Prospects and strategies for malaria elimination in the Greater Mekong Sub-region: A qualitative study
© 2019 The Author(s). Background: As malaria elimination becomes a goal in malaria-endemic nations, questions of feasibility become critical. This article explores the potential challenges associated with this goal and future strategies for malaria elimination in the Greater Mekong Sub-region. Metho...
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th-mahidol.510532020-01-27T16:44:31Z Prospects and strategies for malaria elimination in the Greater Mekong Sub-region: A qualitative study Nils Kaehler Bipin Adhikari Phaik Yeong Cheah Lorenz Von Seidlein Nicholas P.J. Day Daniel H. Paris Marcel Tanner Christopher Pell University of Oxford Universitat Basel Swiss Tropical and Public Health Institute (Swiss TPH) Mahidol University Nuffield Department of Clinical Medicine Universiteit van Amsterdam Amsterdam Institute for Global Health and Development (AIGHD) Immunology and Microbiology Medicine © 2019 The Author(s). Background: As malaria elimination becomes a goal in malaria-endemic nations, questions of feasibility become critical. This article explores the potential challenges associated with this goal and future strategies for malaria elimination in the Greater Mekong Sub-region. Methods: Thirty-two semi-structured interviews were conducted with policy makers (n = 17) and principal investigators (n = 15) selected based on their involvement in malaria prevention, control and elimination in the GMS. Interviews were audio-recorded and transcribed for qualitative content (thematic) analysis using QSR NVivo. Results: All respondents described current malaria control and elimination strategies, such as case detection and management, prevention and strengthening of surveillance systems as critical and of equal priority. Aware of the emergence of multi-drug resistance in the GMS, researchers and policy makers outlined the need for additional elimination tools. As opposed to a centralized strategy, more targeted and tailored approaches to elimination were recommended. These included targeting endemic areas, consideration for local epidemiology and malaria species, and strengthening the peripheral health system. A decline in malaria transmission could lead to complacency amongst funders and policy makers resulting in a reduction or discontinuation of support for malaria elimination. Strong commitment of policymakers combined with strict monitoring and supervision by funders were considered pivotal to successful elimination programmes. Conclusion: Against a backdrop of increasing anti-malarial resistance and decreasing choices of anti-malarial regimens, policy makers and researchers stressed the urgency of finding new malaria elimination strategies. There was consensus that multi-pronged strategies and approaches are needed, that no single potential tool/strategy can be appropriate to all settings. Hence there is a need to customize malaria control and elimination strategies based on the better surveillance data. 2020-01-27T08:56:36Z 2020-01-27T08:56:36Z 2019-06-20 Article Malaria Journal. Vol.18, No.1 (2019) 10.1186/s12936-019-2835-6 14752875 2-s2.0-85067579516 https://repository.li.mahidol.ac.th/handle/123456789/51053 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85067579516&origin=inward |
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Immunology and Microbiology Medicine Nils Kaehler Bipin Adhikari Phaik Yeong Cheah Lorenz Von Seidlein Nicholas P.J. Day Daniel H. Paris Marcel Tanner Christopher Pell Prospects and strategies for malaria elimination in the Greater Mekong Sub-region: A qualitative study |
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© 2019 The Author(s). Background: As malaria elimination becomes a goal in malaria-endemic nations, questions of feasibility become critical. This article explores the potential challenges associated with this goal and future strategies for malaria elimination in the Greater Mekong Sub-region. Methods: Thirty-two semi-structured interviews were conducted with policy makers (n = 17) and principal investigators (n = 15) selected based on their involvement in malaria prevention, control and elimination in the GMS. Interviews were audio-recorded and transcribed for qualitative content (thematic) analysis using QSR NVivo. Results: All respondents described current malaria control and elimination strategies, such as case detection and management, prevention and strengthening of surveillance systems as critical and of equal priority. Aware of the emergence of multi-drug resistance in the GMS, researchers and policy makers outlined the need for additional elimination tools. As opposed to a centralized strategy, more targeted and tailored approaches to elimination were recommended. These included targeting endemic areas, consideration for local epidemiology and malaria species, and strengthening the peripheral health system. A decline in malaria transmission could lead to complacency amongst funders and policy makers resulting in a reduction or discontinuation of support for malaria elimination. Strong commitment of policymakers combined with strict monitoring and supervision by funders were considered pivotal to successful elimination programmes. Conclusion: Against a backdrop of increasing anti-malarial resistance and decreasing choices of anti-malarial regimens, policy makers and researchers stressed the urgency of finding new malaria elimination strategies. There was consensus that multi-pronged strategies and approaches are needed, that no single potential tool/strategy can be appropriate to all settings. Hence there is a need to customize malaria control and elimination strategies based on the better surveillance data. |
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University of Oxford |
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University of Oxford Nils Kaehler Bipin Adhikari Phaik Yeong Cheah Lorenz Von Seidlein Nicholas P.J. Day Daniel H. Paris Marcel Tanner Christopher Pell |
format |
Article |
author |
Nils Kaehler Bipin Adhikari Phaik Yeong Cheah Lorenz Von Seidlein Nicholas P.J. Day Daniel H. Paris Marcel Tanner Christopher Pell |
author_sort |
Nils Kaehler |
title |
Prospects and strategies for malaria elimination in the Greater Mekong Sub-region: A qualitative study |
title_short |
Prospects and strategies for malaria elimination in the Greater Mekong Sub-region: A qualitative study |
title_full |
Prospects and strategies for malaria elimination in the Greater Mekong Sub-region: A qualitative study |
title_fullStr |
Prospects and strategies for malaria elimination in the Greater Mekong Sub-region: A qualitative study |
title_full_unstemmed |
Prospects and strategies for malaria elimination in the Greater Mekong Sub-region: A qualitative study |
title_sort |
prospects and strategies for malaria elimination in the greater mekong sub-region: a qualitative study |
publishDate |
2020 |
url |
https://repository.li.mahidol.ac.th/handle/123456789/51053 |
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1763487577124372480 |