Changing the malaria treatment protocol policy in Timor-Leste: an examination of context, process, and actors’ involvement
نویسندگان
چکیده
In 2007 Timor-Leste, a malaria endemic country, changed its Malaria Treatment Protocol for uncomplicated falciparum malaria from sulphadoxine-pyrimethamine to artemether-lumefantrine. The change in treatment policy was based on the rise in morbidity due to malaria and perception of increasing drug resistance. Despite a lack of nationally available evidence on drug resistance, the Ministry of Health decided to change the protocol. The policy process leading to this change was examined through a qualitative study on how the country developed its revised treatment protocol for malaria. This process involved many actors and was led by the Timor-Leste Ministry of Health and the WHO country office. This paper examines the challenges and opportunities identified during this period of treatment protocol change.
منابع مشابه
The implementation of a new Malaria Treatment Protocol in Timor-Leste: challenges and constraints
BACKGROUND Timor-Leste changed its malaria treatment protocol in 2007, replacing the first-line for falciparum malaria from sulphadoxine-pyrimethamine to artemether-lumefantrine. This study explored the factors affecting the implementation of the revised treatment protocol, with an emphasis on identifying key constraints. METHODS A mixed method approach drew on both qualitative and quantitati...
متن کاملBarriers to malaria control in rural south-west Timor-Leste: a qualitative analysis.
BACKGROUND Malaria is an important health problem in Timor-Leste. Although funding has been provided to reduce the burden of this disease, few studies have investigated whether this has improved malaria-related knowledge, management of symptoms, and treatment in rural communities. The aim of this study was to explore the perceptions and practices undertaken in relation to all aspects of malaria...
متن کاملBarriers to treated bednet usage in Timor-Leste: an explaratory study
Timor-Leste has some of the highest malaria rates in Asiathe WHO reports that 100% of the population is at year-round risk. A 2007 survey estimated that ITN usage (30 day) was only 28.8% in the under-5 population, and the MDG report also highlights several large disparities in ITN usage across the population69.6% urban and 45.5% rural; and 54% of males and only 46% of females, according to the ...
متن کاملStriving for better health through health research in post-conflict Timor-Leste
The Cabinet of Health Research and Development (CHRD) has recently been established as the first health research institute in one of the world's newest nations, Timor-Leste. We discuss the development of this initiative to build health research capacity within the context of Timor-Leste's health system, history and future goals.
متن کاملNation-building policies in Timor-Leste: disaster risk reduction, including climate change adaptation
Few studies have explored the relationships between nation-building, disaster risk reduction and climate change adaptation. Focusing on small island developing states, this paper examines nation-building in Timor-Leste, a small island developing state that recently achieved independence. Nation-building in Timor-Leste is explored in the context of disaster risk reduction, which necessarily incl...
متن کامل