Table 1 Different practices for community case management of malaria before and after the implementation of grid-based strategy in Tengchong County, China–Myanmar border region
Activities | Before grid-based strategy | After grid-based strategy |
|---|---|---|
Health education and promotion for local residents | Conducted by township hospital | Conducted by the grid members including village doctors, village administrators, village committee leaders and security workers of village/community |
Distribution of malaria preventive package for MMPs before they depart | Conducted by township hospital | Conducted by the village doctors of the grid area |
Registration of MMPs before leaving and after returning | Not conducted | Family report to the grid’s workers who will make registration |
Malaria symptom surveillance among local residents and MMPs | Not conducted | After family report, village doctors will measure temperature and then report the case through computer |
Medical treatment seeking of residents or MMPs with fever | Patients sought for treatment individually | Village doctors register and report, test the patients using malaria RDTs in key and remote area, then guide patient to hospital |
Malaria diagnosis | Conducted by the township hospitals or county hospitals | Conducted using RDTs which are provided in some key or remote grid areas. Patients will be guided to township or county hospitals for further diagnosis |
Malaria treatment | Treatments were given by the county CDCs with following-up through telephone | Conducted by the township hospitals with follow up by village doctors or other grid members |
Training on malaria control | Township-level trainings were provided by the county level, with few trainings at the village level | Township-level trainings were provided by county level; village-level trainings at were provided by the township level |