Assessment of malaria control consultation and service posts in Yunnan, P. R. China

Background This paper seeks to assess the function of malaria control consultation and service posts (MCCSPs) that are located on the border areas of Yunnan province, P.R. China, as a strategy for eliminating malaria among the mobile and migrant population in these areas. Methods A retrospective descriptive analytical study was conducted. Blood smear examinations conducted at all MCCSPs in Yunnan from 2008 to 2014 were analysed. A cross-sectional survey was conducted in 2014 to understand how the MCCSPs function and to elucidate the quality of the blood smear examinations that they conduct. Results Out of the surveyed MCCSPs, 66 % (39/59), 22 % (13/59), and 12 % (7/59) were attached to local township hospitals, village health clinics, and the county centre for disease control and prevention or private clinics, respectively. More than 64 % (38/59) of the posts’ staff were part-time workers from township hospitals and village health facilities. Less than 31 % (18/59) of the posts’ staff were full-time workers. A total of 35 positive malaria cases were reported from seven MCCSPs in 2014. Four MCCSPs were unable to perform their functions due to under staffing in 2014. There was a small fluctuation in blood smear examinations from January 2008 to June 2009, with two peaks during the period from July 2009 to October 2010. The number of blood smear examinations has been increasing since 2011. The yearly mean number of blood smear examinations in each post increased from 44 per month in 2011 to 109 per month in 2014, and the number of positive malaria cases detected by blood smear examinations has declined (χ2 = 90.67, P = 0.000). The percentage of people from Yingjiang county getting blood smear examinations increased between 2008 and 2014, while percentages of the mobile population including Myanmar people, people from other provinces, and people from other Yunnan counties getting blood smear examinations decreased. Conclusion MCCSPs face challenges in the phase of malaria elimination in Yunnan, China. New case detection strategies should be designed for MCCSPs taking into account the current trends of migration. Electronic supplementary material The online version of this article (doi:10.1186/s40249-016-0185-y) contains supplementary material, which is available to authorized users.

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PID https://www.doi.org/10.1186/s40249-016-0185-y
PID pmc:PMC5048452
PID pmid:27716342
URL http://link.springer.com/content/pdf/10.1186/s40249-016-0185-y.pdf
URL http://dx.doi.org/10.1186/s40249-016-0185-y
URL https://europepmc.org/articles/PMC5048452
URL https://academic.microsoft.com/#/detail/2519693938
URL http://europepmc.org/articles/PMC5048452
URL https://idpjournal.biomedcentral.com/articles/10.1186/s40249-016-0185-y
URL https://dx.doi.org/10.1186/s40249-016-0185-y
URL https://core.ac.uk/display/81916915
URL https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5048452
URL https://link.springer.com/article/10.1186%2Fs40249-016-0185-y
URL https://idpjournal.biomedcentral.com/track/pdf/10.1186/s40249-016-0185-y
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Author Zeng, Xu-Can
Author Sun, Xiao-Dong
Author Li, Jian-Xiong
Author Chen, Meng-Ni
Author Deng, Dao-Wei
Author Zhang, Cang-Lin
Author Lin, Zu-Rui
Author Zhou, Zi-You
Author Zhou, Yao-Wu
Author Yang, Ya-Ming
Author Zhou, Sheng
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Collected From Europe PubMed Central; PubMed Central; UnpayWall; Datacite; Crossref; Microsoft Academic Graph; CORE (RIOXX-UK Aggregator)
Hosted By Europe PubMed Central; SpringerOpen; Infectious Diseases of Poverty
Journal Infectious Diseases of Poverty, 5, 1
Publication Date 2016-10-04
Publisher Springer Nature
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Language English
Resource Type Article; UNKNOWN
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Source https://science-innovation-policy.openaire.eu/search/publication?articleId=dedup_wf_001::7a1ceb04463c9051c5b4eb803b0deae3
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Last Updated 26 December 2020, 03:30 (CET)
Created 26 December 2020, 03:30 (CET)