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Table 4 Ranked priority health issues and interventions according to health providers and consumers for both target districts combined

From: Primary health care in rural Malawi - a qualitative assessment exploring the relevance of the community-directed interventions approach

Priority health issues according to providers

Priority health issues according to community

1. Malaria

1. Measles

2. Diarrhoeal diseases

2. Malaria

3. Pneumonia

3. Lack of safe water

4. Tuberculosis

4. Malnutrition

5. HIV/AIDS

5. Transport

6. Measles

6. Long distances to health centres

7. Malnutrition

7. Vaccine stock outs

8. Schistosomiasis

8. Lack of family planning services

9. Accidents

9. Poor sanitation

10. Poverty

11. Lack of electricity

12. Unwillingness of community health workers to work outside working hours

13. Insufficient health care personnel

14. Lower quality of hospital care

15. Lack of access to free ITN

 

16. Absence of NGOs

Priority health interventions according to providers

Priority health interventions according to community

1. Prevention and treatment of vaccine preventable diseases.

1. Provision of ITN to under five children and antenatal care to women

2. Malaria prevention and treatment – ITN promotion, IPT and case management.

2. Home case management of malaria

3. Reproductive health interventions – including safe motherhood initiatives, essential obstetric care and PMTCT.

3. HTC and PMTCT

4. Prevention, control and treatment of tuberculosis and related complications.

4. Provision of food supplements to malnourished children and mothers

5. Prevention and treatment of schistosomiasis and related complications.

6. Management of acute respiratory infections and related complications.

7. Prevention, treatment and care for acute diarrhoeal diseases including cholera.

8. Prevention and management of HIV/AIDS, sexually transmitted Infections and related complications including HTC and the provision of ARVT.

9. Prevention and management of malnutrition, nutrition deficiencies- (iodine, vitamin A, iron) and related complications, especially those associated with HIV/AIDS.

10. Management of eye, ear and skin infections and related complications.

11. Treatment of common injuries – including emergency care for accidents and trauma and their complications.

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