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Comprehensive case management of malaria: Operational research informing policy.
Journal of Vector Borne Diseases ( IF 0.5 ) Pub Date : 2019-05-10 , DOI: 10.4103/0972-9062.257776
M M Pradhan 1 , Anupkuamar R Anvikar 2 , P Grewal Daumerie 3 , S Pradhan 1 , A Dutta 4 , N K Shah 5 , P L Joshi 6 , J Banerji 3 , S Duparc 3 , K Mendis 7 , S Murugasampillay 8 , N Valecha 2
Affiliation  

In 2013, the Odisha state Vector Borne Disease Control Programme led a five year operational research project, under programmatic conditions, in close collaboration with several partners. This Comprehensive Case Management Project covered a population of 900,000 across paired control and intervention blocks in four districts, each with different transmission intensities. Key gaps in access to malaria services were identified through household surveys and a detailed situation analysis. The interventions included ensuring adequate stocks of rapid diagnostic tests and antimalarial drugs at the village level, the capacity building of health workers and ASHAs, setting up microscopy centres at the primary health care level, and conducting mass screening and treatment in poorly accessible areas. The programme strengthened the routine health system, and improved malaria surveillance as well as the access to and quality of care. Initially, the programme led to increased case reporting due to improved detection, followed by a decline in malaria incidence. Lessons from the project were then scaled up statewide in the form of a new initiative-Durgama Anchalare Malaria Nirakaran (DAMaN).

中文翻译:

疟疾的综合病例管理:运营研究信息政策。

2013年,奥里萨邦州媒介媒介疾病控制计划在计划条件下与几个合作伙伴密切合作,领导了一项为期五年的运营研究项目。这个全面的病例管理项目覆盖了四个区域中成对的控制和干预区域的90万人口,每个区域具有不同的传播强度。通过家庭调查和详细情况分析,确定了获得疟疾服务方面的主要差距。干预措施包括确保在村庄一级有足够的快速诊断检测和抗疟药库存,加强卫生工作者和ASHA的能力建设,在初级卫生保健一级建立显微镜检查中心,并在交通不便的地区进行大规模筛查和治疗。该计划加强了常规卫生系统,改善了对疟疾的监测以及获得的服务和医疗质量。最初,该方案由于发现率提高而导致病例报告增加,随后疟疾发病率下降。然后,该项目的经验教训以新的倡议形式-Durgama Anchalare Malaria Nirakaran(DAMaN)在全州范围内扩大了规模。
更新日期:2019-11-01
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