Adapting the local response for malaria elimination through evaluation of the 1-3-7 system performance in the China–Myanmar border region

Malaria Journal

Research

Chris Cotter¹  Adam Bennett¹  Roly D. Gosling¹  Ning Xiao²  Duoquan Wang²  Xiaodong Sun³ 

[1] Malaria Elimination Initiative, Global Health Group, University of California, San Francisco, 94158, San Francisco, CA, USA;National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Key Laboratory of Parasite and Vector Pathology, World Health Organization Collaborating Centre for Tropical Diseases, National Center for International Research on Tropical Diseases, 200025, Shanghai, People’s Republic of China;Yunnan Institute of Parasitic Diseases, 665000, Puer, People’s Republic of China;

关键词: Malaria elimination;    China–Myanmar border;    1-3-7 Strategy;    Reactive case detection;    Evaluation;   

DOI  :  10.1186/s12936-017-1707-1

 received in 2016-11-23, accepted in 2017-01-20,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundAssessing the essential components of ‘1-3-7’ strategy along the China–Myanmar border is critical to identify gaps and challenges to support evidence-based decision making.MethodsA mixed-method retrospective study including quantitative and qualitative analysis of the 1-3-7 system components was conducted. Sampled counties were chosen based on malaria incidence from 1 January 2012 to 31 December 2014.ResultsAll 260 confirmed malaria cases from sampled counties were reported within 1 day and had completed case investigations. 70.0% of all Reactive Case Detection (RACD) events were conducted and 90.1% of those were within 7 days. Only ten additional individuals were found malaria positive out of 3662 individuals tested (0.3%) by rapid diagnostic test during RACD events.ConclusionsKey gaps were identified in case investigation and RACD activities in Yunnan Province border counties. This evidence supports improving the RACD (or “7”) response strategy in this setting. Given the challenges in this border region, it will be critical to adapt the RACD response to promote the malaria elimination along the China border.

【 授权许可】

CC BY   
© The Author(s) 2017