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Infectious Diseases of Poverty

, 5:95

First Online: 06 October 2016Received: 14 December 2015Accepted: 29 August 2016DOI: 10.1186-s40249-016-0191-0

Cite this article as: Wang, RB., Dong, JQ., Xia, ZG. et al. Infect Dis Poverty 2016 5: 95. doi:10.1186-s40249-016-0191-0

Abstract

BackgroundFor many countries where malaria is endemic, the burden of malaria is high in border regions. In ethnic minority areas along the Myanmar-China border, residents have poor access to medical care for diagnosis and treatment, and there have been many malaria outbreaks in such areas. Since 2007, with the support of the Global Fund to Fight AIDS, Tuberculosis and Malaria GFATM, a malaria control project was introduced to reduce the malaria burden in several ethnic minority regions.

MethodsA malaria control network was established during the period from 2007 to 2014. Multiple malaria interventions, including diagnosis, treatment, distribution of LLINs and health education, were conducted to improve the accessibility and quality of malaria control services for local residents. Annual cross-sectional surveys were conducted to evaluate intervention coverage and indicators of malaria transmission.

ResultsIn ethnic minority regions where a malaria control network was established, both the annual malaria incidence 19.1 per thousand per year, in 2009; 8.7, in 2014 and malaria prevalence 13.6 % in 2008; 0.43 % in 2014 decreased dramatically during the past 5–6 years. A total of 851 393 febrile patients were detected, 202 598 malaria cases including confirmed cases and suspected cases were treated, and 759 574 LLINs were delivered to populations at risk. Of households in 2012, 73.9 % had at least one ITNs-LLINs vs. 28.3 %, in 2008, and 50.7 % of children less than 5 years and 50.3 % of pregnant women slept under LLINs the night prior to their visit. Additionally, malaria knowledge was improved in 68.4 % of residents.

ConclusionThere has been great success in improving malaria control in these regions from 2007 to 2014. Malaria burdens have decreased, especially in KOK and WA. The continued maintenance of sustainable malaria control networks in these regions may be a long-term process, due to regional conflicts and the lack of funds, technology, and health workers. Furthermore, information and scientific support from the international community should be offered to these ethnic minority regions to uphold recent achievements.

KeywordsMalaria control Ethnic minority regions Northern Myanmar AbbreviationsITNsInsecticide treated nets

KOKKokang Special region in Shan state

KSR1Special region 1 in Kachin state

KSR2Special region 2 in Kachin state

LLINsLong lasting insecticide-treated nets

RDTRapid diagnosis test

SR4Special region 4 in Shan State

WASpecial region 2 in Shan State

Electronic supplementary materialThe online version of this article doi:10.1186-s40249-016-0191-0 contains supplementary material, which is available to authorized users.

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Autor: Ru-Bo Wang - Jia-Qiang Dong - Zhi-Gui Xia - Tao Cai - Qing-Feng Zhang - Yao Zhang - Yang-Hui Tian - Xiao-Ying Sun - Guang-

Fuente: https://link.springer.com/







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