Access and coverage of malaria services in Haiti in the context of elimination: a scoping review of the literature
Abstract Introduction Haiti is on the verge of possibly eliminating malaria, an endemic parasitic infection primarily caused by Plasmodium falciparum on the island of Hispaniola. Owing to its associated morbidity and mortality, malaria is a leading public health priority in Haiti. This scoping revie...
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2024-12-01
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| Online Access: | https://doi.org/10.1186/s12913-024-12063-z |
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| author | Kenny Moise Aude Melody Achille Roubens Duvilaire Jimmy Fedna Roody Thermidor Bertiny Bourdeau Jessica Maureen Nestor Gérald Lerebours Jean Hugues Henrys Christian Raccurt |
| author_facet | Kenny Moise Aude Melody Achille Roubens Duvilaire Jimmy Fedna Roody Thermidor Bertiny Bourdeau Jessica Maureen Nestor Gérald Lerebours Jean Hugues Henrys Christian Raccurt |
| author_sort | Kenny Moise |
| collection | DOAJ |
| description | Abstract Introduction Haiti is on the verge of possibly eliminating malaria, an endemic parasitic infection primarily caused by Plasmodium falciparum on the island of Hispaniola. Owing to its associated morbidity and mortality, malaria is a leading public health priority in Haiti. This scoping review aims to identify the scope of research on access and coverage of malaria surveillance, diagnosis, and treatment in Haiti in the elimination setting. Methods We compiled, analyzed, and synthesized the literature on access and coverage of antimalarial services in Haiti in the elimination setting based on Arksey and O’Malley’s framework for scoping reviews and held a formal meeting with the PNCM leadership and stakeholders of malaria programs in Haiti. Results were reported following PRISMA-ScR guidelines. Results We found 376 citations and five technical reports related to our keywords from 2016 to 2023 and retained 225 after eliminating duplicates. Based on our selection criteria, we retrieved 81 citations and excluded 56 after in-depth readings. Therefore, the review includes 26 articles and five technical reports. The Ministry of Health established a strategic plan covering the 2021–2030 period, providing a framework for operational planning to increase efficiency, strengthen the health system, and ensure the sustainability of interventions. However, the current weaknesses in surveillance underline a lack of well-trained personnel, difficulty in establishing the epidemiological profile of malaria, unreliability, lack of completeness of data, and delay in their transmission. In addition, access to malaria diagnosis and treatment in Haiti is limited due to a lack of available state-of-the-art testing modalities, variations in the geographic availability of rapid diagnostic tests and microscopy, and the widespread use of substandard antimicrobial drugs. Conclusion Research and reports on malaria surveillance, diagnosis, and treatment access and coverage in Haiti are limited; however, the available sources reveal significant shortcomings and challenges in implementing WHO-recommended policies and strategies for malaria elimination. Future studies should aim to fill this gap and investigate the determinants of the persistence of malaria cases in certain municipalities and departments of the country. |
| format | Article |
| id | doaj-art-e44c03dc734a488fbe74d8bf90810dfe |
| institution | DOAJ |
| issn | 1472-6963 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-e44c03dc734a488fbe74d8bf90810dfe2025-08-20T02:39:51ZengBMCBMC Health Services Research1472-69632024-12-012411910.1186/s12913-024-12063-zAccess and coverage of malaria services in Haiti in the context of elimination: a scoping review of the literatureKenny Moise0Aude Melody Achille1Roubens Duvilaire2Jimmy Fedna3Roody Thermidor4Bertiny Bourdeau5Jessica Maureen Nestor6Gérald Lerebours7Jean Hugues Henrys8Christian Raccurt9Equipe de Recherche sur l’Ecologie des Maladies Infectieuses et Tropicales, Université QuisqueyaEquipe de Recherche sur l’Ecologie des Maladies Infectieuses et Tropicales, Université QuisqueyaEquipe de Recherche sur l’Ecologie des Maladies Infectieuses et Tropicales, Université QuisqueyaEquipe de Recherche sur l’Ecologie des Maladies Infectieuses et Tropicales, Université QuisqueyaEquipe de Recherche sur l’Ecologie des Maladies Infectieuses et Tropicales, Université QuisqueyaEquipe de Recherche sur l’Ecologie des Maladies Infectieuses et Tropicales, Université QuisqueyaCUNY Graduate School of Public Health & Health PolicyEquipe de Recherche sur l’Ecologie des Maladies Infectieuses et Tropicales, Université QuisqueyaEquipe de Recherche sur l’Ecologie des Maladies Infectieuses et Tropicales, Université QuisqueyaEquipe de Recherche sur l’Ecologie des Maladies Infectieuses et Tropicales, Université QuisqueyaAbstract Introduction Haiti is on the verge of possibly eliminating malaria, an endemic parasitic infection primarily caused by Plasmodium falciparum on the island of Hispaniola. Owing to its associated morbidity and mortality, malaria is a leading public health priority in Haiti. This scoping review aims to identify the scope of research on access and coverage of malaria surveillance, diagnosis, and treatment in Haiti in the elimination setting. Methods We compiled, analyzed, and synthesized the literature on access and coverage of antimalarial services in Haiti in the elimination setting based on Arksey and O’Malley’s framework for scoping reviews and held a formal meeting with the PNCM leadership and stakeholders of malaria programs in Haiti. Results were reported following PRISMA-ScR guidelines. Results We found 376 citations and five technical reports related to our keywords from 2016 to 2023 and retained 225 after eliminating duplicates. Based on our selection criteria, we retrieved 81 citations and excluded 56 after in-depth readings. Therefore, the review includes 26 articles and five technical reports. The Ministry of Health established a strategic plan covering the 2021–2030 period, providing a framework for operational planning to increase efficiency, strengthen the health system, and ensure the sustainability of interventions. However, the current weaknesses in surveillance underline a lack of well-trained personnel, difficulty in establishing the epidemiological profile of malaria, unreliability, lack of completeness of data, and delay in their transmission. In addition, access to malaria diagnosis and treatment in Haiti is limited due to a lack of available state-of-the-art testing modalities, variations in the geographic availability of rapid diagnostic tests and microscopy, and the widespread use of substandard antimicrobial drugs. Conclusion Research and reports on malaria surveillance, diagnosis, and treatment access and coverage in Haiti are limited; however, the available sources reveal significant shortcomings and challenges in implementing WHO-recommended policies and strategies for malaria elimination. Future studies should aim to fill this gap and investigate the determinants of the persistence of malaria cases in certain municipalities and departments of the country.https://doi.org/10.1186/s12913-024-12063-zMalariaEliminationHaitiSurveillanceDiagnosticAntimicrobial drugs |
| spellingShingle | Kenny Moise Aude Melody Achille Roubens Duvilaire Jimmy Fedna Roody Thermidor Bertiny Bourdeau Jessica Maureen Nestor Gérald Lerebours Jean Hugues Henrys Christian Raccurt Access and coverage of malaria services in Haiti in the context of elimination: a scoping review of the literature BMC Health Services Research Malaria Elimination Haiti Surveillance Diagnostic Antimicrobial drugs |
| title | Access and coverage of malaria services in Haiti in the context of elimination: a scoping review of the literature |
| title_full | Access and coverage of malaria services in Haiti in the context of elimination: a scoping review of the literature |
| title_fullStr | Access and coverage of malaria services in Haiti in the context of elimination: a scoping review of the literature |
| title_full_unstemmed | Access and coverage of malaria services in Haiti in the context of elimination: a scoping review of the literature |
| title_short | Access and coverage of malaria services in Haiti in the context of elimination: a scoping review of the literature |
| title_sort | access and coverage of malaria services in haiti in the context of elimination a scoping review of the literature |
| topic | Malaria Elimination Haiti Surveillance Diagnostic Antimicrobial drugs |
| url | https://doi.org/10.1186/s12913-024-12063-z |
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