Elimination of Falciparum Malaria in Cambodia

            
             Draft Strategy for Elimination of Falciparum Malaria from the Greater Mekong Subregion .
             prepared for a workshop on falciparum malaria elimination arranged by WHO in Phnom Penh, Cambodia, 20-21 November 2014.
             by a team of consultants (Sean Hewitt, Kamini Mendis, Kevin Palmer & Allan Schapira) in collaboration with WHO's Global Malaria Programme, Regional Offices for Southeast Asia and the Western Pacific and the Emergency Response to Artemisinin Resistance Hub .
             on the basis of a feasibility study prepared in September 2014 by Roberto Garcia & Caroline Lynch.
             Contents.
             Abbreviations 3.
             Executive Summary 5.
             1. Introduction 6.
             2. The malaria situation in the GMS 7.
             2.1. History of control 7.
             2.2. Recent trends 8.
             2.3. Vectors, geographical distribution, seasonality, outbreaks 10.
             2.4. Risk groups 10.
             2.5. Drug resistance and containment 11.
             2.6. Contextual factors 14.
             2.6.1. Climate and environment 14.
             2.6.2. Population mobility 16.
             2.6.3. Economic factors 18.
             2.6.4. Security and stability 18.
             2.6.5. Conclusions 18.
             3. Feasibility of elimination 18.
             3.1. Current Interventions 18.
             3.1.1. Vector control 18.
             3.1.2. Curative 19.
             3.1.3. New interventions 20.
             3.2. Modelling 22.
             3.3. The impact of control measures including containment 23.
             3.4. Health system challenges 25.
             3.5. Existing commitments and policies 26.
             3.6. Conclusions 27.
             4. Proposed plan for the elimination of P.falciparum from the GMS 27.
             4.1. Justification for a new strategy 27.
             4.2. Elimination strategy 27.
             4.2.1. Interventions 27.
             4.2.2. Priorities 27.
             4.2.3. Phasing 28.
             4.2.4. Goals and objectives 30.
             4.3. Operational requirements 30.
             4.3.1. Surveillance, information systems and M&E 30.
             4.3.2. Capacity for service delivery 32.
             4.3.3. Inter-sectoral and cross border collaboration 36.
             4.3.4. Integration within the health system 37.
             4.3.5. Community participation and health education 38.
             4.4. Leadership and management 38.
             5. GMS Regional level functions 39.
             5.1. Training and technical collaboration 39.
             5.2. Cross-border collaboration 39.
             5.3. High priority research 39.
             5.4. Governance and coordination 39.