# name
Factors Associated with the Rapid and Durable Decline in Malaria Incidence in El Salvador, 1980-2017

# metadata.dc.description.abstract[].value
A decade after the Global Malaria Eradication Program, El
                Salvador had the highest burden of malaria in Mesoamerica, with
                approximately 20% due to Plasmodium falciparum. A resurgence of
                malaria in the 1970s led El Salvador to alter its national
                malaria control strategy. By 1995, El Salvador recorded its last
                autochthonous P. falciparum case with fewer than 20 Plasmodium
                vivax cases annually since 2011. By contrast, its immediate
                neighbors continue to have the highest incidences of malaria in
                the region. We reviewed and evaluated the policies and
                interventions implemented by the Salvadoran National Malaria
                Program that likely contributed to this progress toward malaria
                elimination. Decentralization of the malaria program, early
                regional stratification by risk, and data-driven
                stratum-specific actions resulted in the timely and targeted
                allocation of resources for vector control, surveillance, case
                detection, and treatment. Weekly reporting by health workers and
                volunteer collaborators-distributed throughout the country by
                strata and informed via the national surveillance system-enabled
                local malaria teams to provide rapid, adaptive, and focalized
                program actions. Sustained investments in surveillance and
                response have led to a dramatic reduction in local transmission,
                with most current malaria cases in El Salvador due to
                importation from neighboring countries. Additional support for
                systematic elimination efforts in neighboring countries would
                benefit the region and may be needed for El Salvador to achieve
                and maintain malaria elimination. El Salvador's experience
                provides a relevant case study that can guide the application of
                similar strategies in other countries committed to malaria
                elimination.

# metadata.dc.publisher[].value
American Society of Tropical Medicine and Hygiene

# metadata.dc.relation.ispartof[].value
American Journal of Tropical Medicine and Hygiene, 2018, vol. 99, num. 1, p. 33-42

# metadata.dc.rights[].value
cc by (c) American Society of Tropical Medicine and Hygiene, 2018

# metadata.dc.source[].value
Articles publicats en revistes (ISGlobal)

# metadata.dc.title[].value
Factors Associated with the Rapid and Durable Decline in Malaria Incidence in El Salvador, 1980-2017