Learnings from two independent malaria elimination demonstration projects in India
| Autor: | Sekh Nisar, Neeraj Dhingra, Madan Mohan Pradhan, Himanshu Jayswar, Ram Shankar Sahu, Shrinath Singh, Azadar Khan, Pallavi Jain Govil, Praveen K. Bharti, Altaf A. Lal, Aditya P Dash, Aparup Das, Pradipta K Mohapatra, Nilima A Kshirsagar, Kirti Mishra, Harpreet Kaur, Debakanta Sandhibigraha, Harsh Rajvanshi |
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| Rok vydání: | 2021 |
| Předmět: |
Public Health
Environmental and Occupational Health Psychological intervention India General Medicine medicine.disease Case management Indigenous Malaria law.invention Infectious Diseases Transmission (mechanics) law Malaria elimination Accountability medicine Humans Parasitology Business Socioeconomics Management control system |
| Zdroj: | Transactions of The Royal Society of Tropical Medicine and Hygiene. 115:1229-1233 |
| ISSN: | 1878-3503 0035-9203 |
| Popis: | Problem India and sub-Saharan Africa contributes about 85% of the global malaria burden, and India is committed to eliminating malaria by 2030. Approach Two novel initiatives—the Malaria Elimination Demonstration Project (MEDP) in Madhya Pradesh and Durgama Anchalare Malaria Nirakaran (DAMaN) in Odisha—were initiated independently to demonstrate that indigenous malaria can be eliminated in a short period of time. Local setting These initiatives focused on rural, tribal areas where there is a high malaria burden and complex epidemiology. Relevant changes The case management and vector control strategies used in these programmes were based on the national guidelines, with context-specific changes and introduction of accountability at management, operational, technical and financial levels. The MEDP achieved a 91% reduction in malaria cases and recorded zero transmission for 6 consecutive and a total of 9 mo. The DAMaN project brought about an 88% reduction in malaria cases. Lessons learned Malaria elimination will require robust surveillance and case management, monitoring of vector control interventions, community-centric information education communication and behaviour change communication initiatives and management controls, as well as regular internal and external reviews. |
| Databáze: | OpenAIRE |
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