Malaria Control in Suriname

drs. Panchoe, MD and drs. H. Cairo

Bi- National Health Meeting, Georgetown, Guyana 11 – 13 July 2013

Situational analysis

Strategies

• The policy of malaria control has been translated into 3 main strategies

– Emphasis on Rapid Diagnosis and prompt effective Treatment

– Behavior Change Communication– Selective vector control with the emphasis on

LLINs

Malaria Services

• Medical Mission Primary HealthCare Suriname

• Anti Malaria Campaign (AMC) - Bureau of Public Health

• MoH Malaria Program: “Looking for gold, finding malaria”– Tourtonne laboratory– Malaria Service Deliverers

• Hospitals, Gorvernment- and private clinics

History of malaria control in Suriname

• Beginning of the 20th: case management and chemoprophylaxis for travelers

• 1949 to 1955: larval control and residual insecticide spraying as main strategies.

• 1958: MEP adopted – AMC established• 1984: Operational malaria control activities in the interior

were transferred to MMPHCS• 1997: the MM introduced ITN for all villages in the

interior• 1995: the National Malaria Board was installed• 2004: ACT (Coartem®)introduced• 2005 - 2010: MM-MP started• 2009 – present day: Gold miner’s Malaria Program

Malaria trend (Suriname cases)

Malaria by country of origin

Challenges

• How to work together towards elimination

• How to contain the emergence resistance against ACT (elimination)

• How to deal with the high cost of malaria elimination

• How to jointly deal with mobile populations and imported cases (elimination in the Guyana Shield)

Areas of Collaboration

• Strategic Plans aiming at elimination and containment of resistance

• Joint effort to raise funds for elimination

• Exchange of information

• Joint research

• Treatment protocols