Member countries of the Asia Pacific Malaria Elimination Network are pursuing the regional goal of malaria elimination by 2030. The countries are in different phases of malaria elimination, but most have demonstrated success in shrinking the malaria map in the region. However, continued transmission in hard-to-reach populations, including border and forest malaria, remains an important challenge. In this article, we review strategies for improving intervention coverage in hard-to-reach populations. Currently available preventive measures, including long-lasting insecticidal nets and long-lasting insecticidal hammocks, and prompt diagnosis and treatment need to be expanded to hard-to-reach populations. This can be done through mobile malaria clinics, village volunteer malaria workers and screening posts. Malaria surveillance in the hard-to-reach areas can be enhanced through tools such as spatial decision support systems. Policy changes by the malaria programs will be required for implementing the strategies outlined in this article. However, strategies or tools may be suitable for some population groups but difficult to implement in other groups.

中文翻译：

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解决难以触及的人群，以在亚太消除疟疾网络国家实现消除疟疾

亚太消除疟疾网络的成员国正在追求到 2030 年消除疟疾的区域目标。这些国家处于消除疟疾的不同阶段，但大多数国家在缩小该地区的疟疾地图方面取得了成功。然而，包括边境和森林疟疾在内的难以触及人群的持续传播仍然是一个重要挑战。在本文中，我们回顾了提高难以覆盖人群的干预覆盖率的策略。目前可用的预防措施，包括长效杀虫网和长效杀虫吊床，以及及时诊断和治疗，需要扩大到难以触及的人群。这可以通过流动疟疾诊所、乡村志愿疟疾工作者和筛查站来完成。可以通过空间决策支持系统等工具加强难以到达地区的疟疾监测。实施本文概述的战略需要疟疾规划的政策变化。然而，策略或工具可能适用于某些人群，但难以在其他人群中实施。