Rodríguez Mario Henry, Betanzos-Reyes Angel Francisco
Dirección General de Instituto Nacional de Salud Pública, México.
Salud Publica Mex. 2011;53 Suppl 3:S333-48.
To develop a plan to strengthen the control of malaria towards its elimination. In 2009, under the coordination of the National Public HealthInstitute ofMexico, atransdisciplinary equipment of technical and operative experts was conformed to carry out a situational analysis of malaria and control programs and for the selection of effective practices of intervention that would be incorporated to the plan, within the framework of an exercise in Theory of Change. Criteria for thestratificationof thelocalities, based ontheirtransmission characteristics were established. The structural and operative limitations of the control programs were identified. A plan of interventions was elaborated to improve the coverage of epidemiological surveillance, anti-malaria interventions and opportune diagnosis and treatment of cases. The plan delineates progressive phases of implementation: reorganization, intensification of interventions and evaluation of elimination feasibility. The adoption of a regional strategic plan will provide guidance and administrative elements to conform a system that coordinates the activities of the national control programs and facilitate the elimination of malaria in the region.
制定一项加强疟疾控制以实现消除疟疾目标的计划。2009年，在墨西哥国家公共卫生研究所的协调下，组建了一个由技术和业务专家组成的跨学科团队，以开展疟疾及控制项目的形势分析，并在变革理论的实践框架内选择有效的干预措施纳入该计划。根据当地的传播特征制定了分层标准。确定了控制项目的结构和操作限制。制定了一项干预计划，以提高流行病学监测、抗疟干预措施以及病例及时诊断和治疗的覆盖率。该计划划定了逐步实施的阶段：重组、强化干预措施以及评估消除疟疾的可行性。通过一项区域战略计划将提供指导和管理要素，以构建一个协调国家控制项目活动的系统，并促进该区域消除疟疾。
