Publications by authors named "Nontokozo Mngadi"
Introduction: To reduce malaria transmission in very low-endemic settings, screening and treatment near index cases (reactive case detection (RACD)), is widely practised, but the rapid diagnostic tests (RDTs) used miss low-density infections. Reactive focal mass drug administration (rfMDA) may be safe and more effective.
Methods: We conducted a pragmatic cluster randomised controlled trial in Eswatini, a very low-endemic setting.
Background: Across the Greater Mekong Subregion (GMS) and Central America, governments commonly employ community health workers (CHWs) to improve access to and uptake of malaria services. Many of these networks are vertical in design, organized to extend malaria-only services to those remaining communities in which malaria persists.
Methods: Between 2019 and 2020, national ministries of health (MOH) and Clinton Health Access Initiative conducted mixed-methods CHW program evaluations across the GMS and Central America.
Article Synopsis
- The study investigates the acceptability and implementation factors of reactive focal mass drug administration (rfMDA) as a strategy to eliminate malaria in low transmission areas of Eswatini.
- Through focus group discussions with community members involved in rfMDA, the research explores their knowledge, attitudes, and beliefs about malaria and the treatment.
- Results indicate that participants perceive a high malaria risk in their community, with strong motivation to participate in rfMDA driven by witnessing the impact of malaria on others, and they value educational efforts from health workers despite some misunderstandings about malaria infections.