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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.