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Challenges in and lessons learned during the implementation of the 1-3-7 malaria surveillance and response strategy in China: a qualitative study

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Infectious Diseases of Poverty 2016年第1期5卷 857-867页

作者： Guangyu Lu Yaobao Liu Claudia Beiersmann Yu Feng Jun Cao Olaf Müller Department of Preventive Medicine Medical College of Yangzhou UniversityYangzhou University225001 YangzhouChina Institute of Public Health Medical SchoolThe Ruprecht-Karls-Universität HeidelbergINF 32469120 HeidelbergGermany Key Laboratory of National Health and Family Planning Commission on Parasitic Disease Control and Prevention Jiangsu Provincial Key Laboratory on Parasite and Vector Control TechnologyJiangsu Institute of Parasitic DiseasesWuxiChina Gansu Provincial Center for Disease Control and Prevention LanzhouChina Public Health Research Center Jiangnan UniversityWuxiChina

Background:China has made great progress in malaria control over the last century and now aims to eliminate malaria by *** 2012,the country launched its 1-3-7 surveillance and response strategy for malaria *** strategy involves to case reporting within 1 day,case investigation within 3 days,and focus investigation and public health actions within 7 *** 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 ***:This qualitative study was conducted in two provinces in China:Gansu province(northwestern China)and Jiangsu province(southeastern China)in *** 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 ***: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 *** 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 *** lessons learned revolve around the importance of continuous capacity building,supervision and motivation,quality control,information technology support,applied research,governmental commitment,and intersectoral ***:surveillance is a key intervention in malaria elimination *** Chinese 1-3-7 strategy has already proven to be successful but still needs to be *** particular,dealing appropriately with imported malaria cases through the screening of migrant workers from

关键词： Malaria 1-3-7 surveillance and response strategy China Qualitative research

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