Historical experiences on mass drug administration for malaria control and elimination, its challenges and China's experience: a narrative review

Julie, Nadia; Lü, Fangli

doi:10.1016/j.actatropica.2021.106209

Cited by 8 publications

(4 citation statements)

References 40 publications

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“…In the history of malaria elimination in China, Chinese experts have not only used a combination of measures, including MDA, indoor residual spraying (IRS), and insecticide-treated nets (ITNs), but have also adapted malaria control strategies to various local contexts based on the intensity of malaria transmission, regional stratification, vector behavior, local health infrastructure, and environmental conditions ( 24 ). These measures have been adopted and localized in Tanzania and combined with 1-7mRCTR for antimalarial purposes.…”

Section: Discussionmentioning

confidence: 99%

Understanding the China-Tanzania Malaria Control Project: lessons learned from a multi-stakeholder qualitative study

Sun,

Zhou,

Chen

et al. 2023

Front. Public Health

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BackgroundTanzania is among the countries with the highest malaria cases and deaths worldwide, where vulnerable populations have been severely affected due to poverty and weakness in health system and infrastructure. The China-Tanzania Malaria Control Project (the Project) was a two-phase global health intervention project implemented between 2015 and 2021 that aimed to transfer project-designated intervention experience in malaria elimination to the Tanzanian health system. This study aims to identify the barriers and facilitators encountered during the Project and to improve our understanding of the emerging phenomenon of South-South global health collaboration.MethodsWe conducted thematic analysis of qualitative data collected from a purposive sample of 14 participants from multiple stakeholders including project management office, project implementation agency, funding partners and external evaluators of the Project. A conceptual framework was developed to construct the interviews guides. The interviews were transcribed verbatim, crossover checked, translated into English, and analyzed with NVivo 12.0. We conducted the open coding followed by the axial coding based on the Grounded Theory to generate themes and subthemes, and identified key influencing factors that aided or hindered the malaria control in Tanzania.ResultsThe findings suggested that malaria control strategies should largely be tailored due to varied socioeconomic contexts. The perceived enablers in practice include project-designated intervention experiences and technologies, professional and self-learning capabilities of the implementation team, sustainable financial assistance, and support from the international partners. The barriers include the shortage of global health talents, existing gaps to meet international standards, defects in internal communication mechanisms, inadequacy of intergovernmental dialogue, and limitations in logistical arrangements. A checklist and policy implications for China's future engagement in malaria control in resource-limited settings have been proposed.ConclusionsThe initiative of Health Silk Road has generated strong global interest in promoting development assistance in health. In the hope of generalizing the evidence-based interventions to high malaria-endemic countries in Africa, the need for China to carefully face the challenges of funding gaps and the lack of support from recipient governments remains ongoing. It is recommended that China should form an institutionalized scheme and sustainable funding pool to ensure the steady progress of development assistance in health.

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Section: Discussionmentioning

confidence: 99%

Understanding the China-Tanzania Malaria Control Project: lessons learned from a multi-stakeholder qualitative study

Sun,

Zhou,

Chen

et al. 2023

Front. Public Health

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“…Malaria has historically been a significant public health concern in China, particularly in rural areas of southern provinces such as Yunnan, Hainan, Guangxi, and Guizhou (Nadia & Lu, 2022). However, significant progress has been made in malaria control and elimination efforts in recent decades.…”

Section: Malaria In Chinamentioning

confidence: 99%

“…Li et al, 2022). In 2010, China launched the National Malaria Elimination Programme (NMEP) with the goal of eliminating indigenous malaria transmission by 2020 (Nadia & Lu, 2022). The NMEP aimed to interrupt local transmission of the disease, particularly in regions with low or moderate malaria transmission, and prevent the reintroduction of malaria from neighboring countries.…”

Section: Malaria In Chinamentioning

confidence: 99%

Empowering Namibia's Fight against Malaria: Drawing Inspiration from China's Remarkable Malaria Elimination Journey

Johannes

2024

J. Innov. Res.

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Malaria is a debilitating parasitic disease that has been prevalent in various parts of the world, including China and Namibia. China’s successful elimination of Malaria offers valuable lessons for Namibia in its ongoing efforts to control the parasitic disease. This paper explores the historical context of Malariamalaria in Namibia and its fight towards elimination of malaria, as well as China, the strategies employed by the Chinese government in the elimination of malaria, and the key lessons that Namibia can learn from China’s success. The discussion highlights the importance of political commitment, multisector collaboration, tailoring control strategies to local contexts, adopting a comprehensive approach, and emphasizing health education and community mobilization. By adopting these lessons and fostering a robust national strategy, engaging diverse stakeholders, and ensuring active community involvement, Namibia can work towards achieving eliminating Malaria, improving the public health system, and promoting sustainable health development.

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“…Attention must also be paid to the effectiveness of mass drug administration (MDA) to control malaria. The lessons of the successful implementation of mass drug administration (MDA) in China's intervention to control malaria should be noted by researchers of sSA, as these strategies could be modified and further developed in innovative ways that would suit the climate of sSA [ 63 ]. Furthermore, there is an urgent need to continuously develop effective data modeling and distribution of drugs and other palliatives geared to eliminating and controlling malaria, to manage resources for a successful implementation [ 64 , 65 ].…”

Section: Conclusion and Recommendations For Future Researchmentioning

confidence: 99%

Increasing challenges of malaria control in sub-Saharan Africa: Priorities for public health research and policymakers

Oladipo

Tajudeen

Oladunjoye

et al. 2022

Annals of Medicine &Amp; Surgery

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Historical experiences on mass drug administration for malaria control and elimination, its challenges and China's experience: a narrative review

Cited by 8 publications

References 40 publications

Understanding the China-Tanzania Malaria Control Project: lessons learned from a multi-stakeholder qualitative study

Understanding the China-Tanzania Malaria Control Project: lessons learned from a multi-stakeholder qualitative study

Empowering Namibia's Fight against Malaria: Drawing Inspiration from China's Remarkable Malaria Elimination Journey

Increasing challenges of malaria control in sub-Saharan Africa: Priorities for public health research and policymakers

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