Division of Vector Borne Diseases, Department of Disease Control, Ministry of Public Health, Nonthaburi, Thailand.
Inform Asia: USAID's Health Research Program, RTI International, Bangkok, Thailand.
Malar J. 2021 Apr 27;20(1):201. doi: 10.1186/s12936-021-03740-z.
Thailand's National Malaria Elimination Strategy 2017-2026 introduced the 1-3-7 strategy as a robust surveillance and response approach for elimination that would prioritize timely, evidence-based action. Under this strategy, cases are reported within 1 day, cases are investigated within 3 days, and foci are investigated and responded to within 7 days, building on Thailand's long history of conducting case investigation since the 1980s. However, the hallmark of the 1-3-7 strategy is timeliness, with strict deadlines for reporting and response to accelerate elimination. This paper outlines Thailand's experience adapting and implementing the 1-3-7 strategy, including success factors such as a cross-sectoral Steering Committee, participation in a collaborative regional partnership, and flexible local budgets. The programme continues to evolve to ensure prompt and high-quality case management, capacity maintenance, and adequate supply of lifesaving commodities based on surveillance data. Results from implementation suggest the 1-3-7 strategy has contributed to Thailand's decline in malaria burden; this experience may be useful for other countries aiming to eliminate malaria.
泰国 2017-2026 年国家消除疟疾战略引入了 1-3-7 战略,作为消除疟疾的有力监测和应对方法,优先采取及时、基于证据的行动。根据该战略,病例需在 1 天内报告,病例需在 3 天内调查,焦点需在 7 天内调查和应对,这是建立在泰国自 20 世纪 80 年代以来长期开展病例调查的基础上的。然而,1-3-7 战略的标志是及时性,报告和应对有严格的截止日期,以加速消除。本文概述了泰国适应和实施 1-3-7 战略的经验,包括跨部门指导委员会、参与合作的区域伙伴关系以及灵活的地方预算等成功因素。该方案不断发展,以确保根据监测数据及时、高质量地管理病例、维持能力和提供救生商品。实施结果表明,1-3-7 战略有助于泰国降低疟疾负担;这一经验可能对其他旨在消除疟疾的国家有用。