eprintid: 21928
rev_number: 11
eprint_status: archive
userid: 1589
dir: disk0/00/02/19/28
datestamp: 2016-10-06 13:16:28
lastmod: 2024-05-14 19:21:25
status_changed: 2016-10-06 13:16:28
type: article
metadata_visibility: show
creators_name: Lu, Guangyu
creators_name: Liu, Yaobao
creators_name: Beiersmann, Claudia
creators_name: Feng, Yu
creators_name: Cao, Jun
creators_name: Müller, Olaf
title: Challenges in and lessons learned during the implementation of the 1-3-7 malaria surveillance and response strategy in China: a qualitative study
subjects: ddc-610
divisions: i-912800
abstract: Background: China has made great progress in malaria control over the last century and now aims to eliminate malaria by 2020. In 2012, the country launched its 1-3-7 surveillance and response strategy for malaria elimination. The strategy involves to case reporting within 1 day, case investigation within 3 days, and focus investigation and public health actions within 7 days. The aim of this study was to evaluate the challenges in and lessons learned during the implementation of the 1-3-7 strategy in China so far.   Methods: This qualitative study was conducted in two provinces in China: Gansu province (northwestern China) and Jiangsu province (southeastern China) in 2014. Key informant interviews (n = 6) and in-depth interviews (n = 36) about the implementation aspects of the 1-3-7 strategy were conducted with malaria experts, health staff, laboratory practitioners, and village doctors at the provincial, city, county, township, and village levels.   Results: Broad themes related to the challenges in and lessons learned during the implementation of the 1-3-7 strategy were identified according to: case reporting within 1 day, case investigation within 3 days, focus investigation within 7 days, and the overall strategy. The major challenges outlined were related to respecting the timeline of surveillance procedures, the absence of or difficulties in following guidelines on conducting focus investigations, diagnostics, and the increasing number of returning migrant workers from malaria-endemic countries. Important lessons learned revolve around the importance of continuous capacity building, supervision and motivation, quality control, information technology support, applied research, governmental commitment, and intersectoral collaboration.   Conclusions: Surveillance is a key intervention in malaria elimination programs. The Chinese 1-3-7 strategy has already proven to be successful but still needs to be improved. In particular, dealing appropriately with imported malaria cases through the screening of migrant workers from malaria-endemic countries is essential for achieving and sustaining malaria elimination in China. China has perfect preconditions for successful malaria elimination provided political commitment and financial investment are guaranteed. The 1-3-7 strategy may also be considered as a model for other countries.
date: 2016
publisher: BioMed Central
id_scheme: DOI
ppn_swb: 1659120055
own_urn: urn:nbn:de:bsz:16-heidok-219287
language: eng
bibsort: LUGUANGYUCHALLENGES2016
full_text_status: public
publication: Infectious Diseases of Poverty
volume: 5
number: 94
place_of_pub: London
pagerange: 1-11
issn: 2049-9957
citation:   Lu, Guangyu ; Liu, Yaobao ; Beiersmann, Claudia ; Feng, Yu ; Cao, Jun ; Müller, Olaf  (2016) Challenges in and lessons learned during the implementation of the 1-3-7 malaria surveillance and response strategy in China: a qualitative study.  Infectious Diseases of Poverty, 5 (94).  pp. 1-11.  ISSN 2049-9957     
document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/21928/1/40249_2016_Article_188.pdf