Identifying barriers in the malaria control policymaking process in East Africa: insights from stakeholders and a structured literature review

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dc.citation.journalTitleBMC Public Healthen_US
dc.contributor.authorPaul, Christopheren_US
dc.contributor.authorKramer, Randallen_US
dc.contributor.authorLesser, Adrianeen_US
dc.contributor.authorMutero, Clifforden_US
dc.contributor.authorMiranda, Marie L.en_US
dc.contributor.authorDickinson, Katherineen_US
dc.date.accessioned2015-09-16T17:51:05Zen_US
dc.date.available2015-09-16T17:51:05Zen_US
dc.date.issued2015en_US
dc.date.updated2015-09-16T17:51:06Zen_US
dc.description.abstractBackground: The complexity of malaria and public health policy responses presents social, financial, cultural, and institutional barriers to policymaking at multiple stages in the policy process. These barriers reduce the effectiveness of health policy in achieving national goals. Methods: We conducted a structured literature review to characterize malaria policy barriers, and we engaged stakeholders through surveys and workshops in Kenya, Tanzania, and Uganda. We compared common barriers presented in the scientific literature to barriers reported by malaria policy stakeholders. Results: The barriers identified in the structured literature review differ from those described in policymaker surveys. The malaria policy literature emphasizes barriers in the implementation stage of policymaking such as those posed by health systems and specific intervention tools. Stakeholder responses placed greater emphasis on the political nature of policymaking, the disconnect between research and policymaking, and the need for better intersectoral collaboration. Conclusions: Identifying barriers to effective malaria control activities provides opportunities to improve health and other outcomes. Such barriers can occur at multiple stages and scales. Employing a stakeholder - designed decision tool framework has the potential to improve existing policies and ultimately the functioning of malaria related institutions. Furthermore, improved coordination between malaria research and policymaking would improve the quality and efficiency of interventions leading to better population health.en_US
dc.identifier.citationPaul, Christopher, Kramer, Randall, Lesser, Adriane, et al.. "Identifying barriers in the malaria control policymaking process in East Africa: insights from stakeholders and a structured literature review." <i>BMC Public Health,</i> (2015) BioMed Central: http://dx.doi.org/10.1186/s12889-015-2183-6.en_US
dc.identifier.doihttp://dx.doi.org/10.1186/s12889-015-2183-6en_US
dc.identifier.urihttps://hdl.handle.net/1911/81650en_US
dc.language.isoengen_US
dc.publisherBioMed Centralen_US
dc.rightsThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_US
dc.rights.holderPaul et al.en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_US
dc.titleIdentifying barriers in the malaria control policymaking process in East Africa: insights from stakeholders and a structured literature reviewen_US
dc.typeJournal articleen_US
dc.type.dcmiTexten_US
dc.type.publicationpublisher versionen_US
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