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Strengthening tactical planning and operational frameworks for vector control: the roadmap for malaria elimination in Namibia

机译：加强媒介控制的战术规划和业务框架：纳米比亚消除疟疾的路线图

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Background Namibia has made tremendous gains in malaria control and the epidemiological trend of the disease has changed significantly over the past years. In 2010, the country reoriented from the objective of reducing disease mor bidity and mortality to the goal of achieving malaria elimination by 2020. This manuscript outlines the processes undertaken in strengthening tactical planning and operational frameworks for vector control to facilitate expeditious malaria elimination in Namibia. Case description The information sources for this study included all available data and accessible archived documentary records on malaria vector control in Namibia. A methodical assessment of published and unpublished documents was conducted via a literature search of online electronic databases, Google Scholar, PubMed and WHO, using a combination of search terms. Discussion and evaluation To attain the goal of elimination in Namibia, systems are being strengthened to identify and clear all infections, and significantly reduce human–mosquito contact. Particularly, consolidating vector control for reducing transmission at the identified malaria foci will be critical for accelerated malaria elimination. Thus, guarding against potential challenges and the need for evidence-based and sustainable vector control instigated the strengthening of strategic frameworks by: adopting the integrated vector management (IVM) strategy; initiating implementation of the global plan for insecticide resistance management (GPIRM); intensifying malaria vector surveillance; improving data collection and reporting systems on DDT; updating the indoor residual spraying (IRS) data collection and reporting tool; and, improving geographical reconnaissance using geographical information system-based satellite imagery. Conclusions Universal coverage with IRS and long-lasting insecticidal nets, supplemented by larval source management in the context of IVM and guided by vector surveillance coupled with rational operationalization of the GPIRM, will enable expeditious attainment of elimination in Namibia. However, national capacity to plan, implement, monitor and evaluate interventions will require adequate and sustained support for technical, physical infrastructure, and human and financial resources for entomology and vector control operations.
机译：背景技术纳米比亚在控制疟疾方面取得了巨大进展，并且该病的流行病学趋势在过去几年中发生了显着变化。 2010年，该国从降低疾病发病率和死亡率的目标转向了到2020年实现消除疟疾的目标。该手稿概述了加强媒介规划的战略规划和业务框架以促进纳米比亚迅速消除疟疾的过程。案例描述这项研究的信息来源包括有关纳米比亚疟疾媒介控制的所有可用数据和可访问的存档文献记录。通过对在线电子数据库，Google Scholar，PubMed和WHO的文献搜索，结合搜索词，对发布和未发布的文件进行了系统的评估。讨论和评估为了实现消灭纳米比亚的目标，正在加强系统以识别和清除所有感染，并大大减少人与蚊子的接触。尤其是，加强媒介控制以减少在确定的疟疾疫源地的传播对于加速消除疟疾至关重要。因此，防范潜在的挑战以及对基于证据的可持续病媒控制的需求促使通过以下方式加强战略框架：采用综合病媒管理（IVM）策略;开始执行全球抗药性管理计划（GPIRM）;加强疟疾媒介监测;完善滴滴涕的数据收集和报告系统;更新室内残留喷雾（IRS）数据收集和报告工具;使用基于地理信息系统的卫星图像改善地理勘测。结论全面覆盖IRS和长效杀虫网，辅以IVM的幼虫源管理，并在媒介监测和GPIRM的合理实施指导下，将能够在纳米比亚迅速实现消灭。但是，国家规划，实施，监测和评估干预措施的能力将需要为昆虫学和病媒控制业务的技术，物理基础设施以及人力和财力资源提供足够的持续支持。

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