Skip to main content
main-content

01.12.2012 | Research | Ausgabe 1/2012 Open Access

Malaria Journal 1/2012

Artemisinin resistance containment project in Thailand. (I): Implementation of electronic-based malaria information system for early case detection and individual case management in provinces along the Thai-Cambodian border

Zeitschrift:
Malaria Journal > Ausgabe 1/2012
Autoren:
Amnat Khamsiriwatchara, Prayuth Sudathip, Surasak Sawang, Saowanit Vijakadge, Thanapon Potithavoranan, Aumnuyphan Sangvichean, Wichai Satimai, Charles Delacollette, Pratap Singhasivanon, Saranath Lawpoolsri, Jaranit Kaewkungwal
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1475-2875-11-247) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests. eMIS development was supported by the malaria containment initiatives of the WHO and the Bill & Melinda Gates Foundation.

Authors’ contributions

AK, JK, PS(1) were involved in the conceptualization and design of the study. SS, TP, AS designed the system and its applications. SS, TP, AS designed and programmed each application module, monitored and maintained the module’s implementation, and extracted data for analysis. PS(1), WS, SV were responsible for managing and supervising the overall malaria-control-programme activities. AK, JK, and DC were in charge of monitoring the progress of the module application. AK, JK, PS(1), SL, PS(2) performed statistical analyses and drafted the manuscript. All authors read and approved the final manuscript.

Abstract

Background

The Bureau of Vector-borne Diseases, Ministry of Public Health, Thailand, has implemented an electronic Malaria Information System (eMIS) as part of a strategy to contain artemisinin resistance. The attempt corresponds to the WHO initiative, funded by the Bill & Melinda Gates Foundation, to contain anti-malarial drug resistance in Southeast Asia. The main objective of this study was to demonstrate the eMIS’ functionality and outputs after implementation for use in the Thailand artemisinin-resistance containment project.

Methods

The eMIS had been functioning since 2009 in seven Thai-Cambodian border provinces. The eMIS has covered 61 malaria posts/clinics, 27 Vector-borne Disease Units covering 12,508 hamlets at risk of malaria infections. The eMIS was designed as an evidence-based and near real-time system to capture data for early case detection, intensive case investigation, monitoring drug compliance and on/off-site tracking of malarial patients, as well as collecting data indicating potential drug resistance among patients. Data captured by the eMIS in 2008–2011 were extracted and presented.

Results

The core functionalities of the eMIS have been utilized by malaria staff at all levels, from local operational units to ministerial management. The eMIS case detection module suggested decreasing trends during 2009–2011; the number of malaria cases detected in the project areas over the years studied were 3818, 2695, and 2566, with sero-positive rates of 1.24, 0.98, and 1.16%, respectively. The eMIS case investigation module revealed different trends in weekly Plasmodium falciparum case numbers, when classified by responsible operational unit, local and migrant status, and case-detection type. It was shown that most Thai patients were infected within their own residential district, while migrants were infected either at their working village or from across the border. The data mapped in the system suggested that P. falciparum-infected cases and potential drug-resistant cases were scattered mostly along the border villages. The mobile technology application has detected different follow-up rates, with particularly low rates among seasonal and cross-border migrants.

Conclusion

The eMIS demonstrated that it could capture essential data from individual malaria cases at local operational units, while effectively being used for situation and trend analysis at upper-management levels. The system provides evidence-based information that could contribute to the control and containment of resistant parasites. Currently, the eMIS is expanding beyond the Thai-Cambodian project areas to the provinces that lie along the Thai-Myanmar border.
Zusatzmaterial
Authors’ original file for figure 1
12936_2012_2199_MOESM1_ESM.jpeg
Authors’ original file for figure 2
12936_2012_2199_MOESM2_ESM.png
Authors’ original file for figure 3
12936_2012_2199_MOESM3_ESM.tiff
Authors’ original file for figure 4
12936_2012_2199_MOESM4_ESM.png
Authors’ original file for figure 5
12936_2012_2199_MOESM5_ESM.tiff
Authors’ original file for figure 6
12936_2012_2199_MOESM6_ESM.tiff
Authors’ original file for figure 7
12936_2012_2199_MOESM7_ESM.tiff
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 1/2012

Malaria Journal 1/2012 Zur Ausgabe

Neu im Fachgebiet Innere Medizin

Meistgelesene Bücher aus der Inneren Medizin

2017 | Buch

Rheumatologie aus der Praxis

Entzündliche Gelenkerkrankungen – mit Fallbeispielen

Dieses Fachbuch macht mit den wichtigsten chronisch entzündlichen Gelenk- und Wirbelsäulenerkrankungen vertraut. Anhand von über 40 instruktiven Fallbeispielen werden anschaulich diagnostisches Vorgehen, therapeutisches Ansprechen und der Verlauf …

Herausgeber:
Rudolf Puchner

2016 | Buch

Ambulant erworbene Pneumonie

Was, wann, warum – Dieses Buch bietet differenzierte Diagnostik und Therapie der ambulant erworbenen Pneumonie zur sofortigen sicheren Anwendung. Entsprechend der neuesten Studien und Leitlinien aller wichtigen Fachgesellschaften.

Herausgeber:
Santiago Ewig

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Innere Medizin und bleiben Sie gut informiert – ganz bequem per eMail.

© Springer Medizin 

Bildnachweise