National Health Commission Key Laboratory of Parasitic Disease Control and Prevention, Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, Jiangsu Institute of Parasitic Diseases, Wuxi, People's Republic of China.
Malaria Elimination Initiative, Global Health Group, University of California, San Francisco, San Francisco, California.
Am J Trop Med Hyg. 2020 Apr;102(4):804-810. doi: 10.4269/ajtmh.19-0560.
As China moves to the prevention of reestablishment of malaria, maintaining skills for malaria in county personnel on the "1-3-7" surveillance and response strategy is critical. China's "1-3-7" strategy defines targets used to guide and monitor malaria case reporting, investigation, and response, respectively: reporting of malaria cases within 1 day, their confirmation and investigation within 3 days, and the appropriate public health response to prevent further transmission within 7 days. Assessing the knowledge of local CDC malaria personnel on the "1-3-7" surveillance and response strategy is urgently needed. In June 2016, two different training modules (classroom-style teaching and tabletop exercises) were conducted for 125 CDC staff in Jiangsu Province, China, to determine the effectiveness of the two training modules on CDC staff knowledge and learning of the "1-3-7" strategy. The classroom-style training module just imparted the malaria knowledge to participants through teaching. Tabletop exercises were carried out through discussion-based scenarios using questions and answers on the "1-3-7" strategy. Questionnaires assessing knowledge improvement were designed and administered to personnel responsible for malaria surveillance and response activities, including at baseline and end line. Overall, knowledge of the "1-3-7" strategy for malaria elimination was 63.2% correct at baseline, 70.6% after implementing a classroom-style teaching module χ 11.20, 0.001), and 84.6% after the tabletop exercise module (χ 48.82 0.001). The knowledge of each component of the "1-3-7" strategy improved significantly after the tabletop exercise module. The total proportion of respondents with a high score (greater than or equal to 75%) was 82.7% in the classroom-style module and 95.2% in the tabletop exercise module. The proportion of respondents with a high score significantly increased after tabletop exercises in the stratified demographic groups of men who work at the county CDC level, have a bachelor's degree, hold a professional title as professor or assistant, are aged 31-50 years, and have attained 11-20 years of service with the CDC compared with the classroom-style module. Acceptability of the classroom-style module (78.2%) compared with tabletop exercises (94.4%) by the CDC malaria personnel increased significantly (χ = 11.96, = 0.004). Feedback from participants on the modules suggest the tabletop exercises were an effective training method, which could maintain and improve the knowledge and capacity for malaria surveillance and response in basic CDC level personnel in China.
随着中国向疟疾防控阶段过渡，对于县级疟疾防治人员来说，维持“1-3-7”监测和应对策略的疟疾技能至关重要。中国的“1-3-7”策略定义了用于指导和监测疟疾病例报告、调查和应对的目标，分别为：疟疾病例报告在 1 天内，确诊和调查在 3 天内，以及在 7 天内采取适当的公共卫生措施以防止进一步传播。评估县级疾病预防控制中心疟疾人员对“1-3-7”监测和应对策略的了解情况迫在眉睫。2016 年 6 月，在中国江苏省为 125 名疾病预防控制中心工作人员进行了两种不同的培训模块（课堂式教学和桌面演练），以确定两种培训模块对疾病预防控制中心工作人员知识和学习“1-3-7”策略的有效性。课堂式培训模块仅通过教学向参与者传授疟疾知识。桌面演练是通过基于讨论的情景进行的，使用有关“1-3-7”策略的问答。设计并向负责疟疾监测和应对活动的人员（包括基线和终线）管理调查问卷，以评估知识提高情况。总体而言，消除疟疾的“1-3-7”战略知识的正确率为 63.2%，基线为 70.6%（χ 11.20， 0.001），课堂式教学模块实施后为 84.6%（χ 48.82 0.001）。桌面演练模块实施后，“1-3-7”战略的每个组成部分的知识均有显著提高。在课堂式模块中，高分（≥75%）的答卷者比例为 82.7%，在桌面演练模块中为 95.2%。与课堂式模块相比，在县疾病预防控制中心工作的男性，具有学士学位，具有教授或助理职称，年龄在 31-50 岁，在疾病预防控制中心工作 11-20 年的人群中，高分答卷者的比例在桌面演练后明显增加。与桌面演练相比，疾病预防控制中心疟疾人员对课堂式模块的接受程度（78.2%）显著增加（χ=11.96， = 0.004）。参与者对模块的反馈表明，桌面演练是一种有效的培训方法，可以在中国基本疾病预防控制中心人员中维持和提高疟疾监测和应对的知识和能力。
