{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T15:35:11Z","timestamp":1781105711137,"version":"3.54.1"},"reference-count":33,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2022,10,13]],"date-time":"2022-10-13T00:00:00Z","timestamp":1665619200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/"}],"funder":[{"DOI":"10.13039\/501100000780","name":"European Union","doi-asserted-by":"crossref","award":["TMA2018CDF-DetI-MTTT"],"award-info":[{"award-number":["TMA2018CDF-DetI-MTTT"]}],"id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Mass test, treat and track (MTTT) of malaria is ongoing in the Pakro sub district of Ghana. In the delivery of MTTT of malaria, community health volunteers are trained to routinely provide this service through a door-to-door strategy. Following the report of the first cases of COVID-19 in Ghana, we conducted this study to explore the effects of the pandemic on the implementation of the MTTT of malaria intervention.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>Using qualitative methodology, we conducted ten focus groups discussions (FGDs) in eight communities: eight with community members (N = 49); one with health workers (N = 6), and one with MTTT of malaria volunteers. In addition, two in-depth interviews (IDI) were conducted, one with health worker and another with a health manager. All interviews were recorded, translated into English during transcription and analysed using QSR NVivo 12. Thematic content analysis was used in this study.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>The findings of the study showed an increase in the number of people reporting with complications of malaria in health facilities in the study communities during the COVID-19 period. Some participants were of the view that COVID-19 rumours and misinformation could largely be responsible for the low coverage and uptake of the MTTT of malaria intervention. To sustain the uptake of the MTTT intervention, community engagement strategies were employed to identify and respond to these rumours. Also, incentive schemes were introduced to encourage parents and children to participate in the MTTT intervention during this period of COVID-19.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Findings suggest that the COVID-19 pandemic has adversely affected the provision and uptake of malaria prevention and treatment services, especially the MTTT of malaria being implemented at the community level. These observations underscore the need to find innovative ways to address the challenges encountered in providing essential services during public health emergencies.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0275976","type":"journal-article","created":{"date-parts":[[2022,10,13]],"date-time":"2022-10-13T17:46:05Z","timestamp":1665683165000},"page":"e0275976","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":12,"title":["The impact of COVID-19 on implementation of mass testing, treatment and tracking of malaria in rural communities in Ghana: A qualitative study"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1073-3956","authenticated-orcid":true,"given":"Ndong Ignatius","family":"Cheng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip Teg-Nefaah","family":"Tabong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Palmer Masumbe","family":"Netongo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benedicta Ayiedu","family":"Mensah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chuo Ennestine","family":"Chu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0770-0232","authenticated-orcid":true,"given":"Effah-Baafi","family":"Yaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana Yartey","family":"Enos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keziah","family":"Malm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Collins Stephen","family":"Ahorlu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2022,10,13]]},"reference":[{"key":"pone.0275976.ref001","unstructured":"WHO. World Malaria Report 2021. Geneva: World Health Organization; 2022."},{"key":"pone.0275976.ref002","unstructured":"WHO. World malaria report 2019. Geneva, Switzerland; 2020."},{"key":"pone.0275976.ref003","unstructured":"NMCP. National Malaria Control Programme Strategic Plan. Accra; 2020."},{"key":"pone.0275976.ref004","doi-asserted-by":"crossref","first-page":"1381471","DOI":"10.1080\/16549716.2017.1381471","article-title":"Towards malaria control and elimination in Ghana: challenges and decision making tools to guide planning","volume":"10","author":"T Awine","year":"2017","journal-title":"Glob Health Action"},{"key":"pone.0275976.ref005","volume-title":"Health Assets in a Global Context","author":"J. Popay","year":"2010"},{"key":"pone.0275976.ref006","doi-asserted-by":"crossref","first-page":"40","DOI":"10.4314\/gmj.v54i2s.7","article-title":"Compliance with the who strategy of test, treat and track for malaria control at bosomtwi district in Ghana","volume":"54","author":"G Oteng","year":"2020","journal-title":"Ghana Med J"},{"key":"pone.0275976.ref007","article-title":"Implementation and challenges of test, treat and track (T3) strategy for malaria case management in children under five years in the Bongo District","volume":"2","author":"S Akanteele Agandaa","year":"2016","journal-title":"Ghana. Clin Res Trials"},{"key":"pone.0275976.ref008","unstructured":"WHO. Scaling up Diagnostic Testing, Treatment and Surveillance for Malaria. Geneva; 2012."},{"key":"pone.0275976.ref009","volume-title":"WHO guidelines for malaria","author":"WHO","year":"2022"},{"key":"pone.0275976.ref010","first-page":"1","article-title":"Challenges and perceptions of implementing mass testing, treatment and tracking in malaria control: a qualitative study in Pakro sub-district of Ghana","volume":"19","author":"IC Ndong","year":"2019","journal-title":"BMC Public Health"},{"key":"pone.0275976.ref011","doi-asserted-by":"crossref","first-page":"168","DOI":"10.4314\/gmj.v48i3.9","article-title":"A Systems View and Lessons from the ongoing Ebolaa Virus outbreak in West Africa","volume":"48","author":"IA Agyepong","year":"2014","journal-title":"Ghana Med J"},{"key":"pone.0275976.ref012","article-title":"Epidemiology of 2019 novel coronavirus in Jiangsu Province, China after wartime control measures: A population-level retrospective study","author":"K wei Wang","year":"2020","journal-title":"Travel Med Infect Dis"},{"key":"pone.0275976.ref013","doi-asserted-by":"crossref","first-page":"e99","DOI":"10.3928\/19382359-20200219-01","article-title":"The Coronavirus Disease 2019 (COVID-19)","volume":"49","author":"JR Hageman","year":"2020","journal-title":"Pediatr Ann"},{"key":"pone.0275976.ref014","doi-asserted-by":"crossref","first-page":"e0247038","DOI":"10.1371\/journal.pone.0247038","article-title":"Stakeholders perspective of, and experience with contact tracing for COVID-19 in Ghana: A qualitative study among contact tracers, supervisors, and contacts","volume":"16","author":"N Asiimwe","year":"2021","journal-title":"PLoS One"},{"key":"pone.0275976.ref015","first-page":"1","article-title":"Malaria and COVID-19: unmasking their ties","volume":"19","author":"MIH Hussein","year":"2020","journal-title":"Malar J"},{"key":"pone.0275976.ref016","first-page":"825","article-title":"Malaria morbidity and mortality in Ebola-aff ected countries caused by decreased health-care capacity, and the potential eff ect of mitigation strategies: a modelling analysis","author":"PGT Walker","year":"2016","journal-title":"Lancet Infect Dis"},{"key":"pone.0275976.ref017","doi-asserted-by":"crossref","DOI":"10.4135\/9781526402271","volume-title":"Doing Narrative Research","author":"M Andrews","year":"2013","edition":"2"},{"key":"pone.0275976.ref018","unstructured":"GSS. The 2010 Population and Housing Report. Accra; 2011."},{"key":"pone.0275976.ref019","unstructured":"GSS\/GHS\/Macro International. Ghana Demographic and Health Survey 2014. Accra; 2015."},{"key":"pone.0275976.ref020","volume-title":"Qualitative Methods for Health Research","author":"J Green","year":"2004"},{"key":"pone.0275976.ref021","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1007\/s10488-013-0528-y","article-title":"Purposeful sampling for qualitative data collection and analysis in mixed method implementation research","volume":"42","author":"LA Palinkas","year":"2015","journal-title":"Adm Policy Ment Heal"},{"key":"pone.0275976.ref022","unstructured":"Patton MQ. Qualitative research and evaluation methods. Sage Publications; 2002."},{"key":"pone.0275976.ref023","article-title":"Qualitative Inquiry and Research Design: Choosing Among Five Approaches","author":"JW Creswell","year":"2007","journal-title":"Australasian Emergency Nursing Journal"},{"key":"pone.0275976.ref024","doi-asserted-by":"crossref","first-page":"1802","DOI":"10.1177\/1049732316654870","article-title":"Member Checking: A Tool to Enhance Trustworthiness or Merely a Nod to Validation?","volume":"26","author":"L Birt","year":"2016","journal-title":"Qual Health Res"},{"key":"pone.0275976.ref025","doi-asserted-by":"crossref","first-page":"e0198915","DOI":"10.1371\/journal.pone.0198915","article-title":"Premorbid risk perception, lifestyle, adherence and coping strategies of people with diabetes mellitus: A phenomenological study in the Brong Ahafo Region of Ghana","volume":"13","author":"PT-N Tabong","year":"2018","journal-title":"PLoS One"},{"key":"pone.0275976.ref026","first-page":"1","volume-title":"Handbook of Mixed Methods in Social and Behavioral Research","author":"C Teddlie","year":"2010","edition":"2"},{"key":"pone.0275976.ref027","doi-asserted-by":"crossref","DOI":"10.4081\/jphr.2021.2448","article-title":"Healthcare in Ghana amidst the coronavirus pandemic: A narrative literature review","volume":"11","author":"G Dzando","year":"2022","journal-title":"J Public health Res"},{"key":"pone.0275976.ref028","doi-asserted-by":"crossref","first-page":"E149","DOI":"10.1093\/pubmed\/fdab212","article-title":"Public health impact of the COVID-19 pandemic on the emergency healthcare system","volume":"44","author":"G Stirparo","year":"2022","journal-title":"J Public Heal (United Kingdom)"},{"key":"pone.0275976.ref029","doi-asserted-by":"crossref","first-page":"773","DOI":"10.2105\/AJPH.2004.055897","article-title":"Can we capitalize on the virtues of vaccines? Insights from the polio eradication initiative","volume":"95","author":"R Aylward","year":"2005","journal-title":"Am J Public Heal"},{"key":"pone.0275976.ref030","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.0040073","article-title":"What led to the Nigerian boycott of the polio vaccination campaign","volume":"4","author":"A. Jegede","year":"2007","journal-title":"PLoS Med"},{"key":"pone.0275976.ref031","unstructured":"WHO. Managing Epidemics: Key facts about major deadly diseases. Geneva, Switzerland; 2018."},{"key":"pone.0275976.ref032","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3389\/fcomm.2021.613794","article-title":"Misconceptions, Misinformation and Politics of COVID-19 on Social Media: A Multi-Level Analysis in Ghana","volume":"6","author":"PT Tabong","year":"2021","journal-title":"Front Commun"},{"key":"pone.0275976.ref033","first-page":"1","article-title":"Rumor surveillance in support of minimally invasive tissue sampling for diagnosing the cause of child death in low-income countries: A qualitative study","author":"S Islam","year":"2021","journal-title":"PLoS One"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0275976","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,13]],"date-time":"2022-10-13T17:47:02Z","timestamp":1665683222000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0275976"}},"subtitle":[],"editor":[{"given":"Bassey E.","family":"Ebenso","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,10,13]]},"references-count":33,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2022,10,13]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0275976","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,13]]}}}