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Community-based approaches for malaria case management in remote communities in the Brazilian Amazon
Prat, Jordi Gómez I; Morais, Paulo; Claret, Mercè; Badia, Pere; Fialho, Romeo R; Albajar-Vinas, Pedro; Villegas, Leopoldo; Ascaso, Carlos.
  • Prat, Jordi Gómez I; Catalonian Institute of Health. Drassanes-Vall dHebron International Health Unit. International Health Programme. Barcelona. ES
  • Morais, Paulo; Ministério da Saúde. Brasília. BR
  • Claret, Mercè; Project Manager Probitas Foundation. Barcelona. ES
  • Badia, Pere; Site supervisor EE.RR. IDOM. Barcelona. ES
  • Fialho, Romeo R; Fundação de Vigilância em Saúde do Amazonas. Departamento de Vigilância Ambiental. Manaus. BR
  • Albajar-Vinas, Pedro; World Health Organization. Department of Control of Neglected Tropical Diseases. Geneva. CH
  • Villegas, Leopoldo; Freelance. Washington. US
  • Ascaso, Carlos; University of Barcelona. Department of Public Health. Barcelona. ES
Rev. Soc. Bras. Med. Trop ; 53: e20200048, 2020. tab, graf
Artigo em Inglês | SES-SP, ColecionaSUS, LILACS | ID: biblio-1136798
ABSTRACT
Abstract INTRODUCTION Malaria case management is a pivotal intervention in malaria elimination. However, many remote areas in Brazil still lack access to basic health services. This study describes a community-based approach (CBA) for malaria case management in the large remote area of the Jaú National Park (JNP), Amazonas, Brazil. METHODS In 2001, a general health CBA was initiated with a motor group (MG); a participative community health diagnosis (PCHD) was subsequently implemented between 2001 and 2005. In 2006, a CBA for malaria case management started with an expanded MG including all sectors with a stake in malaria control, from the local residents to the federal government. In 2008, community microscopists were selected and trained to diagnose hemoparasites. A full malaria strategy was implemented in 2009 with subsequent quality control follow-up. RESULTS Two educational materials were co-created with local communities. The MG identified malaria as a major health problem and the malaria MG planned the control activities. Ten communities selected a resident to become malaria microscopists, and ten solar-operated health centers were built. The number of slide readings increased from 923 in 2006 to 1,900 in 2009, while malaria infections decreased from 354 cases in 2005 to 20 cases in 2015. The excess time (≥ 48 hours) between first symptoms and diagnosis/treatment decreased from 68.9% of cases in 2005 to 14.3% in 2010. CONCLUSIONS While many factors were likely involved in the reduction of malaria transmission in the JNP, the CBA played an important role in the sustained success of the initiative.
Assuntos


Texto completo: DisponíveL Índice: LILACS (Américas) Assunto principal: População Rural / Serviços de Saúde Comunitária / Administração de Caso / Malária Tipo de estudo: Estudo diagnóstico / Estudo prognóstico Limite: Humanos País/Região como assunto: América do Sul / Brasil Idioma: Inglês Revista: Rev. Soc. Bras. Med. Trop Ano de publicação: 2020 Tipo de documento: Artigo Instituição/País de afiliação: Catalonian Institute of Health/ES / Freelance/US / Fundação de Vigilância em Saúde do Amazonas/BR / Ministério da Saúde/BR / Project Manager Probitas Foundation/ES / Site supervisor EE.RR. IDOM/ES / University of Barcelona/ES / World Health Organization/CH

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Texto completo: DisponíveL Índice: LILACS (Américas) Assunto principal: População Rural / Serviços de Saúde Comunitária / Administração de Caso / Malária Tipo de estudo: Estudo diagnóstico / Estudo prognóstico Limite: Humanos País/Região como assunto: América do Sul / Brasil Idioma: Inglês Revista: Rev. Soc. Bras. Med. Trop Ano de publicação: 2020 Tipo de documento: Artigo Instituição/País de afiliação: Catalonian Institute of Health/ES / Freelance/US / Fundação de Vigilância em Saúde do Amazonas/BR / Ministério da Saúde/BR / Project Manager Probitas Foundation/ES / Site supervisor EE.RR. IDOM/ES / University of Barcelona/ES / World Health Organization/CH