Effectiveness of the innovative 1,7-malaria reactive community-based testing and response (1, 7-mRCTR) approach on malaria burden reduction in Southeastern Tanzania
Abstract:Background: In 2015, a China-UK-Tanzania tripartite pilot project was implemented in southeastern Tanzania to explore a new model for reducing malaria burden and possibly scaling-out the approach into other malaria-endemic countries. The 1,7-malaria Reactive Community-based Testing and Response (1,7-mRCTR) which is a locally-tailored approach for reporting febrile malaria cases in endemic villages was developed to stop transmission and Plasmodium life-cycle. The (1,7-mRCTR) utilizes existing health facility da… Show more
“…The China-UK-Tanzania malaria pilot project has aimed to improve malaria diagnosis, reporting, treatment, and tracking on the basis of the 1-3-7 approach and surveillance systems, and has explored a 1,7-mRCTR model for effectively reducing local malaria disease burden. This is one example of integrating the knowledge and lessons learned from the malaria control and elimination programme in pilot areas [21,22]. Through international cooperation, the goal of malaria elimination can be achieved in other countries and regions.…”
Malaria was once one of the most severe public health problems in China. However, after 70 years of integrated interventions, substantial progress has been made, and remarkable milestones have been met in malaria elimination in China. On June 30th, 2021, China was officially certified as a malaria-free country by the World Health Organization. This paper highlights the achievements of, and lessons learned from the malaria elimination programme.
“…The China-UK-Tanzania malaria pilot project has aimed to improve malaria diagnosis, reporting, treatment, and tracking on the basis of the 1-3-7 approach and surveillance systems, and has explored a 1,7-mRCTR model for effectively reducing local malaria disease burden. This is one example of integrating the knowledge and lessons learned from the malaria control and elimination programme in pilot areas [21,22]. Through international cooperation, the goal of malaria elimination can be achieved in other countries and regions.…”
Malaria was once one of the most severe public health problems in China. However, after 70 years of integrated interventions, substantial progress has been made, and remarkable milestones have been met in malaria elimination in China. On June 30th, 2021, China was officially certified as a malaria-free country by the World Health Organization. This paper highlights the achievements of, and lessons learned from the malaria elimination programme.
“…The pilot has adapted elements of China's domestic experience, including 1,7-malaria Reactive Community-based Testing and Response (1,. This is a locally-tailored approach, using existing health facility data and locally trained community health workers to conduct community level testing and treatment, and rapidly report malaria cases [9]. This is the first pilot project in which a Chinese agency has collaborated in on-the-ground implementation of a malaria control project overseas.…”
Section: Open Accessmentioning
confidence: 99%
“…The pilot has adapted elements of China’s domestic experience, including 1,7‑malaria Reactive Community‑based Testing and Response (1,7‑mRCTR). This is a locally‑tailored approach, using existing health facility data and locally trained community health workers to conduct community level testing and treatment, and rapidly report malaria cases [ 9 ].…”
Since the 1950s, China has transitioned from a malaria pandemic country with tens of millions of annual cases, through phases of local control and elimination, to sustained national malaria elimination efforts. This marks the first time a country in the World Health Organization (WHO) Western Pacific region has been certified malaria-free in more than 3 decades. This article provides an innovative approach to understanding China’s malaria elimination journey. A number of articles and commentaries have analysed the effectiveness of specific technical approaches implemented in China. Our argument is that we need to look beyond these, and consider the ways in which policy development and implementation capacities have been fostered to support the dynamic change management. The article makes a number of arguments. First is the pragmatic adaptiveness of policies and strategies—and implementation capacities. Second, China has invested in building systems as well as capacities to support the elimination of parasitic diseases, including malaria. Third, the country has both benefited from, and contributed to, global health collaboration on malaria elimination. The ongoing work by the authors is identifying a number of key factors.
“…The National Malaria Elimination Action Plan (NMEAP), officially endorsed in 2010, marked the new beginning of China’s battle against malaria [ 4 ]. The national priority of malaria elimination efforts transformed from the community-based interventions to case-based and focus on preventing further potential transmission through the “1-3-7” norm [ 5 ] norm. Fig.…”
Section: Introductionmentioning
confidence: 99%
“…The China–UK–Tanzania Pilot Project on Malaria Control (the Pilot Project) between 2015 and 2018 has developed the 1,7-malaria Reactive Community-based Testing and Response (1,7-mRCTR) approach to reduce the malaria burden effectively in the moderate and high transmission areas, which is a locally tailored approach adapted from China’s “1-3-7” norm [ 5 ]. Due to the remarkable achievements of the Pilot Project, the China–Tanzania Demonstration Project on Malaria Control (the Demonstration Project), supported by Bill and Melinda Gates Foundation, is now being implemented to validate and scale up 1,7-mRCTR approach.…”
World Health Organization (WHO) certified China malaria-free on June 30, 2021, which brightens the goal of global malaria elimination efforts. China contributed its unique innovations to the global community: Artemisinin, discovered by Tu Youyou, has saved millions of lives globally; the “1-3-7” norm developed in 2012, has been adapted in the local contexts of countries in the Southeast Asia and Africa. How to the targets of Global Technical Strategy for Malaria (GTS) 2016−2030. By looking into the malaria control phase, towards elimination phase from 1960 to 2011 in sub-Saharan Africa and China, we found that the gap in malaria burden will widen unless the interventions in Africa are enhanced. It is imperative to identify the key China–Africa cooperation areas on malaria control and elimination, so that synergized efforts could be pooled together to help African countries achieve the elimination goal. The practices from China malaria control and elimination efforts could be leveraged to fast-track malaria elimination efforts in Africa, which makes it possible that the China’s journey of malaria elimination extends to Africa.
Graphical Abstract
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