Elimination of malaria in Honduras through the implementation of 'Diagnostic, Treatment, Investigation, Response' (DTIR) and comprehensive approach in targeted areas
- A 45% reduction in cases of autochthonous malaria by 2017, as compared with cases registered in 2014 in the national health system.
- Zero cases of autochthonous Plasmodium falciparum malaria registered in 2017.
- To implement an integrated vector management plan.
- To strengthen the malaria focused approach based on the specific stratum.
- To strengthen the coverage and quality of malaria diagnostic and treatment services.
The National Strategic Plan (NSP) for malaria 2014 – 2017 promoted a shift from a malaria control focus towards a pre-elimination and elimination focus, and included a revised stratification of all municipalities:
- Stratum I (165 municipalities free of malaria since at least three years).
- Stratum II (102 municipalities with low transmission 1 or less cases per 1000 habitants per year, in the last three years).
- Stratum III (31 municipalities not meeting the criteria for strata I and II): This stratum included the municipalities reporting more than 80% of all malaria cases in the country, among them the department of Gracias a Dios “The Mosquitia region” reporting more than 80% of all P.falciparum cases.
The project included the following activities:
- Integrated vector control management combining use of IRS and installation of bednets mainly in stratum III municipalities, to intensify vector control activities.
- Case management including detection, diagnosis, treatment and monitoring of 100 percent of notified cases, as well as progressive increase of number of cases investigated.
- Development of the comprehensive active surveillance activities for malaria in border areas of epidemiological interest (Honduras/Nicaragua/El Salvador/Guatemala).
- Promotion of detection, notification and monitoring of malaria cases in community notification units through voluntary workers.
- Strengthening of surveillance systems.
- Improvement of social participation and local inter institutional partnerships.
The target population were those groups living mostly in Stratum III, with focus on:
- Women and children under 5.
- Indigenous people, with focus on the “mosquitia region” covering the border between Nicaragua and Honduras.
- Migrants and mobile population.