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Table 2 Rank-ordered list of barriers to successful reactive case detection in sample of rural health centres of Southern Province, Zambia by respondent group

From: A qualitative review of implementer perceptions of the national community-level malaria surveillance system in Southern Province, Zambia

Problem

Total (n = 22)

DHOs (n = 4)

Supervisors (n = 9)

CHWs (n = 9)

Rank no. (%)

Rank no. (%)

Rank no. (%)

Rank no. (%)

Inaccessible areas during the rainy season

1st 16 (72.7)

3rd 2 (50.0)

1st 5 (55.6)

1st 9 (100.0)

Lack of community confidence in CHWs to deal with other diseases besides malaria

2nd 15 (68.1)

1st 4 (100.0)

1st 5 (55.6)

3rd 6 (66.7)

Community not willing to visit CHWs for malaria testing

3rd 13 (59.1)

3rd 2 (100.0)

2nd 4 (44.4)

2nd 7 (77.8)

Lack of motivation for CHWs in the programme

4th 12 (54.5)

2nd 3 (75.0)

1st 5 (55.6)

4th 4 (44.4)

Stock out of commodities

5th 11 (50.0)

2nd 3 (75.0)

4th 2 (22.2)

3rd 6 (66.7)

Lack of feedback to CHWs and health facilities to let them know how they are performing

6th 8 (36.3)

4th 1 (25.0)

3rd 3 (33.3)

4th 4 (44.4)

Lack of seriousness by CHWs to carry out follow ups

6th 8 (36.3)

4th 1 (25.0)

2nd 4 (44.4)

5th 3 (33.3)

Lack of coordination between health clinic staff and CHWs

7th 5 (22.7)

4th 1 (25.0)

4th 2 (22.2)

6th 2 (22.2)

Lack of community/district ownership of programme

8th 1 (4.5)

5th 0 (0.0)

5th 0 (0.0)

7th 1 (11.1)

  1. Highest ranked issue(s) is shown in italics