Incorporating Community Case Management in Risk-Based Surveillance for Malaria Elimination in the Dominican Republic.

ABSTRACT: As countries strive for malaria elimination, it is crucial to gather sufficient evidence to confirm the absence of transmission. Routine surveillance data often lack the sensitivity to detect community transmission at low levels. In the Dominican Republic, community health workers (CHWs) have been deployed in malaria foci to perform active case detection. This study aimed to assess the added value of CHWs in enhancing the health system's malaria detection capabilities. Freedom from infection (FFI) is a statistical framework designed to demonstrate the absence of malaria by using routinely collected health data. We adapted this framework to include CHW data, estimating their contribution to the health system's malaria detection ability. The model was applied to facility and CHW data from 33

SUBMITTER: Byrne I 

PROVIDER: S-EPMC11965756 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature