دورية أكاديمية
أعرض في EDS

Longitudinal trends in malaria testing rates in the face of elimination in eastern Myanmar: a 7-year observational study.

التفاصيل البيبلوغرافية
العنوان: Longitudinal trends in malaria testing rates in the face of elimination in eastern Myanmar: a 7-year observational study.
المؤلفون: Rae JD; Shoklo Malaria Research Unit (SMRU), Mahidol-Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand. jadedeanrae@gmail.com.; Mahidol-Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand. jadedeanrae@gmail.com.; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK. jadedeanrae@gmail.com., Landier J; IRD (Institut de Recherche pour le Developpement), Aix Marseille Univ, INSERM, SESSTIM, Marseille, France., Simpson JA; Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia., Proux S; Shoklo Malaria Research Unit (SMRU), Mahidol-Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand., Devine A; Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.; Global and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Australia., Maude RJ; Mahidol-Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.; Harvard TH Chan School of Public Health, Harvard University, Boston, USA.; The Open University, Milton Keynes, UK., Thu AM; Shoklo Malaria Research Unit (SMRU), Mahidol-Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand., Wiladphaingern J; Shoklo Malaria Research Unit (SMRU), Mahidol-Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand., Kajeechiwa L; Shoklo Malaria Research Unit (SMRU), Mahidol-Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand., Thwin MM; Shoklo Malaria Research Unit (SMRU), Mahidol-Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand., Tun SW; Shoklo Malaria Research Unit (SMRU), Mahidol-Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand., Nosten FH; Shoklo Malaria Research Unit (SMRU), Mahidol-Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand.; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
المصدر: BMC public health [BMC Public Health] 2021 Sep 22; Vol. 21 (1), pp. 1725. Date of Electronic Publication: 2021 Sep 22.
نوع المنشور: Journal Article; Observational Study; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Malaria*/diagnosis , Malaria*/epidemiology , Malaria*/prevention & control , Malaria, Falciparum*, Early Diagnosis ; Humans ; Incidence ; Myanmar/epidemiology ; Retrospective Studies
مستخلص: Background: Providing at-risk communities with uninterrupted access to early diagnosis and treatment is a key component in reducing malaria transmission and achieving elimination. As programmes approach malaria elimination targets it is critical that each case is tested and treated early, which may present a challenge when the burden of malaria is reduced. In this paper we investigate whether malaria testing rates decline over time and assess the impacts of integrating malaria and non-malaria services on testing rates in the malaria elimination task force (METF) programme in the Kayin state of Myanmar.
Methods: A retrospective analysis was conducted using weekly collected data on testing rates from a network of more than 1200 malaria posts during the period from 2014 to 2020. To determine whether monthly testing rates changed over the years of programme operations, and whether integrating malaria and non-malaria services impacted these testing rates, we fitted negative binomial mixed-effects regression models to aggregate monthly data, accounting for malaria seasonal variation.
Results: In the first year of malaria post operation, testing rates declined, correlating with a decline in attendance by people from outside the malaria post catchment area, but then remained fairly constant (the Rate Ratio (RR) for 2nd versus 1st year open ranged from 0.68 to 0.84 across the four townships included in the analysis, the RR for 3rd to 6th year versus 1st year open were similar, ranging from 0.59-0.78). The implementation of a training programme, which was intended to expand the role of the malaria post workers, had minimal impact on testing rates up to 24 months after training was delivered (RR for integrated versus malaria-only services ranged from 1.00 to 1.07 across METF townships).
Conclusion: Despite the decline in malaria incidence from 2014 to 2020, there has been no decline in the malaria testing rate in the METF programme after the establishment of the complete malaria post network in 2016. While the integration of malaria posts with other health services provides benefits to the population, our evaluation questions the necessity of integrated services in maintaining malaria testing rates in areas approaching elimination of malaria.
(© 2021. The Author(s).)
References: Lancet. 2019 Jul 27;394(10195):332-343. (PMID: 31229233)
PLoS Med. 2008 Nov 25;5(11):e226; discussion e226. (PMID: 19067479)
Malar J. 2017 Jan 3;16(1):10. (PMID: 28049486)
Am J Trop Med Hyg. 2014 Sep;91(3):461-470. (PMID: 24957538)
Malar J. 2012 May 24;11:121. (PMID: 22521034)
Malar J. 2019 Jan 23;18(1):20. (PMID: 30674319)
PLoS Med. 2020 Oct 19;17(10):e1003359. (PMID: 33075101)
Wellcome Open Res. 2017 Dec 22;2:98. (PMID: 29384151)
Lancet Infect Dis. 2017 May;17(5):491-497. (PMID: 28161569)
Malar J. 2014 Nov 26;13:463. (PMID: 25428624)
Clin Infect Dis. 2009 Dec 1;49(11):1638-40. (PMID: 19877970)
PLoS Med. 2017 Feb 7;14(2):e1002224. (PMID: 28170391)
Am J Trop Med Hyg. 2007 Dec;77(6 Suppl):181-92. (PMID: 18165491)
PLoS Med. 2019 May 29;16(5):e1002815. (PMID: 31167228)
PLoS One. 2016 Mar 28;11(3):e0152410. (PMID: 27018990)
Malar J. 2018 Mar 2;17(1):101. (PMID: 29499733)
BMC Med. 2018 Oct 22;16(1):183. (PMID: 30343666)
J Infect Dis. 2020 Feb 18;221(5):786-795. (PMID: 31630194)
Wellcome Open Res. 2017 Jul 28;2:59. (PMID: 28894847)
Wellcome Open Res. 2018 Sep 18;3:116. (PMID: 30687790)
Malar J. 2016 Jul 15;15:363. (PMID: 27421656)
Malar J. 2019 Feb 22;18(1):50. (PMID: 30795764)
Clin Microbiol Infect. 2013 May;19(5):399-407. (PMID: 23438048)
Glob Health Action. 2014 Sep 29;7:24937. (PMID: 25280737)
Lancet. 2019 Jul 27;394(10195):322-331. (PMID: 31229234)
PLoS One. 2014 Dec 23;9(12):e116063. (PMID: 25536053)
Lancet. 2018 May 12;391(10133):1916-1926. (PMID: 29703425)
معلومات مُعتمدة: 220211 United Kingdom WT_ Wellcome Trust
فهرسة مساهمة: Keywords: Community health worker; Elimination; Integrated health services; Malaria; P. falciparum; P. vivax; RDT; Testing rate
تواريخ الأحداث: Date Created: 20210923 Date Completed: 20211101 Latest Revision: 20211101
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC8459519
DOI: 10.1186/s12889-021-11749-x
PMID: 34551751
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2458
DOI:10.1186/s12889-021-11749-x