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Evaluating active roles of community health workers in accelerating universal access to health services for malaria in Palawan, the Philippines.

Matsumoto-Takahashi EL, Kano S - Trop Med Health (2016)

Bottom Line: Microscopists clearly enhanced the feasibility of early diagnosis and treatment throughout the province.However, it remained necessary to implement anti-malarial measures focusing on children under 5 years of age who live in the southern region of the province.These low-cost activities are expected to strengthen the preventive measures implemented by the residents and to drive more people to seek appropriate treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Tropical Medicine and Malaria, Research Institute, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo, 162-8655 Japan.

ABSTRACT

Background: Palawan is the most malaria-endemic province in the Philippines. In an effort to confront malaria in areas with limited healthcare facilities, microscopists (community health workers) have been trained to diagnose malaria since 1999.

Methods: We reviewed the epidemiological data and related literature which analyzed the achievements of the microscopists and their tasks in order to propose a strategy to strengthen community-based malaria control.

Results: The epidemiological data showed that there had been a drastic decrease in malaria morbidity and mortality throughout the province following the launch of the strategy. Microscopists clearly enhanced the feasibility of early diagnosis and treatment throughout the province. However, it remained necessary to implement anti-malarial measures focusing on children under 5 years of age who live in the southern region of the province. The analysis of our published papers also enabled us to propose a new strategy to enhance activities by microscopists to raise malaria awareness in their respective communities.

Conclusions: These low-cost activities are expected to strengthen the preventive measures implemented by the residents and to drive more people to seek appropriate treatment. Consequently, this new strategy could accelerate the efforts to eliminate malaria in the province of Palawan that will be adopted in the WHO's Global Technical Strategy for Malaria 2016-2030, in order to achieve the Sustainable Development Goals by 2030.

No MeSH data available.


Related in: MedlinePlus

The malaria trends in Palawan. The figure was created by the authors based on the data of the Provincial Health Report, 1995–2010 [13–16]
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Fig1: The malaria trends in Palawan. The figure was created by the authors based on the data of the Provincial Health Report, 1995–2010 [13–16]

Mentions: KLM initiated its activities in 1999 [21]. Between 1990 and 1997, the incidence of malaria and malaria-related deaths actually increased in Palawan until 1997 and then began to decrease year by year (Fig. 1). After 2006, the total number of blood smears inspected remained at around 90,000 and the annual blood examination rate (the number of blood smears examined in a year/total population * 100) remained at around 10; however, there was a yearly decrease in the slide positivity rate (SPR) [13–16]. The number of deaths caused by malaria also began to decrease from a peak of 170 in 1997 to 9 in 2009.Fig. 1


Evaluating active roles of community health workers in accelerating universal access to health services for malaria in Palawan, the Philippines.

Matsumoto-Takahashi EL, Kano S - Trop Med Health (2016)

The malaria trends in Palawan. The figure was created by the authors based on the data of the Provincial Health Report, 1995–2010 [13–16]
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4940934&req=5

Fig1: The malaria trends in Palawan. The figure was created by the authors based on the data of the Provincial Health Report, 1995–2010 [13–16]
Mentions: KLM initiated its activities in 1999 [21]. Between 1990 and 1997, the incidence of malaria and malaria-related deaths actually increased in Palawan until 1997 and then began to decrease year by year (Fig. 1). After 2006, the total number of blood smears inspected remained at around 90,000 and the annual blood examination rate (the number of blood smears examined in a year/total population * 100) remained at around 10; however, there was a yearly decrease in the slide positivity rate (SPR) [13–16]. The number of deaths caused by malaria also began to decrease from a peak of 170 in 1997 to 9 in 2009.Fig. 1

Bottom Line: Microscopists clearly enhanced the feasibility of early diagnosis and treatment throughout the province.However, it remained necessary to implement anti-malarial measures focusing on children under 5 years of age who live in the southern region of the province.These low-cost activities are expected to strengthen the preventive measures implemented by the residents and to drive more people to seek appropriate treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Tropical Medicine and Malaria, Research Institute, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo, 162-8655 Japan.

ABSTRACT

Background: Palawan is the most malaria-endemic province in the Philippines. In an effort to confront malaria in areas with limited healthcare facilities, microscopists (community health workers) have been trained to diagnose malaria since 1999.

Methods: We reviewed the epidemiological data and related literature which analyzed the achievements of the microscopists and their tasks in order to propose a strategy to strengthen community-based malaria control.

Results: The epidemiological data showed that there had been a drastic decrease in malaria morbidity and mortality throughout the province following the launch of the strategy. Microscopists clearly enhanced the feasibility of early diagnosis and treatment throughout the province. However, it remained necessary to implement anti-malarial measures focusing on children under 5 years of age who live in the southern region of the province. The analysis of our published papers also enabled us to propose a new strategy to enhance activities by microscopists to raise malaria awareness in their respective communities.

Conclusions: These low-cost activities are expected to strengthen the preventive measures implemented by the residents and to drive more people to seek appropriate treatment. Consequently, this new strategy could accelerate the efforts to eliminate malaria in the province of Palawan that will be adopted in the WHO's Global Technical Strategy for Malaria 2016-2030, in order to achieve the Sustainable Development Goals by 2030.

No MeSH data available.


Related in: MedlinePlus