Integrating spatial analysis in mixed methods approach to improve MDA Access by reaching underserved and vulnerable populations of Mali in NTD elimination framework
This mixed methods study plans to focus activities around two kinds of mobile, underserved populations: nomadic pastoralists in the rural district of Tominian and economic migrants and displaced groups from conflict areas in the urban district of Kalabancoro. Activities include:
- Quantitative questionnaire with a micro-narrative component. Micro-narratives are an established methodology focused on rapidly collecting qualitative data from a large number of participants
- Spatial analysis of study participants
- In-depth interviews and focus group discussions with health workers and community/opinion leaders
- Integrated analysis of the spatial data with questionnaire and micro-narrative data to better describe trends in the targeted vulnerable populations with respect to accessibility and acceptability of NTD program services
The team aims to combine spatial analysis with qualitative data collection to answer the following research questions:
- What are the factors leading to low coverage of MDA within underserved and vulnerable populations in Malian community?
- How are underserved and vulnerable populations currently being served by the public health interventions/health system?
- How effective and efficient is the ISAMA process for NTDs coverage in underserved and vulnerable populations compared to the current data collection and analysis approach?
- What critical factors influence the use of ISAMA approach in data analysis system process?
- How are characteristics of low coverage geographically distributed and the factors associated in underserved and vulnerable populations?
- Who are the underserved populations and what are their characteristics?
Which strategies best strengthen strategic decision making for resilient and responsive health systems at the district level in Ghana, Malawi, Uganda and Tanzania?
How to best support close-to-community providers in their critical interface role between health systems and communities
What are the best approaches to develop sustainable and equitable approaches to human resources for health, health financing and governance in post conflict health systems?
What are the most strategic approaches to building capacity for gender equity analysis in health systems?
Determine the best health systems approaches for:
1. Improved planning and delivery of integrated programmes;
2. Increased and sustained access to NTD drugs;
3. Harmonised inter-sectoral approach; and
4. Strong and generalisable evidence base for integrated elimination and control of NTDs.