Background
In Nepal, about 84% (23 million) of the people were at risk
of malaria in 2012 with 4% at high risk. One million people
live in areas with a reported incidence of more than one
case per 1,000 population per year [1]. However, the scale
of preventive interventions appears to have been limited in
Nepal [2]. In recent years, malaria control activities have
been carried out in 65 districts at risk out of 75
administrative districts [3]. In 2010, these 65 districts were
further categorized for malaria control programme interventions.
Based on the annual parasite incidence (API),
there were 13 high-risk districts (API ≥1), 18 moderate-risk
districts (API = 0.5-1), 34 low-risk districts (API = 0-0.5)
and ten no-risk districts (API = 0) [3,4], as shown in
Figure 1. The Global Fund to fight AIDS, tuberculosis and
malaria (GFATM) started supporting a malaria control
programme in high-priority, malaria-risk districts in Nepal
in April 2004 [5]. Since 2011, the GFATM has scaled up its
support for the malaria control programme in 18 additional
moderate-risk districts [3,4]. The GFATM support is
utilized for rapid diagnostic test (RDT) kits, artemisinin
BackgroundIn Nepal, about 84% (23 million) of the people were at riskof malaria in 2012 with 4% at high risk. One million peoplelive in areas with a reported incidence of more than onecase per 1,000 population per year [1]. However, the scaleof preventive interventions appears to have been limited inNepal [2]. In recent years, malaria control activities havebeen carried out in 65 districts at risk out of 75administrative districts [3]. In 2010, these 65 districts werefurther categorized for malaria control programme interventions.Based on the annual parasite incidence (API),there were 13 high-risk districts (API ≥1), 18 moderate-riskdistricts (API = 0.5-1), 34 low-risk districts (API = 0-0.5)and ten no-risk districts (API = 0) [3,4], as shown inFigure 1. The Global Fund to fight AIDS, tuberculosis andmalaria (GFATM) started supporting a malaria controlprogramme in high-priority, malaria-risk districts in Nepalin April 2004 [5]. Since 2011, the GFATM has scaled up itssupport for the malaria control programme in 18 additionalmoderate-risk districts [3,4]. The GFATM support isutilized for rapid diagnostic test (RDT) kits, artemisinin
การแปล กรุณารอสักครู่..
