Evaluation of 1-3-7 Surveillance and Response Strategy for Malaria Elimination of 10th Public Health Region Ubonratchathani in 2020

Abstract

This Summative Evaluation was mixed-method aimed to evaluate the results of 1-3-7 Surveillance and response measure for malaria elimination of 10^th public health region 10^th in budjet year 2020. Four dimensions namely input, process, output and outcome were explored. The study was conducted in high transmission areas and low transmission areas of malaria in 3 provinces including Ubonratchathani, Srisaket and Mukdahan.The qualitative participants  were  the government officials responsible for malaria (region, province, district, sub-district level and local administrative organization) village leader, village health volunteer and NGOs, totaling 75 people. The quatitative participants  were  the government officials responsible for malaria (region, district, sub-district level) and village health volunteer, totaling 38 people. The qualitative research tool were interview forms and note-taking forms. Data were gathered through in-dept interview, group interview, and document review. The quantitative research tool were questionnaires collected data by inquiry. Descriptive statistics were used to analyze quantitative data where as content analysis were used to analyze qualitative data.

The input  showed that all provinces had an organizational structure, sufficient budget and materials that facilitated operations. Province with high malaria transmission areas had an annual training of the health personnel capacity. Moreover, the process illustrated that provincial malaria line group was main channel to coordinate. Disease investigations were carried out by the sub-district SRRT team and/or the insect-led disease control unit that found infected patients except for low malaria transmission areas, a joint investigation would be conducted between the district SRRT team and the insect-led disease control unit. Disease countermeasures were carried out by the insect-led disease control unit by coorditnating with village leaders, health volunteers NGOs and local government organizations participated in the operation. While, the output showed that no malaria cases occured in Mukdahan province in 2020 and the 4 sub- districts found to be infected with malaria successfully proceeded with 1-3-7 surveillance and response measure according to  the goals of the Department of Disease Control. In addition, no occurrence among the second generation in the original source of infection was found in the outcome evaluation. Suggestion: An online malaria logging system should be developed in line with the operational period. Provide courses to develop practitioner skill such as case investigation and active case detection. Forwarding the results of the patient’s investigation to those involved. Establishing reporting malaria patient guidelines and also a network of risk groups in the area on a regular basis for the benefit of accessing the most truthful information in the investigation.