Table 2.
Rank-ordered list of barriers to successful reactive case detection in sample of rural health centres of Southern Province, Zambia by respondent group
| Problem | Total (n = 22) | DHOs (n = 4) | Supervisors (n = 9) | CHWs (n = 9) |
|---|---|---|---|---|
| Rank no. (%) | Rank no. (%) | Rank no. (%) | Rank no. (%) | |
| Inaccessible areas during the rainy season | 1st 16 (72.7) | 3rd 2 (50.0) | 1st 5 (55.6) | 1st 9 (100.0) |
| Lack of community confidence in CHWs to deal with other diseases besides malaria | 2nd 15 (68.1) | 1st 4 (100.0) | 1st 5 (55.6) | 3rd 6 (66.7) |
| Community not willing to visit CHWs for malaria testing | 3rd 13 (59.1) | 3rd 2 (100.0) | 2nd 4 (44.4) | 2nd 7 (77.8) |
| Lack of motivation for CHWs in the programme | 4th 12 (54.5) | 2nd 3 (75.0) | 1st 5 (55.6) | 4th 4 (44.4) |
| Stock out of commodities | 5th 11 (50.0) | 2nd 3 (75.0) | 4th 2 (22.2) | 3rd 6 (66.7) |
| Lack of feedback to CHWs and health facilities to let them know how they are performing | 6th 8 (36.3) | 4th 1 (25.0) | 3rd 3 (33.3) | 4th 4 (44.4) |
| Lack of seriousness by CHWs to carry out follow ups | 6th 8 (36.3) | 4th 1 (25.0) | 2nd 4 (44.4) | 5th 3 (33.3) |
| Lack of coordination between health clinic staff and CHWs | 7th 5 (22.7) | 4th 1 (25.0) | 4th 2 (22.2) | 6th 2 (22.2) |
| Lack of community/district ownership of programme | 8th 1 (4.5) | 5th 0 (0.0) | 5th 0 (0.0) | 7th 1 (11.1) |
Highest ranked issue(s) is shown in italics