Afficher la couverture 'Longitudinal trends in malaria testing rates in the face of elimination in eastern Myanmar: a 7-year observational study | Rae, Jade, D' en grand format
/5

0 avis

Longitudinal trends in malaria testing rates in the face of elimination in eastern Myanmar: a 7-year observational study

Archive ouverte

Rae, Jade, D | Landier, Jordi | Simpson, Julie, A | Proux, Stéphane | Devine, Angela | Maude, Richard, J | Thu, Aung, Myint | Wiladphaingern, Jacher | Kajeechiwa, Ladda | Thwin, May, Myo | Tun, Saw, Win | Nosten, François, H

Edité par CCSD ; BioMed Central -

International audience. Background: Providing at-risk communities with uninterrupted access to early diagnosis and treatment is a key component in reducing malaria transmission and achieving elimination. As programmes approach malaria elimination targets it is critical that each case is tested and treated early, which may present a challenge when the burden of malaria is reduced. In this paper we investigate whether malaria testing rates decline over time and assess the impacts of integrating malaria and non-malaria services on testing rates in the malaria elimination task force (METF) programme in the Kayin state of Myanmar. Methods: A retrospective analysis was conducted using weekly collected data on testing rates from a network of more than 1200 malaria posts during the period from 2014 to 2020. To determine whether monthly testing rates changed over the years of programme operations, and whether integrating malaria and non-malaria services impacted these testing rates, we fitted negative binomial mixed-effects regression models to aggregate monthly data, accounting for malaria seasonal variation. Results: In the first year of malaria post operation, testing rates declined, correlating with a decline in attendance by people from outside the malaria post catchment area, but then remained fairly constant (the Rate Ratio (RR) for 2nd versus 1st year open ranged from 0.68 to 0.84 across the four townships included in the analysis, the RR for 3rd to 6th year versus 1st year open were similar, ranging from 0.59-0.78). The implementation of a training programme, which was intended to expand the role of the malaria post workers, had minimal impact on testing rates up to 24 months after training was delivered (RR for integrated versus malaria-only services ranged from 1.00 to 1.07 across METF townships).

Suggestions

Du même auteur

Surveillance to achieve malaria elimination in eastern Myanmar: a 7-year observational study

Archive ouverte | Rae, Jade, D | CCSD

International audience. Background: The collection and utilization of surveillance data is essential in monitoring progress towards achieving malaria elimination, in the timely response to increases in malaria case ...

The role of monitoring and evaluation to ensure functional access to community-based early diagnosis and treatment in a malaria elimination programme in Eastern Myanmar

Archive ouverte | Rae, Jade, D | CCSD

International audience. BACKGROUND:Improving access to early diagnosis and treatment (EDT) has increasingly proven to be a major contributor to decreasing malaria incidence in low-transmission settings. The Malaria ...

Contribution of Asymptomatic Plasmodium Infections to the Transmission of Malaria in Kayin State, Myanmar

Archive ouverte | Chaumeau, Victor | CCSD

International audience. BACKGROUND:The objective of mass antimalarial drug administration (MDA) is to eliminate malaria rapidly by eliminating the asymptomatic malaria parasite reservoirs and interrupting transmissi...

Chargement des enrichissements...