Abstract
What is already known on this topic? The health workforce at township hospitals in the China-Myanmar border region has played a key role in sustaining Community case management of malaria (CCMm), while few studies have investigated their performance and challenges. What is added by this report? Sustaining CCMm in the region was subject to the following major challenges: insufficient training on malaria diagnosis and testing, lacking necessary and timely treatment for patients, and risks of instability among the malaria workforce. What are the implications for public health practice? These challenges called for the national and provincial authorities to provide regular trainings and intensive supervision to strengthen malaria diagnosis and treatment capacity in the region and to set up incentive mechanisms and individual career development paths to sustain the workforce.
Highlights
China CDC WeeklyChallenges of Sustaining Malaria Community Case Management in 81 Township Hospitals along the China-Myanmar Border Region — Yunnan Province, China, 2020
Through years of malaria elimination efforts, China has been on track for the World Health Organization (WHO)’s malaria-free certification after reporting 3 consecutive years of 0 indigenous case since 2017 [1]
This study assessed the knowledge and practices of the physicians, lab technicians, and public health doctors who worked at the township hospitals in border counties in Yunnan and the challenges during their work on malaria
Summary
Challenges of Sustaining Malaria Community Case Management in 81 Township Hospitals along the China-Myanmar Border Region — Yunnan Province, China, 2020. The health workforce at township hospitals in the China-Myanmar border region has played a key role in sustaining Community case management of malaria (CCMm), while few studies have investigated their performance and challenges. Sustaining CCMm in the region was subject to the following major challenges: insufficient training on malaria diagnosis and testing, lacking necessary and timely treatment for patients, and risks of instability among the malaria workforce. This study assessed the status of CCMm in 81 township hospitals of 6 border counties in Yunnan in 2020 by investigating the knowledge and practice of health workforce and their challenges in the delivery of malaria diagnostic and treatment services through a structured questionnaire. 44.7% (254/568) were physicians responsible for the diagnosis and treatment of malaria, 26.4% (150/568) were lab technicians responsible for testing the malaria suspects, and 28.9% (164/568) were public health
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