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Control de la malaria en Afganistán: progreso y desafíos.

Jan Kolaczinski¹, Kate Graham, Abdullah Fahim

¹Disease Control and Vector Biology Unit, London School of Hygiene and Tropical Medicine, London, UK. jan.kolaczinski@lshtm.ac.uk

Lancet (London, England)

|April 27, 2005

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El control de la malaria en Afganistán pasó de los programas gubernamentales a las iniciativas dirigidas por las ONG. Se planea la integración en la atención médica de rutina, enfatizando el enfoque sostenido hasta que se controle la malaria.

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Área de la Ciencia:

Salud Pública La salud pública.
La Medicina Tropical es una medicina tropical.
Fortalecimiento de los sistemas de salud.

Sus antecedentes:

El control de la malaria en Afganistán enfrentó desafíos debido a la inestabilidad política y la disminución de los programas verticales dirigidos por el gobierno.
Las organizaciones no gubernamentales (ONG) y las agencias de la ONU proporcionaron diagnóstico y tratamiento esenciales de la malaria a través de operaciones transfronterizas.
A principios de la década de 1990 se vio una funcionalidad limitada del programa original de control de la malaria.

Objetivo del estudio:

Para analizar la evolución de las estrategias de control de la malaria en Afganistán.
Examinar el papel de las ONG y las agencias internacionales en la prestación de atención médica.
Informar sobre la integración del control de la malaria en el sistema nacional de salud.

Principales métodos:

Revisión de los esfuerzos históricos de control de la malaria y los modelos de prestación de atención médica en Afganistán.
Análisis del impacto de los cambios políticos en los programas de salud pública.
Evaluación de la transición de los programas verticales a los servicios de salud integrados.

Principales resultados:

Se observó un cambio de los programas verticales de malaria administrados por el gobierno a la participación de las ONG y las agencias de la ONU.
El establecimiento de clínicas apoyadas por ONG y la formación estandarizada se produjo a partir de 1992.
Después de 2001, comenzó la rehabilitación del sistema de salud, con planes para integrar el control de la malaria.

Conclusiones:

La compleja emergencia puso de relieve la necesidad de estrategias de control de la malaria adaptables.
La integración gradual del control de la malaria en la prestación rutinaria de atención médica es el siguiente paso planeado.
El enfoque sostenido en la malaria es crucial hasta que la enfermedad sea erradicada.