children being sick, parents’ reluctance, and lack of staff. Regarding IPTi, results from participants based in Sierra Leone showed that the intervention was generally accepted and perceived as efficacious. The main challenges were access to water, crushing the tablets, and high staff turnover. SMC and IPTi are perceived as valuable interventions. Our study identified the key elements that need to be considered to facilitate the expansion of these two interventions to different geographies or age groups.https://www.mdpi.com/2414-6366/6/2/75malaria chemopreventionchildren and infantsimplementationintermittent preventive treatment of infants (IPTi)seasonal malaria chemoprevention (SMC)end user
spellingShingle Céline Audibert
André-Marie Tchouatieu
Perception of Malaria Chemoprevention Interventions in Infants and Children in Eight Sub-Saharan African Countries: An End User Perspective Study
Tropical Medicine and Infectious Disease
malaria chemoprevention
children and infants
implementation
intermittent preventive treatment of infants (IPTi)
seasonal malaria chemoprevention (SMC)
end user
title Perception of Malaria Chemoprevention Interventions in Infants and Children in Eight Sub-Saharan African Countries: An End User Perspective Study
title_full Perception of Malaria Chemoprevention Interventions in Infants and Children in Eight Sub-Saharan African Countries: An End User Perspective Study
title_fullStr Perception of Malaria Chemoprevention Interventions in Infants and Children in Eight Sub-Saharan African Countries: An End User Perspective Study
title_full_unstemmed Perception of Malaria Chemoprevention Interventions in Infants and Children in Eight Sub-Saharan African Countries: An End User Perspective Study
title_short Perception of Malaria Chemoprevention Interventions in Infants and Children in Eight Sub-Saharan African Countries: An End User Perspective Study
title_sort perception of malaria chemoprevention interventions in infants and children in eight sub saharan african countries an end user perspective study
topic malaria chemoprevention
children and infants
implementation
intermittent preventive treatment of infants (IPTi)
seasonal malaria chemoprevention (SMC)
end user
url https://www.mdpi.com/2414-6366/6/2/75
work_keys_str_mv AT celineaudibert perceptionofmalariachemopreventioninterventionsininfantsandchildrenineightsubsaharanafricancountriesanenduserperspectivestudy
AT andremarietchouatieu perceptionofmalariachemopreventioninterventionsininfantsandchildrenineightsubsaharanafricancountriesanenduserperspectivestudy