A community based model for effective malaria control in a known endemic area of a metropolitan city

Ratnendra R. Shinde, Milind M. Rasal, Rakesh Waghmare, Pravin Meshram, Pranali Khobragade


Background:Malaria is a global health problem causing impact on Health and socio economic development of country. Mumbai city with high density population is endemic region with unstable malaria transmission. Surveillance data of malaria cases in tertiary care hospital indicated the need for strategic plan for community based effective interventions. This highlights sharing information, strengthening community partnerships and a structured plan for malaria control in addition to the regular surveillance activities of public health department.

Methods:2 city zonal areas (wards) having high prevalence of malaria cases and deaths in the previous year were identified as study units. One of the 2 wards was designated as control unit where no interventions (were executed by the investigator). In study area activities were implemented in three phases. 1) Preparatory - baseline epidemiological survey, enlistment of risk factors. 2) Interventional - enlistment and elimination of breeding places, mobilizing supportive community participation,  team building  with PSM department faculty, public health department staff, general practitioners, youth club members and the co-operative societies. 3) Evaluation - compliance of housing societies, analysis of indicators& comparison of prevalence with previous year.

Results:In study area no deaths are reported in 2010. 12 deaths in 2010 in control area. Also number of malaria cases in 2010 in study area were drastically reduced as compared to 2009.

Conclusions:Malaria control is essentially a multidimensional event dependant on active community participation. Malaria control cannot be achieved in isolation by singular efforts of the Public Health Department alone. A community based multipronged approach is necessary for malaria control in urban area.


Community partnerships, Structured action plan

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