@article{fdi:010085244,
  title = {{S}urveillance to achieve malaria elimination in eastern {M}yanmar : a 7-year observational study},
  author = {{R}ae, {J}. {D}. and {N}osten, {S}. and {K}ajeechiwa, {L}. and {W}iladphaingern, {J}. and {P}arker, {D}. {M}. and {L}andier, {J}ordi and {T}hu, {A}. {M}. and {D}ah, {H}. and {B}e, {A}. and {C}ho, {W}. {C}. and {P}aw, {K}. {N}. and {P}aw, {E}. {S}. and {S}hee, {P}. {B}. and {P}oe, {C}. and {N}u, {C}. and {N}yaw, {B}. and {S}impson, {J}. {A}. and {D}evine, {A}. and {M}aude, {R}. {J}. and {M}oo, {K}. {L}. and {M}in, {M}. {C}. and {T}hwin, {M}. {M}. and {T}un, {S}. {W}. and {N}osten, {F}. {H}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {T}he collection and utilization of surveillance data is essential in monitoring progress towards achieving malaria elimination, in the timely response to increases in malaria case numbers and in the assessment of programme functioning. {T}his paper describes the surveillance activities used by the malaria elimination task force ({METF}) programme which operates in eastern {M}yanmar, and provides an analysis of data collected from weekly surveillance, case investigations, and monitoring and evaluation of programme performance. {M}ethods: this retrospective analysis was conducted using data collected from a network of 1250 malaria posts operational between 2014 and 2021. {T}o investigate changes in data completeness, malaria post performance, malaria case numbers, and the demographic details of malaria cases, summary statistics were used to compare data collected over space and time. {R}esults: {I}n the first 3 years of the {METF} programme, improvements in data transmission routes resulted in a 18.9% reduction in late reporting, allowing for near real-time analysis of data collected at the malaria posts. {I}n 2020, travel restrictions were in place across {K}aren {S}tate in response to {COVID}-19, and from {F}ebruary 2021 the military coup in {M}yanmar resulted in widescale population displacement. {H}owever, over that period there has been no decline in malaria post attendance, and the majority of consultations continue to occur within 48 h of fever onset. {C}ase investigations found that 43.8% of cases travelled away from their resident village in the 3 weeks prior to diagnosis and 36.3% reported never using a bed net whilst sleeping in their resident village, which increased to 72.2% when sleeping away from their resident village. {M}alaria post assessments performed in 82.3% of the {METF} malaria posts found malaria posts generally performed to a high standard. {C}onclusions: {S}urveillance data collected by the {METF} programme demonstrate that despite significant changes in the context in which the programme operates, malaria posts have remained accessible and continue to provide early diagnosis and treatment contributing to an 89.3% decrease in {P}lasmodium falciparum incidence between 2014 and 2021.},
  keywords = {{MYANMAR}},
  booktitle = {},
  journal = {{M}alaria {J}ournal},
  volume = {21},
  numero = {1},
  pages = {175 [14 p.]},
  year = {2022},
  DOI = {10.1186/s12936-022-04175-w},
  URL = {https://www.documentation.ird.fr/hor/fdi:010085244},
}