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Community-based approaches for malaria case management in remote communities in the Brazilian Amazon
INTRODUCTION: Malaria case management is a pivotal intervention in malaria elimination. However, many remote areas in Brazil still lack access to basic health services. This study describes a community-based approach (CBA) for malaria case management in the large remote area of the Jaú National Park...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Medicina Tropical - SBMT
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7514773/ https://www.ncbi.nlm.nih.gov/pubmed/32997048 http://dx.doi.org/10.1590/0037-8682-0048-2020 |
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author | Prat, Jordi Gómez i Morais, Paulo Claret, Mercè Badia, Pere Fialho, Romeo R. Albajar-Vinas, Pedro Villegas, Leopoldo Ascaso, Carlos |
author_facet | Prat, Jordi Gómez i Morais, Paulo Claret, Mercè Badia, Pere Fialho, Romeo R. Albajar-Vinas, Pedro Villegas, Leopoldo Ascaso, Carlos |
author_sort | Prat, Jordi Gómez i |
collection | PubMed |
description | INTRODUCTION: Malaria case management is a pivotal intervention in malaria elimination. However, many remote areas in Brazil still lack access to basic health services. This study describes a community-based approach (CBA) for malaria case management in the large remote area of the Jaú National Park (JNP), Amazonas, Brazil. METHODS: In 2001, a general health CBA was initiated with a motor group (MG); a participative community health diagnosis (PCHD) was subsequently implemented between 2001 and 2005. In 2006, a CBA for malaria case management started with an expanded MG including all sectors with a stake in malaria control, from the local residents to the federal government. In 2008, community microscopists were selected and trained to diagnose hemoparasites. A full malaria strategy was implemented in 2009 with subsequent quality control follow-up. RESULTS: Two educational materials were co-created with local communities. The MG identified malaria as a major health problem and the malaria MG planned the control activities. Ten communities selected a resident to become malaria microscopists, and ten solar-operated health centers were built. The number of slide readings increased from 923 in 2006 to 1,900 in 2009, while malaria infections decreased from 354 cases in 2005 to 20 cases in 2015. The excess time (≥ 48 hours) between first symptoms and diagnosis/treatment decreased from 68.9% of cases in 2005 to 14.3% in 2010. CONCLUSIONS: While many factors were likely involved in the reduction of malaria transmission in the JNP, the CBA played an important role in the sustained success of the initiative. |
format | Online Article Text |
id | pubmed-7514773 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Sociedade Brasileira de Medicina Tropical - SBMT |
record_format | MEDLINE/PubMed |
spelling | pubmed-75147732020-09-28 Community-based approaches for malaria case management in remote communities in the Brazilian Amazon Prat, Jordi Gómez i Morais, Paulo Claret, Mercè Badia, Pere Fialho, Romeo R. Albajar-Vinas, Pedro Villegas, Leopoldo Ascaso, Carlos Rev Soc Bras Med Trop Major Article INTRODUCTION: Malaria case management is a pivotal intervention in malaria elimination. However, many remote areas in Brazil still lack access to basic health services. This study describes a community-based approach (CBA) for malaria case management in the large remote area of the Jaú National Park (JNP), Amazonas, Brazil. METHODS: In 2001, a general health CBA was initiated with a motor group (MG); a participative community health diagnosis (PCHD) was subsequently implemented between 2001 and 2005. In 2006, a CBA for malaria case management started with an expanded MG including all sectors with a stake in malaria control, from the local residents to the federal government. In 2008, community microscopists were selected and trained to diagnose hemoparasites. A full malaria strategy was implemented in 2009 with subsequent quality control follow-up. RESULTS: Two educational materials were co-created with local communities. The MG identified malaria as a major health problem and the malaria MG planned the control activities. Ten communities selected a resident to become malaria microscopists, and ten solar-operated health centers were built. The number of slide readings increased from 923 in 2006 to 1,900 in 2009, while malaria infections decreased from 354 cases in 2005 to 20 cases in 2015. The excess time (≥ 48 hours) between first symptoms and diagnosis/treatment decreased from 68.9% of cases in 2005 to 14.3% in 2010. CONCLUSIONS: While many factors were likely involved in the reduction of malaria transmission in the JNP, the CBA played an important role in the sustained success of the initiative. Sociedade Brasileira de Medicina Tropical - SBMT 2020-09-23 /pmc/articles/PMC7514773/ /pubmed/32997048 http://dx.doi.org/10.1590/0037-8682-0048-2020 Text en https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License |
spellingShingle | Major Article Prat, Jordi Gómez i Morais, Paulo Claret, Mercè Badia, Pere Fialho, Romeo R. Albajar-Vinas, Pedro Villegas, Leopoldo Ascaso, Carlos Community-based approaches for malaria case management in remote communities in the Brazilian Amazon |
title | Community-based approaches for malaria case management in remote communities in the Brazilian Amazon |
title_full | Community-based approaches for malaria case management in remote communities in the Brazilian Amazon |
title_fullStr | Community-based approaches for malaria case management in remote communities in the Brazilian Amazon |
title_full_unstemmed | Community-based approaches for malaria case management in remote communities in the Brazilian Amazon |
title_short | Community-based approaches for malaria case management in remote communities in the Brazilian Amazon |
title_sort | community-based approaches for malaria case management in remote communities in the brazilian amazon |
topic | Major Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7514773/ https://www.ncbi.nlm.nih.gov/pubmed/32997048 http://dx.doi.org/10.1590/0037-8682-0048-2020 |
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