Garfield R M, Vermund S H
Soc Sci Med. 1986;22(8):869-77. doi: 10.1016/0277-9536(86)90241-8.
A malaria control effort in Nicaragua involving the mass, short-term distribution of anti-malaria medicines to a target population of all citizens above one year of age is detailed. About 70% of the population received anti-malarials in November, 1981 and 8 million packets of chloroquine and primaquine were distributed by 70,000 health campaign workers and their assistants. Training and mobilization efforts used volunteers from local community organizations. Mass public education was a key focus in the weeks before drug administration. The effects of the campaign were immediately apparent with a rapid decline in incidence after drug administration. Ongoing community environmental control, case finding, and health education activities continued to improve the malaria situation post-campaign. Further, the campaign promoted the decentralization of malaria control activities and integration of the malaria efforts with the nationwide primary health care system.
详细介绍了尼加拉瓜的一项疟疾控制工作，该工作涉及向所有一岁以上的公民这一目标人群大规模、短期分发抗疟疾药物。1981年11月约70%的人口接受了抗疟药，70000名卫生运动工作者及其助手分发了800万包氯喹和伯氨喹。培训和动员工作利用了当地社区组织的志愿者。在药物发放前的几周，大规模公众教育是重点。活动的效果立竿见影，药物发放后发病率迅速下降。持续开展的社区环境控制、病例发现和健康教育活动在活动后继续改善疟疾状况。此外，该活动促进了疟疾控制活动的权力下放，并将疟疾防治工作与全国初级卫生保健系统相结合。
