2015-05-30-世界卫生组织-Consultation_for_the_Regional_Office_for_the_Eastern_Mediterranean_in_Casablanca,_Morocco,_15–16_April_2014_10页_486kb

Global Technical Strategy Regional Consultation: Casablanca, Morocco

Objective:
Introduced the draft Global Technical Strategy for Malaria (GTS) 2016-2025 to gather inputs on accelerating malaria control and elimination in the Eastern Mediterranean Region (EMR), emphasizing increased funding, country ownership, and alignment with global goals/constraints.

Key Recommendations for GTS Improvements

Core Concepts & Vision/Guiding Principles

• Challenges:
  • Add humanitarian emergencies (natural/man-made) and community participation.
  • Strengthen country/community ownership, value for money, strategic use of data, inclusiveness, quality of interventions, intersectoral collaboration, service integration, multisectoral approach, community involvement, innovation.
• Core Values:
  • Rename "core values" to include inclusiveness, quality, intersectoral collaboration, integration, multisectoral approach, community participation, and innovation.
• Vision & Goals:
  • Avoid confusion between global vision ("eradication") and GTS vision ("accelerate progress to a world free of malaria"). Consider renaming GTS vision.
  • Rename objectives as SMART (Specific, Measurable, Achievable, Realistic, Time-bound) goals/guidelines.
  • Include a goal for sustaining malaria-free status; consider benchmarking goals to population at risk or 75% reduction relative to population.
  • Ensure ambitious yet realistic targets, allowing countries flexibility.

Pathway to Elimination

• Rename objectives as aims/actions.
• Define metrics for implementation (e.g., continuous reduction).
• Segment elimination into phases ("pre-elimination/elimination"). Differentiate reduction stages (high/medium/low burden).
• Maintain terminology ("reduction of transmission") but validate advantages.

Strategic Directions

1. Surveillance & Response:

• Prioritize sustained investment, stratification, integration with health information systems.
• Define core implementation building blocks (diagnostic testing, recording, reporting, analysis, feedback).
• Emphasize Monitoring & Evaluation (M&E); use impact indicators (tested suspected cases) and mandatory reporting legislation.

2. Preventing Cases & Reducing Transmission:

• Strengthen entomological surveillance for resistance and training.
• Use LLINs (continuous distribution), develop spatial maps for vector control, and test novel tools (larviciding, G6PD mapping).
• Prepare for emergencies and link public health pesticide management with human rights.

3. T3: Test-Treat-Track:

• Ban monotherapies, enforce diagnostics before treatment.
• Improve quality assurance for microscopy/RDTs, track therapeutic efficacy.
• Manage severe P. vivax malaria, treat mixed infections.

4. Innovations & Implementation Research:

• Utilize mobile/web tech, conduct surveillance for counterfeit drugs, develop low-cost diagnostics.
• Focus on capacity building, leadership, decentralized efforts, and integrated research.

5. Development & Health System Strengthening:

• Address cross-border emergencies & hard-to-reach populations.
• Promote multisectoral collaboration, economic burden analysis, IEC/BCC (Information, Education, Communication).
• Improve financial & supply chain management.

General Conclusions & Recommendations

• Simplify GTS and cross-reference WHO policies; highlight key EMR issues (humanitarian response, border malaria, decentralization).
• Foster cross-border collaboration and community involvement; engage UN partners.
• Advocate for domestic funding and economic burden analysis for resource mobilization.
• Ensure funding justification through monitoring frameworks.

Annexes

• Agenda: Detailed session breakdown on strategic direction reviews and working group outputs.
• Participants: List of government, organizations, and WHO experts.