To learn more about the role and performance of the private sector in malaria diagnosis, case management, and reporting in malaria elimination settings, 25 experts in malaria elimination, disease surveillance, and private sector engagement were purposively sampled and interviewed. An extensive review of grey and peer-reviewed literature on private sector testing, treatment, and reporting for malaria was performed. Additional in-depth literature review was conducted for six case studies on eliminating and neighbouring countries in Southeast Asia and Southern Africa.
Cross border and regional initiatives can be highly effective when based on an understanding of human and parasite movement. Ultimately, determining the optimal combinations of approaches to address malaria importation will require an evaluation of their impact, cost effectiveness, and operational feasibility.
Malaria elimination programs should support the implementation and refinement of information systems to support surveillance and response and ensure political and financial commitment to maintain the systems and the human resources needed to run them. National malaria programs should strive to improve the access and utility of these information systems and establish cross-border data sharing mechanisms through the use of standard indicators for malaria surveillance.
Despite some substantial knowledge gaps, MDA has been used successfully to control and eliminate Plasmodium falciparum and P. vivax malaria in the past, and should be considered as part of a comprehensive malaria elimination strategy in aspecific settings.
A background paper by the UCSF Global Health Group’s Malaria initiative examining the major enabling factors and roadblocks in the management of malaria elimination activities. The paper discusses how to effectively manage the shift from malaria control to elimination at the national level, borrowing from management techniques used in the private sector.
Author: Case P, Chandramohan D, Gosling J, Gosling R, Gueye C, Koita K, Newby G, Tulloch J, UCSF Global Health Group Malaria Elimination Initiative, Wegbreit J
Publication date: January 2014
Source: UCSF Global Health Group Malaria Elimination Initiative