The role of early detection and treatment in malaria eliminationReportar como inadecuado

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Malaria Journal

, 15:363

First Online: 15 July 2016Received: 17 March 2016Accepted: 17 June 2016DOI: 10.1186-s12936-016-1399-y

Cite this article as: Landier, J., Parker, D.M., Thu, A.M. et al. Malar J 2016 15: 363. doi:10.1186-s12936-016-1399-y


Falciparum malaria persists in hard-to-reach areas or demographic groups that are missed by conventional healthcare systems but could be reached by trained community members in a malaria post MP. The main focus of a MP is to provide uninterrupted and rapid access to rapid diagnostic tests RDTs and artemisinin-based combination therapy ACT too all inhabitants of a village. RDTs allow trained community members to perform malaria diagnosis accurately and prescribe appropriate treatment, reducing as much as possible any delay between the onset of fever and treatment. Early treatment with ACT and with a low-dose of primaquine prevents further transmission from human to mosquito. A functioning MP represents an essential component of any malaria elimination strategy. Implementing large-scale, high-coverage, community-based early diagnosis and treatment through MPs requires few technological innovations but relies on a very well structured organization able to train, supervise and supply MPs, to monitor activity and to perform strict malaria surveillance.

AbbreviationsACTartemisinin-based combination treatment

CEcommunity engagement

EDTearly diagnosis and treatment

EIRentomological inoculation rate

G6PDglucose-6-phosphate dehydrogenase

HMIShealth management information system

ICCMintegrated community case management

LLINlong-lasting insecticidal net

METFMalaria Elimination Task Force

MPmalaria post

MPWmalaria post worker

RDTrapid diagnostic test

SMSshort messaging system

Electronic supplementary materialThe online version of this article doi:10.1186-s12936-016-1399-y contains supplementary material, which is available to authorized users.

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Autor: Jordi Landier - Daniel M. Parker - Aung Myint Thu - Verena I. Carrara - Khin Maung Lwin - Craig A. Bonnington - Sasitho


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