Lemoine Jean Frantz, Boncy Jacques, Filler Scott, Kachur S Patrick, Fitter David, Chang Michelle A
Programme National de la Contrôle de la Malaria, Ministère de la Santé Publique et de la Population, Port-au-Prince, Haiti.
Laboratoire National de la Santé Publique, Ministère de la Santé Publique et de la Population, Port-au-Prince, Haiti.
Am J Trop Med Hyg. 2017 Oct;97(4_Suppl):43-48. doi: 10.4269/ajtmh.16-0902.
Haiti is committed to malaria elimination by 2020. Following a 2010 earthquake and cholera epidemic, Haiti capitalized on investments in its health system to refocus on malaria elimination. Efforts, including expanding diagnostics, ensuring efficacy of standard treatments, building institutional capacity, and strengthening surveillance were undertaken to complement the broad health system strengthening activities. These efforts led to the adoption and scale-up of malaria rapid diagnostic tests as a diagnostic modality. In addition, drug-resistant monitoring has been established in the country, along with the development of molecular testing capacity for the parasite at the National Public Health Laboratory. The development and piloting of surveillance activities to include an enhanced community-based approach for testing and treatment of patients has increased the ability of the Ministry of Health to map foci of transmission and respond promptly to outbreaks. The reinforcement of evidence-based approaches coupled with strong collaboration among the Ministry of Health and partners has demonstrated that malaria elimination by 2020 is a realistic prospect.
海地致力于到2020年消除疟疾。在经历2010年地震和霍乱疫情后，海地利用对其卫生系统的投资，重新将重点放在消除疟疾上。开展了包括扩大诊断、确保标准治疗的疗效、建设机构能力和加强监测等工作，以补充广泛的卫生系统强化活动。这些努力促使疟疾快速诊断测试作为一种诊断方式得到采用和推广。此外，该国已建立耐药性监测，同时在国家公共卫生实验室发展了针对疟原虫的分子检测能力。包括加强基于社区的患者检测和治疗方法在内的监测活动的开展和试点，提高了卫生部绘制传播热点并对疫情迅速做出反应的能力。基于证据的方法的强化以及卫生部与合作伙伴之间的强有力协作表明，到2020年消除疟疾是一个现实的前景。
