title: Approaches to the evaluation of malaria elimination at county level: case study in the Yangtze River Delta region.
abstract: As the progress on transition from malaria control to malaria elimination in the People's Republic of China (P.R. China), four counties/districts, namely Zhabei District and Songjiang District of Shanghai municipality, and Anji County and Haiyan County of Zhejiang Province, representatives of the Yangtze River Delta region, were included in the pilot project of the national malaria elimination programme in P.R. China. A baseline survey was conducted first. The main measures performed were blood examination of febrile cases, improving the information management system of malaria cases, providing standard diagnosis and treatment, standardized disposal of epidemic focus, and health education and health promotion, strengthening the management of mobile population, etc. All the measures were assessed and evaluated through data examination and on-site investigation. In the whole process of the pilot project, quality control was especially emphasized. During the implementation of pilot project, the three-level control system was improved, professional staff was enriched and the working fund was ensured (a total fund of RMB 2,923,600). Thirty-nine training courses were conducted. Among 102,451 febrile cases receiving blood examination, all of the 23 malaria cases were confirmed as imported from other provinces or foreign countries. All the epidemic foci were surveyed and some control measures were carried out. Various health education and promotion activities were carried out including publicizing malaria control knowledge through news media, newspapers and periodicals and networks. Assessment and evaluation of the project was done by the Zhejiang and Shanghai Government, comprehensive score was >95 points under the evaluation system which indicated all four pilot counties/districts had first achieved the goal of elimination of malaria in P.R. China. Experiences and lessons about the measures carried out in the project were discussed.
authors.affiliation: Shanghai Municipal Center for Disease Control & Prevention, Shanghai, People's Republic of China.
authors.forename: Min
authors.initials: M
authors.lastname: Zhu
authors.affiliation: Zhejiang Provincial Center for Disease Control & Prevention, Hangzhou, People's Republic of China.
authors.forename: Wei
authors.initials: W
authors.lastname: Ruan
authors.affiliation: Songjiang District Center for Disease Control & Prevention, Shanghai, People's Republic of China.
authors.forename: Sheng-Jun
authors.initials: SJ
authors.lastname: Fei
authors.affiliation: Zhabei District Center for Disease Control & Prevention, Shanghai, People's Republic of China.
authors.forename: Jian-Qiang
authors.initials: JQ
authors.lastname: Song
authors.affiliation: Haiyan County Center for Disease Control & Prevention, Haiyan, People's Republic of China.
authors.forename: Yu
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Anji County Center for Disease Control & Prevention, Anji, People's Republic of China.
authors.forename: Xiao-Gang
authors.initials: XG
authors.lastname: Mou
authors.affiliation: Shanghai Municipal Center for Disease Control & Prevention, Shanghai, People's Republic of China.
authors.forename: Qi-Chao
authors.initials: QC
authors.lastname: Pan
authors.affiliation: Zhejiang Provincial Center for Disease Control & Prevention, Hangzhou, People's Republic of China.
authors.forename: Ling-Ling
authors.initials: LL
authors.lastname: Zhang
authors.affiliation: Songjiang District Center for Disease Control & Prevention, Shanghai, People's Republic of China.
authors.forename: Xiao-Qin
authors.initials: XQ
authors.lastname: Guo
authors.affiliation: Zhabei District Center for Disease Control & Prevention, Shanghai, People's Republic of China.
authors.forename: Jun-Hua
authors.initials: JH
authors.lastname: Xu
authors.affiliation: Haiyan County Center for Disease Control & Prevention, Haiyan, People's Republic of China.
authors.forename: Tian-Ming
authors.initials: TM
authors.lastname: Chen
authors.affiliation: Anji County Center for Disease Control & Prevention, Anji, People's Republic of China.
authors.forename: Bin
authors.initials: B
authors.lastname: Zhou
authors.affiliation: Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland; University of Basel, Basel, Switzerland.
authors.forename: Peiling
authors.initials: P
authors.lastname: Yap
authors.affiliation: Zhejiang Provincial Center for Disease Control & Prevention, Hangzhou, People's Republic of China.
authors.forename: Li-Nong
authors.initials: LN
authors.lastname: Yao
authors.affiliation: Shanghai Municipal Center for Disease Control & Prevention, Shanghai, People's Republic of China.
authors.forename: Li
authors.initials: L
authors.lastname: Cai
mesh_terms: D000818:Animals; D002681:China / Q000453:epidemiology; D060740:Disease Eradication; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008288:Malaria / Q000453:epidemiology / Q000469:parasitology / Q000517:prevention & control*; D009313:National Health Programs / Q000592:standards*; D010865:Pilot Projects; D015397:Program Evaluation; D045483:Rivers
keywords: Elimination; Malaria; Pilot project; Shanghai; Zhejiang