Throughout Central America, a traditional malaria control strategy (depending on heavy use of organic pesticides) became less effective during the 1970s.
In Nicaragua, an alternative strategy, based on frequent local epidemiological assessments and community participation, was developed In the 19B0s.
Despite war-related social Instability, and continuing vector resistance, this approach was highly successful.
By the end of the contra war, there finally existed organisational and ecological conditions that favoured Improved malaria control.
Yet the expected Improvements did not occur.
In the 1990s, Nicaragua experienced Its worst recorded malaria epidemics.
This situation was partly caused by the country's macroeconomic structural adjustment programme.
Volunteers now take fewer slides and provide less treatment, malaria control workers are less motivated by the spirit of public service, and some malaria control stations charge for diagnosis or treatment.
To « roll back malaria », In Nicaragua at least, will require the roll-back of some erroneous aspects of structural adjustment.
Mots-clés Pascal : Paludisme, Protozoose, Parasitose, Infection, Plasmodium, Apicomplexa, Protozoa, Traitement, Prévention, Politique sanitaire, Homme, Nicaragua, Amérique Centrale, Amérique
Mots-clés Pascal anglais : Malaria, Protozoal disease, Parasitosis, Infection, Plasmodium, Apicomplexa, Protozoa, Treatment, Prevention, Health policy, Human, Nicaragua, Central America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0425745
Code Inist : 002B05E02B4. Création : 22/03/2000.