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Malaria elimination challenges in countries approaching the last mile: a discussion among regional stakeholders

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Authors: Dysoley Lek, Manash Shrestha, Karma Lhazeen, Tobgyel Tobgyel, Shashi Kandel, Gokarna Dahal, Yadu Chandra Ghimire, Bijaya Shrestha, Prakash Ghimire, Phone Si Hein, Thomas J Peto, James J Callery, Rupam Tripura, Lorenz von Seidlein, Chanaki Amaratunga, Caroline A Lynch, Arjen M Dondorp, Bipin Adhikari

Cambodia, Nepal, and Bhutan aim to eliminate malaria by 2025–2030 but face challenges like isolated outbreaks and imported cases. A 2022 outbreak in Cambodia, likely linked to forest workers, was quickly contained with support from village malaria workers and health centers. Nepal and Bhutan also reported outbreaks, often traced to migrant workers from India. Strengthening malaria surveillance and involving community health workers are key strategies to detect and treat cases early, especially among high-risk groups like migrants and forest workers. These efforts are crucial for achieving malaria elimination goals.

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Resource Topic: CHW Role, Malaria

Resource Type: Case studies

Year: 2024

Region: Asia

Country: Bhutan, Cambodia, Nepal

Publisher May Restrict Access: No

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