School of Public Health and Community Medicine, The University of New South Wales, Sydney, Australia.
Confl Health. 2009 Dec 16;3:11. doi: 10.1186/1752-1505-3-11.
Malaria is a major global health problem, often exacerbated by political instability, conflict, and forced migration.
To examine the impact of political upheaval and population displacement in Timor-Leste (2006) on malaria in the country.
Case study approach drawing on both qualitative and quantitative methods including document reviews, in-depth interviews, focus group discussions, site visits and analysis of routinely collected data.
The conflict had its most profound impact on Dili, the capital city, in which tens of thousands of people were displaced from their homes. The conflict interrupted routine malaria service programs and training, but did not lead to an increase in malaria incidence. Interventions covering treatment, insecticide treated nets (ITN) distribution, vector control, surveillance and health promotion were promptly organized for internally displaced people (IDPs) and routine health services were maintained. Vector control interventions were focused on IDP camps in the city rather than on the whole community. The crisis contributed to policy change with the introduction of Rapid Diagnostic Tests and artemether-lumefantrine for treatment.
Although the political crisis affected malaria programs there were no outbreaks of malaria. Emergency responses were quickly organized and beneficial long term changes in treatment and diagnosis were facilitated.
疟疾是一个重大的全球卫生问题，常因政治不稳定、冲突和被迫迁移而加剧。
研究东帝汶（2006 年）的政治动荡和人口流离失所对该国疟疾的影响。
采用案例研究方法，结合定性和定量方法，包括文献回顾、深入访谈、焦点小组讨论、现场访问和常规收集数据的分析。
冲突对首都帝力的影响最为深远，数万人被迫离开家园。冲突中断了常规疟疾服务计划和培训，但并未导致疟疾发病率上升。为国内流离失所者（IDP）迅速组织了覆盖治疗、驱虫蚊帐（ITN）分发、病媒控制、监测和健康促进的干预措施，同时维持了常规卫生服务。病媒控制干预措施侧重于城市的 IDP 营地，而不是整个社区。这场危机促成了政策的改变，引入了快速诊断测试和青蒿素-本芴醇进行治疗。
尽管政治危机影响了疟疾规划，但没有发生疟疾爆发。紧急应对措施迅速组织起来，并促成了治疗和诊断方面的有益长期变化。
