Project Achievements



Project Achievements
 

Key successes of the containment project include:

Village based diagnosis and treatment services established
More village malaria workers and mobile malaria workers were recruited and trained, and became operational in Cambodia and Thailand.

Increased coverage of mosquito nets
Large-scale procurement and distribution of long-lasting insecticidal nets, long lasting insecticidal hammock nets and insecticides were achieved in the priority containment zones.

Ban on arteminisinin-based single drug treatments
A ban on artemisinin-based monotherapies was issued on 23 March 2009 by the Cambodian Department of Drugs and Food (DDF) with support from the Minister of Health.

Technical oversight for resistance management activities
National Task Force meetings in Thailand and Cambodia and joint International Task Force meetings were held, which provided technical oversight and monitored the Project.

Robust Monitoring and Evaluation
A robust Monitoring and Evaluation Framework for the Containment Project was established with household and outlet surveys conducted throughout the project.

Improved surveillance nationally and cross-borders
Plans for focal screening and treatment (FSAT) of high transmission villages in the containment areas were developed..Surveillance of patients who remained positive after three days of treatment and procedures for active investigation and follow-up were also developed.. Cross-border surveillance systems were developed to share relevant information for action and follow-up. Situational analysis on mobile and migrant populations and other operational research were performed in Thailand and Cambodia.

Technological innovations introduced
Malaria Consortium, working with local software developers inSTEDD, developed a unique SMS system as part of a larger effort to try and track ‘day 3’ positive cases in the community. Day 3 cases are those where the malaria parasite has not cleared the patient’s blood three days after being given artemisnin combination therapy and is viewed as a possible indication of resistance. Malaria Consortium assessed the Day 3 community and health facility based surveillance systems for feasibility and cost and provided recommendations for moving forward. The system has now been expanded for all Plasmodium falciparum cases in Cambodia as the country moves towards elimination

Awareness of drug resistance raised internationally
International advocacy (e.g., radio, print, video, new media) was highly encouraged to highlight containment efforts and malaria drug resistance.

Malaria Consortium
Strategy 2021-2025

Read it here