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Table 4 Reported benefits and barriers of text message reminder, visit from HSA and exclusive use of health card

From: Post-discharge malaria chemoprevention (PMC) in Malawi: caregivers` acceptance and preferences with regard to delivery methods

Main findings

Text message reminder

Visit from HSA

Exclusive use of health card


* Extra assurance

* Reminder is sent directly to caregiver

* Face-to-face interaction

* Assistance and counseling

* Active use of health card and memory

* Strengthens self-reliance

* Establishment of nearby reminder- and support system


* Lack of phone

* Prolonged delivery of text message via substitute phone owner

* Network and electricity problems

* Limited understanding of text message content due to low literacy

* HSA unreliability

* Long distance between home of study participant and HSA

* Reminder from the hospital goes via a HSA and is not transferred directly to the caregiver

* Challenges with remembering treatment dates

* Limited understanding of health card content due to low literacy