Understanding and improving access to prompt and effective malaria treatment and care in rural Tanzania: the ACCESS Programme

Hetzel, Manuel W; Iteba, Nelly; Makemba, Ahmed; Mshana, Christopher; Lengeler, Christian; Obrist, Brigit; Schulze, Alexander; Rose, Nicolas; Dillip, Angel; Alba, Sandra; Mayumana, Iddy; Khatib, Rashid; Njau, Joseph; Mshinda, Hassan

doi:10.1186/1475-2875-6-83

Cited by 77 publications

(79 citation statements)

References 47 publications

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“…Durante el periodo del estudio no se registraron recaídas en ninguno de los casos. El tratamiento quimioprofiláctico tiene como objetivo la curación clínica, o sea, la eliminación de los signos y síntomas clínicos, y la prevención de recaídas, o la curación radical, es decir, la curación clínica con la eliminación de los parásitos (55,56).…”

Section: En Las Capturas De Mosquitos Adultos Predominóunclassified

Caracterización de la transmisión de la malaria por Plasmodium vivax en la región fronteriza de Panamá con Costa Rica en el municipio de Barú, Panamá

et al. 2012

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Contribución de los autores:Todos los autores contribuyeron en la redacción y corrección del manuscrito, análisis e interpretación de los datos, verificación de referencias bibliográficas, observaciones y revisión crítica del mismo. ARTÍCULO ORIGINAL Biomédica 2012;32:557-69 doi: http://dx.doi.org/10.7705/biomedica.v32i4.773 Caracterización de la transmisión de la malaria por Plasmodium vivax en la región fronteriza de Panamá con Costa Rica en el municipio de Barú, Panamá Characterization of Plasmodium vivax malaria transmission at the border of Panamá and Costa RicaIntroduction. Few studies have described the factors associated with Plasmodium vivax transmission dynamics in endemic regions from Panamá. Objective. Malaria transmission dynamics produced by P. vivax were characterized at the border between Panamá and Costa Rica. Materials and methods. In the municipality of Barú, an observational, descriptive and cross-sectional study was undertaken to measure the annual parasite index (API), slide positivity index (SPR), and the annual blood examination rate (ABER). The most frequent symptoms and signs in malaria patients were recorded. The anopheline species were identified in the area and the preferred larval habitats, the density of larval populations in the larval habitats and the bites/human/night were characterized. Results. Of a total of 10,401 thick smear blood samples, 83 were positive for P. vivax. Of these, 84% came from rural areas and 79% were from economically active individuals. The median and average ages were 36 and 30 years, respectively, and 58.5% of the malaria cases were male. API was 4.1/1,000 inhabitants; SPR was 0.8% and ABER was 51.9%. Of the diagnosed cases, 54% showed blood parasitemias ranging between 100-2,000 parasites/µl. The majority of the cases were observed in May and June. Two mosquito vector species were identified--Anopheles albimanus and An. punctimacula. Conclusion. These observations indicate the advisibility of continued entomological studies, strengthening of epidemiological surveillance, consideration of additional risk factors and evaluation

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Section: En Las Capturas De Mosquitos Adultos Predominóunclassified

Caracterización de la transmisión de la malaria por Plasmodium vivax en la región fronteriza de Panamá con Costa Rica en el municipio de Barú, Panamá

et al. 2012

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“…[84][85][86] Similar investigations on care services for old age-related ill health are urgently needed. The 'Health Access and Livelihood' framework 63 provides a useful starting point for and can be further refined by such research.…”

Section: Determinants Of Access To Healthcarementioning

confidence: 99%

Understanding and Advancing the Health of Older Populations in sub-Saharan Africa: Policy Perspectives and Evidence Needs

Aboderin

2010

Public Health Rev

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Background: Debate on policy challenges associated with the health of older populations in sub-Saharan Africa (SSA) has intensified in recent years, centering on a concern about older persons' vulnerability to ill-health and their exclusion from health services. Despite international policy calls and formal expressions of commitment on the part of SSA governments, comprehensive policy action has remained scant. The impasse reflects a lack of political will and an uncertainty about required policy approaches, engendered by wide gaps in understanding of old age-related health in the region. Purpose: The purpose of the paper is to pinpoint major approaches and areas of evidence needed as a priority to overcome the impasse in policy on ageing and health in SSA. Methodology: A critical review of relevant SSA and international scientific, policy and development literature conducted as part of a research project on Dimensions and determinants of health in old age in Kenya and Nigeria: implications for policy. Results: Six major areas of evidence and a spectrum of approaches are required to (i) strengthen the case on why action on old age-related health should be pursued in the SSA setting and (ii) clarify what concrete forms such action should take. Conclusion: A systematic research endeavour on the six areas is needed to advance policy and practice on the health of older populations in SSA. If accompanied by an explicit international comparative perspective such research also has the potential to significantly advance scientific debate on ageing and health globally.

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“…New programs could be considered in Guyana for promoting health behaviors and rational drug use. These programs could use international experiences to target the main health problems in the country, for example, HIV/AIDS (Valdiserri et al, 1999;Price, 2001), malaria prevention and treatment (Hetzel et al, 2007), and family planning, and maternal and child health (Fox, 1998). Public educational programs could also improve access and the rational use of drugs among the population (Government of Guyana, 2005; United Nations, 2005c).…”

Section: Discussionmentioning

confidence: 98%

Access to essential drugs in Guyana: a public health challenge

Seoane‐Vazquez

Rodríguez-Monguió

2008

Health Planning & Management

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Guyana's pharmaceutical sector faces major challenges that limit access to essential drugs. This study analyzes Guyana's drug policy and regulation, public financing, and drug procurement and delivery. The study also identifies main barriers to drug access and proposes alternatives to strengthen the country's public health functions. Data were collected from the country's regulatory agencies, public procurement agency, pharmacies, wholesalers, and pharmaceutical companies. The information was supplemented with interviews with a convenient sample of Guyanese health authorities and stakeholders. Data were also compiled from scientific databases, and web pages of the country's Ministries of Health, Commerce and Finance, the Bureau of Statistics, and international organizations. Major barriers to drug access include: (1) lack of national drug policy and regulation, and limited role of the regulatory authority; (2) inefficient drug selection and irrational drug use; (3) insufficient financial resources and lack of drug pricing policy; (4) inefficient planning and managing public supply system; (5) deficient epidemiological and information systems; and (6) inadequate infrastructures and human resources shortage. Improving drug access in Guyana requires the strengthening of the country's public health functions and the implementation of a national drug policy and pricing policy, streamlining the drug financing, procurement, and planning and managing drug supply; and adequate infrastructures and human resources.

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Understanding and improving access to prompt and effective malaria treatment and care in rural Tanzania: the ACCESS Programme

Cited by 77 publications

References 47 publications

Caracterización de la transmisión de la malaria por Plasmodium vivax en la región fronteriza de Panamá con Costa Rica en el municipio de Barú, Panamá

Caracterización de la transmisión de la malaria por Plasmodium vivax en la región fronteriza de Panamá con Costa Rica en el municipio de Barú, Panamá

Understanding and Advancing the Health of Older Populations in sub-Saharan Africa: Policy Perspectives and Evidence Needs

Access to essential drugs in Guyana: a public health challenge

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