Malaria situation in a clear area of Iran: an approach for the better understanding of the health service providers’ readiness and challenges for malaria elimination in clear areas
Abstract Background Malaria mortality and morbidity have decreased in recent years. Malaria elimination (ME) and effective efforts to achieve ME is one of the most important priorities for health systems in countries in the elimination phase. In very low transmission areas, the ME programme is faced...
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ftdoajarticles:oai:doaj.org/article:355a03dc48e34024b56f2c2cb01f34ee 2023-05-15T15:17:13+02:00 Malaria situation in a clear area of Iran: an approach for the better understanding of the health service providers’ readiness and challenges for malaria elimination in clear areas Hosein Azizi Elham Davtalab-Esmaeili Mostafa Farahbakhsh Maryam Zeinolabedini Yagoub Mirzaei Mohammad Mirzapour 2020-03-01T00:00:00Z https://doi.org/10.1186/s12936-020-03188-7 https://doaj.org/article/355a03dc48e34024b56f2c2cb01f34ee EN eng BMC http://link.springer.com/article/10.1186/s12936-020-03188-7 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03188-7 1475-2875 https://doaj.org/article/355a03dc48e34024b56f2c2cb01f34ee Malaria Journal, Vol 19, Iss 1, Pp 1-10 (2020) Challenges Elimination Iran Malaria Readiness Health service provider Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2020 ftdoajarticles https://doi.org/10.1186/s12936-020-03188-7 2022-12-30T23:06:09Z Abstract Background Malaria mortality and morbidity have decreased in recent years. Malaria elimination (ME) and effective efforts to achieve ME is one of the most important priorities for health systems in countries in the elimination phase. In very low transmission areas, the ME programme is faced with serious challenges. This study aimed to assess the trend while getting a better understanding of Health Service Providers’ (HSPs) readiness and challenges for ME in a clear area of Iran. Methods This study was performed in two phases. At first, the malaria trend in East Azerbaijan Province, was surveyed from 2001 to 2018; afterward, it was compared with the national situation for a better understanding of the second phase of the study. Data were collected from the Ministry of Health’s protocol and the health centre of the province. In the second phase, malaria control programme experts, health system researchers, and health managers’ opinions were collected via in-depth interviews. They were asked regarding HSPs readiness and appropriate Malaria Case Management (MCM) in a clear area and possible challenges. Results A total of 135 and 154,560 cases were reported in the last 18 years in East Azerbaijan Province and Iran, respectively. The incidence rate decreased in East Azerbaijan Province from 0.4/10,000 in 2001 to zero in 2018. Furthermore, no indigenous transmission was reported for 14 years. Also, for the first time, there was no indigenous transmission in Iran in 2018. The main elicited themes of HSPs readiness through in-depth interviews were: appropriate MCM, holistic and role-playing studies for assessment of HSPs performance, system mobilization, improving identification and diagnosis of suspected cases in the first line. Similarly, the main possible challenges were found to be decreasing health system sensitivity, malaria re-introduction, and withdrawing febrile suspected cases from the surveillance chain. Conclusion Health systems in eliminating phase should be aware that the absence of malaria cases ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 19 1 |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Challenges Elimination Iran Malaria Readiness Health service provider Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Challenges Elimination Iran Malaria Readiness Health service provider Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Hosein Azizi Elham Davtalab-Esmaeili Mostafa Farahbakhsh Maryam Zeinolabedini Yagoub Mirzaei Mohammad Mirzapour Malaria situation in a clear area of Iran: an approach for the better understanding of the health service providers’ readiness and challenges for malaria elimination in clear areas |
topic_facet |
Challenges Elimination Iran Malaria Readiness Health service provider Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Malaria mortality and morbidity have decreased in recent years. Malaria elimination (ME) and effective efforts to achieve ME is one of the most important priorities for health systems in countries in the elimination phase. In very low transmission areas, the ME programme is faced with serious challenges. This study aimed to assess the trend while getting a better understanding of Health Service Providers’ (HSPs) readiness and challenges for ME in a clear area of Iran. Methods This study was performed in two phases. At first, the malaria trend in East Azerbaijan Province, was surveyed from 2001 to 2018; afterward, it was compared with the national situation for a better understanding of the second phase of the study. Data were collected from the Ministry of Health’s protocol and the health centre of the province. In the second phase, malaria control programme experts, health system researchers, and health managers’ opinions were collected via in-depth interviews. They were asked regarding HSPs readiness and appropriate Malaria Case Management (MCM) in a clear area and possible challenges. Results A total of 135 and 154,560 cases were reported in the last 18 years in East Azerbaijan Province and Iran, respectively. The incidence rate decreased in East Azerbaijan Province from 0.4/10,000 in 2001 to zero in 2018. Furthermore, no indigenous transmission was reported for 14 years. Also, for the first time, there was no indigenous transmission in Iran in 2018. The main elicited themes of HSPs readiness through in-depth interviews were: appropriate MCM, holistic and role-playing studies for assessment of HSPs performance, system mobilization, improving identification and diagnosis of suspected cases in the first line. Similarly, the main possible challenges were found to be decreasing health system sensitivity, malaria re-introduction, and withdrawing febrile suspected cases from the surveillance chain. Conclusion Health systems in eliminating phase should be aware that the absence of malaria cases ... |
format |
Article in Journal/Newspaper |
author |
Hosein Azizi Elham Davtalab-Esmaeili Mostafa Farahbakhsh Maryam Zeinolabedini Yagoub Mirzaei Mohammad Mirzapour |
author_facet |
Hosein Azizi Elham Davtalab-Esmaeili Mostafa Farahbakhsh Maryam Zeinolabedini Yagoub Mirzaei Mohammad Mirzapour |
author_sort |
Hosein Azizi |
title |
Malaria situation in a clear area of Iran: an approach for the better understanding of the health service providers’ readiness and challenges for malaria elimination in clear areas |
title_short |
Malaria situation in a clear area of Iran: an approach for the better understanding of the health service providers’ readiness and challenges for malaria elimination in clear areas |
title_full |
Malaria situation in a clear area of Iran: an approach for the better understanding of the health service providers’ readiness and challenges for malaria elimination in clear areas |
title_fullStr |
Malaria situation in a clear area of Iran: an approach for the better understanding of the health service providers’ readiness and challenges for malaria elimination in clear areas |
title_full_unstemmed |
Malaria situation in a clear area of Iran: an approach for the better understanding of the health service providers’ readiness and challenges for malaria elimination in clear areas |
title_sort |
malaria situation in a clear area of iran: an approach for the better understanding of the health service providers’ readiness and challenges for malaria elimination in clear areas |
publisher |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s12936-020-03188-7 https://doaj.org/article/355a03dc48e34024b56f2c2cb01f34ee |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 19, Iss 1, Pp 1-10 (2020) |
op_relation |
http://link.springer.com/article/10.1186/s12936-020-03188-7 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03188-7 1475-2875 https://doaj.org/article/355a03dc48e34024b56f2c2cb01f34ee |
op_doi |
https://doi.org/10.1186/s12936-020-03188-7 |
container_title |
Malaria Journal |
container_volume |
19 |
container_issue |
1 |
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1766347486730911744 |