The use of schools for malaria surveillance and programme evaluation in Africa.

The use of schools for malaria surveillance and programme evaluation in Africa.
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DOI:
10.1186/1475-2875-8-231
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发表时间:
2009-10-19
期刊:
影响因子:
3
通讯作者:
Snow RW
Snow RW
中科院分区:
医学3区
文献类型:
--
作者:
Brooker S;Kolaczinski JH;Gitonga CW;Noor AM;Snow RW

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有效的疟疾控制需要有关疟疾风险地理分布和疟疾干预措施有效性的信息。目前估计疟疾感染和影响指标的标准是家庭整群调查,但其复杂性和费用妨碍了频繁和分散的监测。本文回顾了利用学校和学童作为规划、监测和评估非洲疟疾控制的补充性、廉价框架的历史经验和当前理由。考虑 (i) 学校的选择; (ii) 学校感染诊断; (iii) 学校作为其所服务社区的代表的代表性; (iv) 越来越需要评估通过学校提供的干预措施。最后,强调了需要进一步调查的领域。
Effective malaria control requires information on both the geographical distribution of malaria risk and the effectiveness of malaria interventions. The current standard for estimating malaria infection and impact indicators are household cluster surveys, but their complexity and expense preclude frequent and decentralized monitoring. This paper reviews the historical experience and current rationale for the use of schools and school children as a complementary, inexpensive framework for planning, monitoring and evaluating malaria control in Africa. Consideration is given to (i) the selection of schools; (ii) diagnosis of infection in schools; (iii) the representativeness of schools as a proxy of the communities they serve; and (iv) the increasing need to evaluate interventions delivered through schools. Finally, areas requiring further investigation are highlighted.
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