TY - JOUR
T1 - Combating Malaria in Kenya through Collaborative Population Health Education
T2 - A Systematic Review and Pilot Case Study
AU - Lacey, Hester
AU - Jain, Nityanand
AU - Sugimoto, Mai
AU - Shimato, Masako
AU - Reine, Ieva
AU - Oria, Kevin
N1 - Funding Information:
In fact, with the support of contributions from private companies, donors, and multilateral international organisations such as the IMF and the World Bank, the budgetary requirements can be met []. The remaining costs can be fulfilled from the local governmental budget. These findings have been corroborated using a larger randomised trial across 10 districts of Kenya by the Kenyan MoH []. The government launched a two-day program to train about 450 private medicine retailers (PMRs) in three endemic districts of Kenya, with total funding ranging from US$5,000 to US$6,000 per district. The implementation costs were supported by the United Nations Children’s Fund (UNICEF) and the Global Fund to Fight AIDS, Tuberculosis, and Malaria (GFATM). Approximately 6–8 months after training, it was found that trained PMRs were 8.8 times more likely than untrained PMRs to sell amodiaquine to surrogates with correct use advice. In addition, trained PMRs were 29.8 times more likely to report having the correct knowledge about the dosage of amodiaquine when compared to untrained PMRs [].
Publisher Copyright:
© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2023
Y1 - 2023
N2 - Background: Malaria continues to be a public health problem in Kenya, with an estimated 37.2 million people at high risk of the disease. The disease burden is compounded by inequalities in health service availability, housing, socioeconomic conditions, and access to education. Objectives: We aimed to determine the status of community-based, health education interventions. Based on the findings, to develop an educational module for medical students to combat malaria in Kenya. Methods: A systematic review was conducted to identify different educational interventions, their successes and limitations, and legal challenges leading to low uptake and adherence to malaria prevention interventions from 2000–2023. Consequently, a 6-week online educational pilot was conducted with healthcare students from Kenya, Japan, the UK, and Cyprus. Results: Despite developing a national malaria strategy and monitoring and evaluation strategies, Kenya has not been able to meet the incidence reduction targets set by the World Health Organisation, underscoring the need for more work in identifying the barriers to implementing strategies and optimising the distribution of public health interventions. Student teams proposed innovative solutions, including two-tier malaria control strategies, maternal malaria clinical education, community awareness through schools and NGOs, and a 10-year health system strengthening and immunisation plan. Conclusions: Public education regarding prevention strategies and increasing their adoption remains a key challenge in combating malaria in Kenya. In this regard, digital tools can facilitate international collaborative health education and exchange of best practices, allowing students and faculty to engage across boundaries and prepare them to be future-ready physicians connected to the global community.
AB - Background: Malaria continues to be a public health problem in Kenya, with an estimated 37.2 million people at high risk of the disease. The disease burden is compounded by inequalities in health service availability, housing, socioeconomic conditions, and access to education. Objectives: We aimed to determine the status of community-based, health education interventions. Based on the findings, to develop an educational module for medical students to combat malaria in Kenya. Methods: A systematic review was conducted to identify different educational interventions, their successes and limitations, and legal challenges leading to low uptake and adherence to malaria prevention interventions from 2000–2023. Consequently, a 6-week online educational pilot was conducted with healthcare students from Kenya, Japan, the UK, and Cyprus. Results: Despite developing a national malaria strategy and monitoring and evaluation strategies, Kenya has not been able to meet the incidence reduction targets set by the World Health Organisation, underscoring the need for more work in identifying the barriers to implementing strategies and optimising the distribution of public health interventions. Student teams proposed innovative solutions, including two-tier malaria control strategies, maternal malaria clinical education, community awareness through schools and NGOs, and a 10-year health system strengthening and immunisation plan. Conclusions: Public education regarding prevention strategies and increasing their adoption remains a key challenge in combating malaria in Kenya. In this regard, digital tools can facilitate international collaborative health education and exchange of best practices, allowing students and faculty to engage across boundaries and prepare them to be future-ready physicians connected to the global community.
KW - Malaria
KW - Kenya
KW - sub-saharan Africa
KW - Prevention
KW - Education
KW - medical students
KW - collaboration
UR - http://www.scopus.com/inward/record.url?scp=85164743333&partnerID=8YFLogxK
U2 - 10.1080/23744235.2023.2231082
DO - 10.1080/23744235.2023.2231082
M3 - Review article
SN - 2374-4235
VL - 55
SP - 664
EP - 683
JO - Infectious Diseases
JF - Infectious Diseases
IS - 10
ER -