A Qualitative Assessment of a Malaria Elimination Project in the Tribal District of Mandla, Madhya Pradesh

  • Harsh Rajvanshi Department of Community Medicine, Hamdard Institute of Medical Sciences and Research (HIMSR), Jamia Hamdard, New Delhi, India.
  • Farzana Islam Department of Community Medicine, Hamdard Institute of Medical Sciences and Research (HIMSR), Jamia Hamdard, New Delhi, India.
  • Varun Kashyap Department of Community Medicine, Hamdard Institute of Medical Sciences and Research (HIMSR), Jamia Hamdard, New Delhi, India.
  • Ekta Gupta Scientist-E, ICMR-National Institute of Cancer Prevention and Research (NICPR), Noida, Uttar Pradesh, India.
  • Altaf A Lal Foundation for Disease Elimination and Control of India (FDEC India), Mumbai, Maharashtra, India.

Abstract

The Asia Pacific has committed to the regional goal of malaria elimination by 2030. In the year 2021, India constituted 10% of the total malaria burden in the region, with more than 2/3rd malaria cases concentrated in tribal pockets. In 2017, a public-privatepartnership known as the Malaria Elimination Demonstration Project was initiated in the tribal district of Mandla in central India to demonstrate malaria elimination and share lessons withthe rest of the country and the region. The present study focused on understanding the complex stakeholder dynamics including the community of Mandla, local healthcare workers, programme managers, and technical experts. The study has revealed interesting findings related to the effect of vertical health programmes on existing health systems; gaps, challenges, and opportunities for core interventions, and the importance of community participation towards making malaria elimination a reality by 2030.

How to cite this article:
Rajvanshi H, Islam F, Kashyap V, Gupta E, Lal AA. A Qualitative Assessment of a Malaria Elimination Project in the Tribal District of Mandla, Madhya Pradesh. J Commun Dis. 2022;54(4):7-14.

DOI: https://doi.org/10.24321/0019.5138.202296

 

References

World Health Organization.World malaria report 2021; 2021.

APLMA [Internet]. Asia Pacific Leaders’ Malaria Alliance Leaders Dashboard; 2021 [cited 2022;3]. Available from: https://dashboard.aplma.org/index.php

National Vector Borne Disease Control Programme, Directorate of Health Services, Ministry of Health and Family Welfare [Internet]. Malaria situation in India from 2014; [cited 2020;20]. Available from:https://nvbdcp.gov.in/index4php?lang=1&level=0&linkid=564&lid=3867

Bharti PK, Rajvanshi H, Nisar S, Jayswar H, Saha KB, Shukla MM, Mishra AK, Sharma RK, Das A, Kaur H, Wattal SL, Lal AA. Demonstration of indigenous malaria elimination through Track-Test-Treat-Track (T4) strategy in a Malaria Elimination Demonstration Project in Mandla, Madhya Pradesh. Malar J. 2020;19(1):339. [PubMed] [Google Scholar]

Rajvanshi H, Bharti PK, Nisar S, Jain Y, Jayswar H, Mishra AK, Sharma RK, Saha KB, Shukla MM, Das A, Kaur H, Wattal SL, Singh N, Lal AA. Study design and operational framework for a community-based Malaria Elimination Demonstration Project (MEDP) in 1233 villages of district Mandla, Madhya Pradesh. Malar J. 2020;19(1):410. [PubMed] [Google Scholar]

Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101. [Google Scholar]

Mohajan HK. Qualitative research methodology in social sciences and related subjects. J Econ Dev Environ People. 2018;7(1):23-48. [Google Scholar]

Joshi A, Kale S, Chandel S, Pal DK. Likert scale explored and explained. Br J Appl Sci Tech. 2015;7(4):396. [Google Scholar]

Sharma RK, Rajvanshi H, Bharti PK, Nisar S, Jayswar H, Mishra AK, Saha KB, Shukla MM, Das A, Kaur H, Wattal SL, Lal AA. Socio-economic determinants of malaria in tribal dominated Mandla district enrolled in Malaria Elimination Demonstration Project in Madhya Pradesh. Malar J. 2021;20(1):7. [PubMed] [Google Scholar]

Rajvanshi H, Saha KB, Sharma RK, Bharti PK, Nisar S, Jayswar H, Mishra AK, Shukla MM, Das A, Kaur H, Wattal SL, Lal AA. Assessing community knowledge, attitude and practices to strengthen communication strategy for Malaria Elimination Demonstration Project in Mandla. Malar J. 2021;20(1):354. [PubMed] [Google Scholar]

Rajvanshi H, Jain Y, Kaintura N, Soni C, Chandramohan R, Srinivasan R, Telasey V, Bharti PK, Jain D, Surve M, Saxena S, Gangamwar V, Anand MS, Lal AA. A comprehensive mobile application tool for disease surveillance, workforce management and supply chain management for Malaria Elimination Demonstration Project. Malar J. 2021;20(1):91. [PubMed] [Google Scholar]

Rajvanshi H, Nisar S, Bharti PK, Jayswar H, Mishra AK, Sharma RK, Saha KB, Shukla MM, Das A, Kaur H, Wattal SL, Lal AA. Significance of training, monitoring and assessment of malaria workers in achieving malaria elimination goal of Malaria Elimination Demonstration Project. Malar J. 2021;20(1):27. [PubMed] [Google Scholar]

Mishra AK, Nisar S, Rajvanshi H, Bharti PK, Saha KB, Shukla MM, Sharma RK, Jayswar H, Das A, Kaur H, Wattal SL, Lal AA. Improvement of Indoor Residual Spraying and Longâ€Lasting Insecticidal Net services through structured monitoring and supervision as part of the Malaria Elimination Demonstration Project in Mandla, Madhya Pradesh. Malar J. 2021;20(1):101. [PubMed] [Google Scholar]

Mishra AK, Bharti PK, Vishwakarma A, Nisar S, Rajvanshi H, Sharma RK, Saha KB, Shukla MM, Jayswar H, Das A, Kaur H, Wattal SL, Lal AA. A study of malaria vector surveillance as part of the Malaria Elimination Demonstration Project in Mandla, Madhya Pradesh. Malar J. 2020;19(1):447. [PubMed] [Google Scholar]

Rajvanshi H, Bharti PK, Nisar S, Jayswar H, Mishra AK, Sharma RK, Saha KB, Shukla MM, Wattal SL, Das A, Kaur H, Anvikar AR, Khan A, Kshirsagar N, Dash AP, Lal AA. A model for malaria elimination based on learnings from the Malaria Elimination Demonstration Project, Mandla district, Madhya Pradesh. Malar J. 2021;20(1):98. [PubMed] [Google Scholar]

Rajvanshi H, Saha KB, Shukla MM, Nisar S, Jayswar H, Mishra AK, Sharma RK, Bharti PK, Saxena N, Verma A, Das A, Kaur H, Wattal SL, Lal AA. Assessment of ASHA for knowledge, diagnosis and treatment on malaria in Mandla district of Madhya Pradesh as part of the malaria elimination demonstration project. Malar J. 2021;20(1):78. [PubMed] [Google Scholar]

Rajvanshi H, Mishra K, Bharti PK, Sandhibigraha D, Nisar S, Jayswar H, Das A, Pradhan MM, Mohapatra PK, Govil PJ, Kshirsagar N, Dash AP, Singh S, Sahu RS, Kaur H, Dhingra N, Khan A, Lal AA. Learnings from two independent malaria elimination demonstration projects in India. Trans R Soc Trop Med Hyg. 2021;115(11):1229-33. [PubMed] [Google Scholar]

Rajvanshi H, Bharti PK, Sharma RK, Nisar S, Saha KB, Jayswar H, Mishra AK, Das A, Kaur H, Lal AA. Monitoring of the Village Malaria Workers to conduct activities of Malaria Elimination Demonstration Project in Mandla, Madhya Pradesh. Malar J. 2022;21(1):18. [PubMed] [Google Scholar]

National Health Mission, Ministry of Health and Family Welfare, Government of India [Internet]. Rural health care system in India; [cited 2022;11]. Available from: https://www.nhm.gov.in/images/pdf/monitoring/rhs/rural-health-care-system-india-final-9-4-2012.pdf

National Health Mission.Regarding incentives scheme for ASHAs for the year 2022-23, Government of Madhya Pradesh (NHM/ASHA/2022/4803). 2022.

Singh MP, Saha KB, Chand SK, Savargaonkar D. Socioeconomic determinants of community knowledge and practice in relation to malaria in high-and low transmission areas of central India.J Biosoc Sci. 2020;52(3):317-29. [PubMed] [Google Scholar]

Singh MP, Saha KB, Chand SK, Anvikar A. Factors associated with treatment seeking for malaria in Madhya Pradesh, India. Trop Med Int Health. 2017;22(11):1377-84. [PubMed] [Google Scholar]

Saha KB, Behera P, Munshi H, Tiwari BK, Singh SK, Saha UC, Singh MP. What affects utilization of malaria control services? A qualitative approach to understanding community perception in highly malarious Gadchiroli district, Maharashtra, India. J Biosoc Sci. 2019;51(4):591-602. [PubMed] [Google Scholar]

World Health Organization [Internet]. INDIA: a push to vaccinate every child, everywhere, ended polio in India;2021 [cited 2022;4]. Available from:https://www.who.int/india/news/feature-stories/detail/a-push-tovaccinate-every-child-everywhere-ended-polio-in-india

Fernando D, Wijeyaratne P, Wickremasinghe R, Abeyasinghe RR, Galappaththy GN, Wickremasinghe R, Hapugoda M, Abeywickrema WA, Rodrigo C. Use of a public-private partnership in malaria elimination efforts in Sri Lanka; a case study. BMC Health Serv Res. 2018;18(1):202. [PubMed] [Google Scholar]

Chen JH, Fen J, Zhou XN. From 30 million to zero malaria cases in China lessons learned for China-Africa collaboration in malaria elimination. Infect Dis Poverty. 2021;10(1):51. [PubMed] [Google Scholar]

National Vector Borne Disease Control Programme, Ministry of Health and Family Welfare, Government of India [Internet]. National strategic plan for malaria 2017-2022; [cited 2021;9]. Available from: https://nvbdcp.gov.in/WriteReadData/l892s/nsp_2017-2022.pdf

Published
2022-12-31