A qualitative assessment of Community and stakeholders' perception towards Malaria elimination in Gujarat focusing behavior of community

<h2>Abstract –</h2><h3>Problem considered</h3> In the last couple of years, the incidence and prevalence of malaria in Gujarat have declined as compared to Indian data. India's goal is to end malaria by the year 2030, for which community behavior is vital apart from other logistics and treatment management. This qualitative study conducted with aim to determine the perceptions of community towards malaria. <h3>Methods</h3> The qualitative assessment was conducted in the two districts of Gujarat during September 2022 and November 2022. Data were collected through Focus Group discussions (FGDs), in-depth interviews (IDIs), and key informant interviews (KIIs) with the help of a qualitative guide. Data were analyzed through thematic framework. <h3>Results</h3> 64 interviews consisting of 12 FGDs were carried out, combining the use of FGDs, KIIs, and IDIs. Review of community perception regarding malaria elimination was conducted and it was observed that they had sufficient knowledge regarding symptoms and diagnosis and their practices of the same were seen. Supportive presence of community in prevention and control measures to the government action was observed. The key gaps were seen on sustained social and behaviour change communication, human resources management, malaria among migratory population and poor interdepartmental coordination. <h3>Conclusion</h3> The stakeholders in this study expressed their optimism regarding the progress towards eliminating malaria in Gujarat, but at a slower pace. The areas which required to improve like diagnosis coverage among migratory population and compliance with treatment regimens. The identified gaps can be targeted like sustainable funding for BCC, manpower management and malaria in migratory population.