title: [Plan to improve malaria control towards its elimination in Mesoamerica].
abstract: To develop a plan to strengthen the control of malaria towards its elimination. In 2009, under the coordination of the National Public HealthInstitute ofMexico, atransdisciplinary equipment of technical and operative experts was conformed to carry out a situational analysis of malaria and control programs and for the selection of effective practices of intervention that would be incorporated to the plan, within the framework of an exercise in Theory of Change. Criteria for thestratificationof thelocalities, based ontheirtransmission characteristics were established. The structural and operative limitations of the control programs were identified. A plan of interventions was elaborated to improve the coverage of epidemiological surveillance, anti-malaria interventions and opportune diagnosis and treatment of cases. The plan delineates progressive phases of implementation: reorganization, intensification of interventions and evaluation of elimination feasibility. The adoption of a regional strategic plan will provide guidance and administrative elements to conform a system that coordinates the activities of the national control programs and facilitate the elimination of malaria in the region.
authors.affiliation: Dirección General de Instituto Nacional de Salud Pública, México. mhenry@insp.mx
authors.forename: Mario Henry
authors.initials: MH
authors.lastname: Rodríguez
authors.forename: Angel Francisco
authors.initials: AF
authors.lastname: Betanzos-Reyes
mesh_terms: D000818:Animals; D000962:Antimalarials / Q000008:administration & dosage / Q000627:therapeutic use; D002489:Central America / Q000453:epidemiology; D002738:Chloroquine / Q000008:administration & dosage / Q000627:therapeutic use; D003256:Community Participation; D003906:Developing Countries; D019353:Endemic Diseases; D006040:Goals; D006284:Health Plan Implementation; D006293:Health Promotion / Q000191:economics / Q000458:organization & administration*; D006301:Health Services Needs and Demand; D006801:Humans; D007303:Insect Vectors; D007391:International Cooperation; D007753:Laboratories / Q000706:statistics & numerical data / Q000600:supply & distribution; D008288:Malaria / Q000453:epidemiology / Q000517:prevention & control*; D008800:Mexico / Q000453:epidemiology; D009032:Mosquito Control / Q000458:organization & administration; D011319:Primaquine / Q000008:administration & dosage / Q000627:therapeutic use; D011634:Public Health; D012308:Risk Management
chemical_list: D000962:Antimalarials; D002738:Chloroquine; D011319:Primaquine