摘要
Introduction:Malaria is a significant public health concern and tropical disease,particularly affecting Myanmar within the Greater Mekong Subregion.The annual parasite index(API)exceeds 1 per 10,000 population in the northern seven townships of Rakhine State,with Minbya Township designated as a highburden area for malaria by the World Health Organization(WHO)Myanmar and the National Malaria Control Programme(NMCP).Since 2017,the Malaria reduction intensification plan has been in place in this township to combat the high disease transmission rates.This study aims to assess the malaria epidemiology in Minbya Township from 2017 to 2020 under the intensification plan for elimination,as well as to evaluate the effectiveness of the integrated strategy in reducing cases in hotspot areas.Methods:The study utilized a surveillance study design to collect secondary data from the Malaria surveillance system(MSS)and the epidemiologic monitoring dashboard of Minbya Township,Maruk-U District,located in Rakhine State.Results:Since 2017,the Malaria prevention and control(P&C)Program in Minbya Township has successfully decreased malaria morbidity,eliminated malaria-related deaths,and bolstered malaria testing capabilities through the participation of village health volunteers(VHVs).Approximately 87%of malaria prevention and control services are executed by the township’s malaria elimination and disease control programs,with additional support from stakeholders.The API dropped from 13 in 2017 to 2.5 in 2020,with Plasmodium vivax being the most prevalent malaria species,accounting for 55%of cases.Conclusions:The study suggests that early diagnosis and promotion of artemisinin-based combination treatment(ACT),along with strategic planning including expanding active case detection in rural health centers and implementing a communitybasedcommunitybased integrated healthcare approach,are effective and efficient strategies for malaria elimination.
