RAMS Malaria Case Management and Impact Strategy

Key Challenges Health systems challenges 1. Only 30% functional ambulances per district to do referrals and are challenged with its operations - fuel???? Ambulance not always almost available when called upon. 2. Recording of case referrals not adequately done - a significant number of referrals are not recorded completely. - No tracker to follow-up on referrals. - Feedback mechanism is a challenge due to multiple reasons including PHU staff being overburdened. 3. Unavailability of adjuvant therapy at the hospital level 4. Partially functioning blood bank Transportation constraints result in missed opportunities and sometimes parents or caregivers take their children to traditional headers.

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