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Scott S, Camara BS, Hill M, Lama EK, Barry L, Ogouyemi-Hounto A, Houndjo W, Tougri G, Yacouba N, Achu D, Ateba M, Diar MSI, Malm KL, Adomako K, Djata P, Da Silva W, Cissé I, Sanogo V, Jackou H, Ogbulafor N, Adu BM, Nikau J, Gaye S, Gueye AB, Kandeh B, Kolley O, Atcha-Oubou T, Tchadjobo T, Loua KM, Tchouatieu AM, Mbaye I, Lima-Parra MA, Poku-Awuku A, Ndiaye JL, Merle C, Thomas L, Milligan P. The use of video job-aids to improve the quality of seasonal malaria chemoprevention delivery. PLOS Digit Health 2022; 1:e0000165. [PMID: 36812625 PMCID: PMC9931299 DOI: 10.1371/journal.pdig.0000165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 11/16/2022] [Indexed: 06/18/2023]
Abstract
Mobile phones are increasingly used in community health programmes, but the use of video job-aids that can be displayed on smart phones has not been widely exploited. We investigated the use of video job-aids to support the delivery of seasonal malaria chemoprevention (SMC) in countries in West and Central Africa. The study was prompted by the need for training tools that could be used in a socially distanced manner during the COVID-19 pandemic. Animated videos were developed in English, French, Portuguese, Fula and Hausa, illustrating key steps for administering SMC safely, including wearing masks, washing hands, and social distancing. Through a consultative process with the national malaria programmes of countries using SMC, successive versions of the script and videos were reviewed to ensure accurate and relevant content. Online workshops were held with programme managers to plan how to use the videos in SMC staff training and supervision, and the use of the videos was evaluated in Guinea through focus groups and in-depth interviews with drug distributors and other staff involved in SMC delivery and through direct observations of SMC administration. Programme managers found the videos useful as they reinforce messages, can be viewed at any time and repeatedly, and when used during training sessions, provide a focus of discussion and support for trainers and help retain messages. Managers requested that local specificities of SMC delivery in their setting be included in tailored versions of the video for their country, and videos were required to be narrated in a variety of local languages. In Guinea, SMC drug distributors found the video covered the all the essential steps and found the video easy to understand. However, not all key messages were followed as some of the safety measures, social distancing and wearing masks, were perceived by some as creating mistrust amongst communities. Video job-aids can potentially provide an efficient means of reaching large numbers of drug distributors with guidance for safe and effective distribution of SMC. Not all distributors use android phones, but SMC programmes are increasingly providing drug distributors with android devices to track delivery, and personal ownership of smartphones in sub-Saharan Africa is growing. The use of video job-aids for community health workers to improve the quality delivery of SMC, or of other primary health care interventions, should be more widely evaluated.
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Affiliation(s)
- Susana Scott
- Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Bienvenu Salim Camara
- Centre National de Formation et de Recherche en Santé Rurale de Maferinyah, Forécariah, Guinea
| | - Michael Hill
- Centre for Excellence in Learning and Teaching, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Eugène Kaman Lama
- National Control Malaria Programme, Ministry of Health, Conakry, Guinea
| | - Lansana Barry
- Centre National de Formation et de Recherche en Santé Rurale de Maferinyah, Forécariah, Guinea
| | | | - William Houndjo
- National Malaria Control Programme, Ministry of Health, Cotonou, Benin
| | - Gauthier Tougri
- National Malaria Control Programme, Ministry of Health, Ouagadougou, Burkina Faso
| | - Nombre Yacouba
- National Malaria Control Programme, Ministry of Health, Ouagadougou, Burkina Faso
| | - Dorothy Achu
- National Malaria Control Programme, Ministry of Health, Yaoundé, Cameroon
| | - Marcellin Ateba
- National Malaria Control Programme, Ministry of Health, Yaoundé, Cameroon
| | | | - Keziah L. Malm
- National Malaria Control Programme, Ministry of Health, Accra, Ghana
| | - Kofi Adomako
- National Malaria Control Programme, Ministry of Health, Accra, Ghana
| | - Paolo Djata
- National Malaria Control Programme, Ministry of Health, Bissau, Guinea Bissau
| | - Wica Da Silva
- National Malaria Control Programme, Ministry of Health, Bissau, Guinea Bissau
| | - Idrissa Cissé
- National Malaria Control Programme, Ministry of Health, Bamako, Mali
| | - Vincent Sanogo
- National Malaria Control Programme, Ministry of Health, Bamako, Mali
| | - Hadiza Jackou
- National Malaria Control Programme, Ministry of Health, Niamey, Niger
| | - Nnenna Ogbulafor
- National Malaria Elimination Programme, Ministry of Health, Abuja, Nigeria
| | - Bala M. Adu
- National Malaria Elimination Programme, Ministry of Health, Abuja, Nigeria
| | - Jamilu Nikau
- National Malaria Elimination Programme, Ministry of Health, Abuja, Nigeria
| | - Seynabou Gaye
- National Malaria Control Programme, Ministry of Health, Dakar, Senegal
| | | | - Balla Kandeh
- National Malaria Control Programme, Ministry of Health, Banjul, The Gambia
| | - Olimatou Kolley
- National Malaria Control Programme, Ministry of Health, Banjul, The Gambia
| | | | | | | | | | | | | | | | | | - Corinne Merle
- UNDP/UNICEF/World Bank/WHO Special Programme for Research and Training in Tropical Diseases (TDR)/ World Health Organization (WHO), Geneva, Switzerland
| | - Liz Thomas
- University of York, York, United Kingdom
| | - Paul Milligan
- Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom
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