Health education and community participation in mass drug administration for malaria in Nicaragua.

Garfield RM, Vermund SH
Soc Sci Med. 1986 22 (8): 869-77

PMID: 3529425 · DOI:10.1016/0277-9536(86)90241-8

A malaria control effort in Nicaragua involving the mass, short-term distribution of anti-malaria medicines to a target population of all citizens above one year of age is detailed. About 70% of the population received anti-malarials in November, 1981 and 8 million packets of chloroquine and primaquine were distributed by 70,000 health campaign workers and their assistants. Training and mobilization efforts used volunteers from local community organizations. Mass public education was a key focus in the weeks before drug administration. The effects of the campaign were immediately apparent with a rapid decline in incidence after drug administration. Ongoing community environmental control, case finding, and health education activities continued to improve the malaria situation post-campaign. Further, the campaign promoted the decentralization of malaria control activities and integration of the malaria efforts with the nationwide primary health care system.

MeSH Terms (11)

Advertising Antimalarials Chloroquine Female Health Education History, 20th Century Humans Malaria Male Nicaragua Primaquine

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