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Part 2. Orientation Plan for Malaria Prevention and Elimination in Central Highlands region in 2020

From the results of malaria control achieved in 2019, the basis for developing the malaria control and elimination plan in 2020 with funding sources from the State budget and supported activities from the International cooperation project (Global Fund, RAI2E, World Health Organization), malaria epidemiological zoning results in 2019, malaria situation of provinces in Central Highlands region, regulations in terms of technical expertise, the plan is oriented as follows:

General objective

Continue to fight malaria, focus on areas with severe malaria, prevent the spread of drug-resistant malaria and develop sustainable factors, maintain the results of malaria prevention, and step by step move towards eliminating malaria. cold.

Performance targets

a) Population protected with mosquito-killing chemicals: 748,000 turns of people

- Protection with residual spray chemicals: 278,000 people

- Protection with chemical impregnated screens: 470,000 people

b) Number of blood smears to detect malaria parasites: 800,000 slides

c) The rate of people coming for examination, testing and treatment reaches 125,000 people.

Main solutions in malaria control and elimination

 Strengthen route direction, surveillance of malaria epidemiology in key areas

- Direct the implementation of the PC & LTSR plan suitable to the specific characteristics of each locality and based on the malaria epidemiological zoning in 2019.

- Strengthen inspection and supervision of malaria situation in key areas, proactively detect cases in the community, especially in areas with drug-resistant malaria and risks of drug resistance, in border areas to promptly prevent prevent malaria from increasing and spreading drug-resistant malaria in the community;

- Strengthen the appropriate malaria control measures for mobile people (free migrants, going to the forest, sleeping on the fields, and border exchange), minimizing the number of malignant malaria cases and deaths due to malaria in this subject.

 - Improve the quality and efficiency of the microscope point system; implementation of effective case detection methods (malaria post); to attach importance to combining military and civilian medicine in disease detection in remote and border areas.

- Develop and consolidate the system of reporting and statistics from the central to the grassroots level. Train to improve process implementation skills, guide monitoring and evaluation for levels in the region.

Prevention of malaria mosquitoes

- Specify chemical spraying and impregnation according to the malaria epidemiological zoning in 2019, ensuring the planned coverage and hot spots, malaria fluctuations to avoid outbreaks; organize the inspection and supervision of the quality of spraying and impregnation in the community in the campaigns to prevent malaria mosquitoes;

- Prioritize the prevention of malaria vectors for areas with mobile populations difficult to control. Monitoring malaria vectors in key areas, areas with mobile population, areas with low rates of netting and in combination with communication to mobilize people to sleep nets, go to forests and sleep on the fields to bring nets to prevent mosquito transmission ;

- Monitoring the variation and recovery of malaria vectors (especially the main vector group) in malaria prevention. Evaluate the effectiveness of chemical residues that have the effect of killing mosquitoes on nets and walls to take timely measures and propose effective vector control measures.

 Improve the quality of malaria diagnosis and treatment

- Controlled treatment in the community with the help of village health groups participating in the community under the professional help of the commune health staff, ensuring the patient takes the correct and adequate medication according to the directional regimen. guidelines of the Ministry of Health in 2016;

- Strengthen inspection and supervision of malaria diagnosis and treatment at provincial and district hospitals, commune health stations and microscope points in key areas;

- Strengthen the quality and quality assurance of malaria drugs at all levels to be ready for the full treatment of malaria;

- Strengthen effectiveness monitoring of some malaria drug regimens, especially in areas at risk of drug resistance and resistance to artemisinin and derivatives. Monitor both the efficacy and effectiveness of the new antimalarial drug pyrronaridine-artesunate (Pyramax) in Dak Nong, Dak Lak, Gia Lai provinces according to regulations and guidelines.

Communication and education on malaria prevention

 - Applying and combining many different sources of funding, especially the support funding from the local government to effectively conduct educational communication in malaria control;

- Develop forms and choose suitable communication channels, short and easy-to-understand messages, materials that are sustainable and suitable to the customs and practices of each locality;

 - Strengthen measures to communicate and educate on malaria control, especially risk communication for high-risk groups, people living in remote and border areas;

- Continue to promote the efficiency of the website (Website) in the service of malaria, parasitic diseases, insects, scientific research activities as well as disease control;

- Direct localities to implement the malaria control campaign on the upcoming World Malaria Day, April 25, 2020, with the aim of raising awareness of the community about malaria prevention, and at the same time highlighting the achievements. achieved in malaria control and elimination in the past time and especially take advantage of the attention of authorities, unions and investment of all parties in malaria control and elimination roadmap in the Central-Central Highlands region.

Scientific research work - international cooperation

- Develop research proposals at ministerial, provincial and grassroots levels, professional activities, and implement scientific research and international cooperation projects;

- Study the effectiveness of existing malaria drug regimens and new drugs in the at-risk and resistant areas in order to change the drug regimen in stages and find new alternative drug candidates. Study measures to prevent vectors and use chemicals effectively, at the same time evaluate the susceptibility of mosquito populations to chemicals used;

- Research on appropriate malaria control measures for people who go to forests, sleep on the fields, and exchange borders;

- Analyzing and analyzing structure change of malaria parasites in a period;

- Implement effectively RAI2E, CHAI, VYSNOVA, WHO Project activities and expand international cooperation capabilities.

Improve the quality of training and retraining on malaria prevention

- To coordinate with universities and research institutes in training medical engineering bachelor's sources and nursing systems for both study and work; postgraduate training in parasites and insects;

- Retrain staff at all levels on malaria epidemiology, malaria insects, diagnosis and treatment of malaria, test malaria parasites according to the plan. Deploy PC and LTSR instruction classes for 15 provinces and cities in the region.

Management of antimalarial drugs, chemicals, materials, and funding for malaria prevention

- Strengthen monitoring of distribution, storage and use of drugs, chemicals and materials related to malaria control and parasitic diseases at all levels;
 

- Increased completion of settlement reports on time;

- Restricting and regularly checking in order not to let drugs or chemicals become obsolete, poor quality or loss, avoid wastage;

- Guide provinces in the region to develop plans and organize the review of the malaria control plan in 2021 of the Central-Central Highlands region.

Organization of implementation

Based on the approved PC & LTSR 2020 plan, the units proactively implement activities according to the assigned plan:

- Complete the 2020 plans for the prevention and control of the province and submit it to the competent authorities for approval, especially the provinces with key areas with drug resistance, large malaria fluctuations and large mobile populations;

- Assigning specific tools to activities of monitoring, vector prevention, treatment, health education and communication, early procurement of equipment, materials and compliance with the current regulations of the State;

- Regularly check, monitor and evaluate the progress of activities being implemented.

Thus, 2020 is the last year of the transition from the malaria prevention strategy to the strategy of both prevention and elimination of malaria and an orientation to 2030 according to the decision of the Prime Minister. Moreover, the Central and Central Highlands regions are considered the key malaria in the country, so addressing malaria in this region can be considered as the fundamental elimination of malaria in the country. Over the years, the effectiveness of malaria control measures has contributed to reducing the number of deaths and malaria cases as set targets. From the achievements and recommendations of WHO, the managers formulated plans for the prevention and elimination of malaria for the next stage and a vision to 2030 in the Central-Central Highlands. But whether the malaria elimination roadmap meets the set goals or not, it depends on the funding sources and the efforts made by health care levels, especially the attention of the Government as well as national organizations. to ensure the ultimate goal of malaria elimination by 2030.


03/31/2020
Editorial staff  

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