Feasibility of Using Community Based Malaria Control in West Timor, Indonesia

摘要

The report outlines a detailed protocol for a pilot study to investigate the feasibility of using village volunteers already active in West Timor, Indonesia and under the supervision of regional health clinics to record and treat clinical malaria cases. The study would include nine villages, all of them associated with a regional clinic. Village orientation to malaria and its treatment and volunteer training would be implemented through the regional clinic doctor. A parallel study conducted at each of the regional clinics in the area would consist in examining blood films from fever cases, from fever cases with chills, and from control groups (no fever) to determine the correlation between clinical symptoms and slide positivity. A third protocol has been designed to test the efficacy of bed nets for the control of malaria. Three villages are proposed for protection with permethrin-impregnated bed nets. The protected villages and three control villages will use the community-based surveillance and treatment mentioned above, and will also use night-biting catches as an entomological assessment method to determine the efficacy of the bed nets.