Rapid assessment of the performance of malaria control strategies implemented by countries in the Amazon subregion using adequacy criteria: case study

Malaria Journal

Case Study

Jaime Chang¹  Walter Flores²  Edgar Barillas³ 

[1] Office of Health USAID Peru, Av. La Encalada Cuadra 17 s/n Santiago de Surco, Lima 33, Peru;Strengthening Pharmaceutical Systems/Management Sciences for Health, 6a avenida 11-77 zona 10, Edificio Punto Diez oficina 1 F Guatemala City, Guatemala;Strengthening Pharmaceutical Systems/Management Sciences for Health, Suite 400, 4301 North Fairfax Drive, 22203-1627, Arlington, VA, USA;

关键词: Malaria;    Malaria Control;    Public Health Intervention;    Malaria Control Programme;    Malaria Programme;   

DOI  :  10.1186/1475-2875-10-379

 received in 2011-08-05, accepted in 2011-12-20,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundThe objective of this study was to implement a rapid assessment of the performance of four malaria control strategies (indoor spraying, insecticide-treated bed nets, timely diagnosis, and artemisinin-based combination therapy) using adequacy criteria. The assessment was carried out in five countries of the Amazon subregion (Bolivia, Colombia, Ecuador, Guyana, and Peru).MethodsA list of criteria in three areas was created for each of the four strategies: preliminary research that supports the design and adaptation of the control strategies, coverage of the control strategies and quality of the implementation of the strategies. The criteria were selected by the research team and based on the technical guidelines established by the World Health Organization. Each criterion included in the four lists was graded relative to whether evidence exists that the criterion is satisfied (value 1), not satisfied (value 0) or partially satisfied (value 0.5). The values obtained were added and reported according to a scale of three implementation categories: adequate, intermediate and deficient.ResultsImplementation of residual indoor spraying and timely diagnosis was adequate in one country and intermediate or deficient in the rest. Insecticide-treated bed nets ranged between deficient and intermediate in all the countries, while implementation of artemisinin-based combination therapy (ACT) was adequate in three countries and intermediate in the other two countries evaluated.ConclusionsAlthough ACT is the strategy with the better implementation in all countries, major gaps exist in implementation of the other three malaria control strategies in terms of technical criteria, coverage and quality desiredThe countries must implement action plans to close the gaps in the various criteria and thereby improve the performance of the interventions. The assessment tools developed, based on adequacy criteria, are considered useful for a rapid assessment by malaria control authorities in the different countries.

【 授权许可】

CC BY   
© Flores et al; licensee BioMed Central Ltd. 2011