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Changing the malaria treatment protocol policy in Timor-Leste: an examination of context, process, and actors’ involvement

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dc.contributor.authorMartins, João S
dc.contributor.authorZwi, Anthony B
dc.contributor.authorHobday, Karen
dc.contributor.authorBonaparte, Fernando
dc.contributor.authorKelly, Paul M
dc.date.accessioned2016-01-18T02:26:55Z
dc.date.available2016-01-18T02:26:55Z
dc.date.issued2013
dc.date.updated2016-02-24T09:29:14Z
dc.description.abstractIn 2007 Timor-Leste, a malaria endemic country, changed its Malaria Treatment Protocol for uncomplicated falciparum malaria from sulphadoxine-pyrimethamine to artemether-lumefantrine. The change in treatment policy was based on the rise in morbidity due to malaria and perception of increasing drug resistance. Despite a lack of nationally available evidence on drug resistance, the Ministry of Health decided to change the protocol. The policy process leading to this change was examined through a qualitative study on how the country developed its revised treatment protocol for malaria. This process involved many actors and was led by the Timor-Leste Ministry of Health and the WHO country office. This paper examines the challenges and opportunities identified during this period of treatment protocol change.
dc.identifier.issn1478-4505en_AU
dc.identifier.urihttp://hdl.handle.net/1885/95499
dc.publisherBioMed Central
dc.rights© 2013 Martins et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.sourceHealth Research Policy and Systems
dc.subjectantimalarials
dc.subjectartemisinins
dc.subjectclinical protocols
dc.subjectcooperative behavior
dc.subjectdrug combinations
dc.subjectdrug substitution
dc.subjecteast timor
dc.subjectethanolamines
dc.subjectfluorenes
dc.subjecthealth planning organizations
dc.subjecthealth policy
dc.subjecthumans
dc.subjectinterinstitutional relations
dc.subjectmalaria, falciparum
dc.subjectpolicy making
dc.subjectpyrimethamine
dc.subjectsulfadoxine
dc.subjecttime factors
dc.titleChanging the malaria treatment protocol policy in Timor-Leste: an examination of context, process, and actors’ involvement
dc.typeJournal article
local.bibliographicCitation.issue1en_AU
local.bibliographicCitation.lastpage10
local.bibliographicCitation.startpage16en_AU
local.contributor.affiliationMartins, Joao, University of New South Wales, Australiaen_AU
local.contributor.affiliationZwi, Anthony, University of New South Wales, Australiaen_AU
local.contributor.affiliationHobday, Karen, University of New South Wales, Australiaen_AU
local.contributor.affiliationBonaparte, Fernando, Ministry of Health, East Timoren_AU
local.contributor.affiliationKelly, Paul, College of Medicine, Biology and Environment, CMBE Research School of Population Health, Natl Centre for Epidemiology & Population Health, The Australian National Universityen_AU
local.contributor.authoruidU4323806en_AU
local.description.notesImported from ARIESen_AU
local.identifier.absfor160500en_AU
local.identifier.ariespublicationf5625xPUB6426en_AU
local.identifier.citationvolume11en_AU
local.identifier.doi10.1186/1478-4505-11-16en_AU
local.identifier.essn1478-4505en_AU
local.identifier.scopusID2-s2.0-84878354772
local.identifier.thomsonID000319671100001
local.publisher.urlhttp://www.biomedcentral.com/en_AU
local.type.statusPublished Versionen_AU

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