Table 4 Characteristics of distribution sites of the Malakit intervention in Suriname and Brazil (April 2018-March 2020)

Suriname

Albina

1.5

No

Small prefabricated structure

Already a malaria clinic before the project start

Logistics base, near shops and gold miner resting site

On site, a facilitator is also a malaria test and treat worker (MSD)

Most gold miners are there in transit for a very short period of time

First mining sites are very close

Antonio do Brinco

2

No

No fixed facility

Mobile facilitators in a gold mining village, or in a church (when the water level prevents walking)

Malaria clinic with a MSD within the village, but not used by the facilitators

Most gold miners live and stay there for quite long periods of time

First mining sites are very close

Paramaribo

1 (initially 6 part-time)

Yes

Office in a hotel

Brazilian neighborhood in the Surinamese capital, hotel frequented by gold miners. The facilitator also works in the hotel

TropClinic is 5 min away by taxi

Short stays for the majority of gold miners. Gold miners working specifically in French Guiana pass through less frequently

Brazil

Oiapoque

2

Yes

Fixed office in an apartment

Small town, within the goldminers’ neighborhood

Health centers and a hospital in the town, but not in the neighborhood

Departure point for gold mining sites, but no sites in the vicinity. Many gold miners have a permanent home in the town

Ilha Bela

2

Yes

Shack

Within a small spontaneous settlement of gold miners

No malaria care on site. Oiapoque, located 4–5 h away by boat, is the closest place miners are referred to

Isolated villages

First mining sites are very close

Facilitators are based in Ilha Bela and go to Vila Brasil twice a week

Vila Brasil

Health center

Village located 30 min from Ilha Bela