CFIRa domain | MDAb component | |||||||
---|---|---|---|---|---|---|---|---|
Community awareness | Partnerships and collaboration | Integration with existing interventions | Training of implementers | Morbidity management | Delivery of supplies | Adequacy of implementers | Proper geographical demarcation | |
1). Characteristics of MDA programme | ||||||||
 Facilitators | ||||||||
 • Control or elimination of diseases | √ | √ | √ | √ | √ | √ | √ | √ |
Barriers | ||||||||
 • Risk of developing drug resistance | x | x | x | x | x | x | x | x |
2). External environment and context | ||||||||
 Facilitators | ||||||||
 • Existence of political will to control diseases | √ | √ |  |  |  | √ | √ | √ |
 • Existence of partners at national level | √ | √ | √ | √ | √ | √ | √ | √ |
 • Multi-sectoral collaboration in diseases control | √ | √ | √ | √ | √ | √ | √ | √ |
 Barriers | ||||||||
 • Existence of research gaps/limited information | x | x | x | x | x |  | x | x |
 • No public-private partnerships | x | x | x | x | x | x | x | x |
 • Exclusion of inaccessible or hard-to-reach communities | x | x | x | x | x | x | x | x |
 • Community resistance due to misconceptions and beliefs | x | x | x | x | x | x | x | x |
3). Internal context and setting | ||||||||
 Facilitators | ||||||||
 • Enabling policy framework | √ | √ | √ | √ | √ | √ | √ | √ |
 • Existence of skilled health workers at all levels of the healthcare system | √ | √ | √ | √ | √ | √ | √ | √ |
 • Existence of supportive community volunteers | √ | √ | √ | √ | √ | √ | √ | √ |
 • Capacity to deliver effective health education | √ | √ | √ | √ | √ | √ | √ | √ |
 Barriers | ||||||||
 • Non-existent complementary integrated interventions for diseases control | x | x | x | x | x | x | x |  |
 • Lack of adequate resources for diseases control | x | x | x |  | x | x | x | x |
 • No linkage between NTD and WASH programmes | x | x | x | x | x | x |  |  |
 • Inadequate partners at district, health centre and community levels | x | x |  |  | x | x | x | x |
 • Inadequate health workers in remote areas | x | x |  | x | x |  | x | x |
4). Characteristics of MDA implementers | ||||||||
 Facilitators | ||||||||
 • Health education delivery skills | √ | √ | √ | √ | √ | √ | √ | √ |
 Barriers | ||||||||
 • Low knowledge about schistosomiasis and STH | x | x | x | x | x | x | x |  |
 • Poor community engagement skills | x |  | x | x | x |  | x |  |
 • Lowly motivated health workers | x |  |  | x | x |  | x |  |
5). MDA implementation process | ||||||||
 Facilitators | ||||||||
 • Convergent views on some priority health needs between health authorities and communities | √ |  | √ |  | √ | √ | √ |  |
 • Willingness of targeted populations | √ | √ | √ |  | √ | √ | √ | √ |
 Barriers | ||||||||
 • Scheduling of MDA coincides with rainy season or major public events | x |  | x |  |  | x |  |  |
 • Delayed or inadequacy of drugs and supplies | x | x | x |  | x | x |  | x |
 • Sidelining community in decision-making process | x |  | x | x | x | x | x |  |
 • Some divergent views on priority health needs between health authorities and communities | x |  | x |  | x | x |  |  |