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印度可以从全球成功消除疟疾规划中学到什么。

What India can learn from globally successful malaria elimination programmes.

机构信息

ICMR-National Institute of Malaria Research, New Delhi, Delhi, India.

Division of Epidemiology and Communicable Diseases, Indian Council of Medical Research, Delhi, Delhi, India

出版信息

BMJ Glob Health. 2022 Jun;7(6). doi: 10.1136/bmjgh-2022-008431.

Abstract

India is targeting malaria elimination by 2030. Understanding and adopting the strategies employed by countries that have successfully eliminated malaria can serve as a crucial thrust in this direction for a geographically diverse country like India. This analysis is based on extensive literature search on malaria elimination policies, strategies and programmes adopted by nine countries (China, El Salvador, Algeria, Argentina, Uzbekistan, Paraguay, Sri Lanka, Maldives and Armenia) which have attained malaria-free status over the past decade. The key points which India can learn from their journey are mandatory time-bound response in the form of case reporting and management, rapid vector control response, continuous epidemiological and entomological surveillance, elevated community participation, more training and capacity building, private sector involvement, use of quality diagnostics, cross-border collaborations, inclusion of prevention of re-establishment programmes into the elimination plans, higher investment in research, and uninterrupted funds for successful implementation of malaria elimination programmes. These learnings would help India and other South Asian countries steer their programmes by devising tailor-made strategies for their own regions.

摘要

印度的目标是在 2030 年消除疟疾。了解并采用已成功消除疟疾的国家所采用的策略,可以为印度这样一个地域多样化的国家在这一方向上提供重要的推动力。本分析基于对过去十年间九个国家(中国、萨尔瓦多、阿尔及利亚、阿根廷、乌兹别克斯坦、巴拉圭、斯里兰卡、马尔代夫和亚美尼亚)消除疟疾政策、策略和方案的广泛文献检索。印度可以从这些国家的经验中学到以下关键要点:以病例报告和管理为形式的强制性、有时限的响应;快速媒介控制响应;持续的流行病学和昆虫学监测;提高社区参与度;更多的培训和能力建设;私营部门参与;使用高质量诊断方法;跨境合作;将防止重新建立项目纳入消除计划;增加对研究的投资;为成功实施消除疟疾方案提供持续资金。这些经验教训将帮助印度和其他南亚国家通过为自己的地区制定量身定制的策略来指导自己的项目。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c4d/9237895/a16c39a7a88c/bmjgh-2022-008431f01.jpg

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