PDF(Pubmed)
Abstract：
Scaling-up an experimental intervention is always a challenge. On the border between French Guiana, Brazil and Suriname, an interventional study demonstrated the effectiveness of distributing self-diagnosis and self-treatment kits (Malakits) to control malaria in mobile and hard-to-reach populations. Its integration into the Suriname\'s National Malaria Elimination Plan after a 2-year experiment faced numerous challenges, including human resources to cope with the additional workload of coordinators and to maintain the motivation of community health workers. The economic recession in Suriname, the Covid pandemic, and logistical issues also hampered the scale-up. Finally, thanks to the commitment of stakeholders in Suriname and French Guiana, the integration of Malakit distribution into the Surinamese national programme was proved possible.
摘要：
扩大实验性干预始终是一个挑战。在法属圭亚那之间的边界上，巴西和苏里南，一项干预性研究证明了在流动和难以到达的人群中分发自我诊断和自我治疗试剂盒（Malakits）以控制疟疾的有效性。经过2年的实验，将其纳入苏里南的国家消除疟疾计划面临许多挑战，包括人力资源，以应付协调员的额外工作量，并保持社区卫生工作者的积极性。苏里南的经济衰退,Covid大流行，后勤问题也阻碍了扩大规模。最后,感谢苏里南和法属圭亚那利益相关者的承诺，事实证明，将马拉基特分发纳入苏里南国家方案是可能的。
