A community-directed strategy for sustainable malaria elimination on islands: Short-term MDA integrated with ITNs and robust surveillance
A community-directed strategy for sustainable malaria elimination on islands: Short-term MDA integrated with ITNs and robust surveillance
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DOI：
10.1016/j.actatropica.2010.01.012
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发表时间：
2010-06-01
期刊：
影响因子：
2.7
通讯作者：
Kaneko, Akira
中科院分区：
文献类型：
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作者：
Kaneko, Akira
在低传播和不稳定传播的亚太地区站点，使用现有工具应该是可行的。在瓦努阿图的阿尼塔姆岛，在社区高度参与的情况下，实施了一揽子综合干预措施，包括大规模用药和驱虫蚊帐，1991年消除了恶性疟和间日疟。随后，以社区为基础的监测和病媒控制措施保持不变。通过回顾Aneityum项目的经验，我打算审查社区在消除疟疾方面的作用。为了取得成功，该方案应将主要干预内容从外部捐赠者指导的倡议转变为社区指导的方法。将社区参与从简单参与扩大到社会参与，其中社区参与从控制疟疾到消除疟疾的卫生规划职能是必要的。(C)2010爱思唯尔B.V.保留所有权利。
In the Asia Pacific sites with low and unstable transmission, elimination should be feasible with existing tools. On Aneityum island, Vanuatu both Plasmodium falciparum and Plasmodium vivax malaria were eliminated in 1991 after implementation of a combined intervention package, including mass drug administration (MDA) and insecticide-treated bed nets (ITNs), with high degree of community involvement. Subsequently, community-based surveillance and vector control measures have kept. By reviewing the experiences of the Aneityum project, I intended to examine the roles of community in malaria elimination. To be successful, the program should transfer major intervention components from the external donor-directed initiative to the community-directed approach. Scaling up of community involvement from simple participation to social participation, where communities involve in health planning functions is necessary from malaria control to malaria elimination. (C) 2010 Elsevier B.V. All rights reserved.