Table 1

Key discussion points and examples from Participatory Systems Mapping workshop and follow-up

NoKey discussion pointSpecific examples
1Water contact is an especially important transmission/potential control point which allows for substantial flexibility in the design of interventions and control of implementation components at the local level.Specific control points were economic activities (fishing, rice farming and snail harvesting), household activities (washing, fetching water) and hygiene activities (bathing, latrine use).
2The only group level focused on MDA implementation was comprised of members of village health teams (VHTs); the district-level and national-level groups mentioned the intervention, but not in detail.As the group directly responsible for MDA implementation, the VHTs detailed material support (bags to carry medicines, fuel, salaries) as factors influencing MDA implementation.
3Individuals from all groups discussed the lack of available treatment in communities outside of MDA implementation periods.The lack of treatment availability in health facilities leads to the inability to provide proper case management with the absence of drugs in lower level health facilities or with VHTs.
4Communication related to schistosomiasis transmission and interventions needs to be improved between the national, district and village levels.There was a disconnect in the dissemination of updated, relevant and useful materials from the national to the subnational levels, specifically these concerns were the need for translation into local languages and the provision of hard copy formats.
5The system for collecting data related to schistosomiasis is inefficient and ineffective for routine use and facilitating responses.Data collection and feedback are a patchwork of reliability and completely dependent on the individual data collector at the community level and the aggregator at the district level.
  • MDA, mass drug administration; MDA, mass drug administration (preventative chemotherapy).