Strategies for malaria case management should be considered an integral part of malaria control programmes. They must be based on sound epidemiology in the area in question, taking into consideration the population at greatest risk, including young children, pregnant women, residents of certain geographical areas and occupational risk groups, as well as the seasonality of malaria. Knowledge about the local pattern of resistance of parasites to antimalarial drugs is also essential in planning case management.
The aim of this manual is to help to ensure that malaria control programmes at national, provincial, district (used here to indicate the first subnational administrative level) and community levels are efficiently and effectively organized to allow early diagnosis and prompt, effective treatment.
The manual provides basic information for the successful operation of malaria control programmes and defines the skills required in the following areas:
- Programme structure, planning and management
- Assessment of the available institutional capacity and human resources and identification of ways to support effective case management
- Planning effective malaria case management and identifying technical and managerial elements that require revision or reorientation
- Logistical organization to ensure regular supplies of medicines, diagnostics and other consumables
- Conducting quality assurance
- Planning training, health education and communication for behaviour change
- Planning supervision, monitoring and evaluation and revising malaria management information systems
- Coordinating and integrating malaria control programmes with other public health programmes and the private sector
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