Sustainability of a successful malaria surveillance and treatment program in a Runggus community in Sabah, east Malaysia.
The district ofKudat has one of the highest and most persistent malaria transmission levels in Sabah, Malaysia, with annual parasite incidence of 102 per 1,000 inhabitants per year.
Due to this situation and the failure of DDT spraying to control malaria, a community participation health program (Sukarelawan Penjagaan Kesihatan Primer or SPKP) was developed as an adjunct to current anti-malarial measures during 1987-1991.
SPKP is made up of unpaid community workers known as village health volunteers (VHVs).
VHVs are selected by a village development and security committes training and supervision a member of the Vector-Borne Diseases Control Program (VBDCP).
The beneficiaries of SPKP consisted primarily of Runggus people and other remote, and mobile populations who visit the home of a VHV for diagnosis and treatment.
This group of febrile patients and their children who attend a participating school submit finger prick blood and personal details to the VHV, and receive a presumptive reatment for malaria.
Thick and thin blood smears are examined by a VBDCP microscopist who then prepare and forward a radical or curative treatment to the VHV so that it can be administered to the microscopically-positive patient free of charge.
Between June 1987 to June 1991, VHVs from 32 kampungs (villages) and 22 schools collected 56,245 slides representing 24.7% of total slide collection compared to 74. (...)
Mots-clés Pascal : Paludisme, Protozoose, Parasitose, Infection, Campagne de masse, Traitement, Chimiothérapie, Antipaludique, Surveillance, Epidémiologie, Homme, Malaisie, Asie
Mots-clés Pascal anglais : Malaria, Protozoal disease, Parasitosis, Infection, Mass campaign, Treatment, Chemotherapy, Antimalarial, Surveillance, Epidemiology, Human, Malaysia, Asia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0195398
Code Inist : 002B05E02B4. Création : 21/05/1997.