China's long march to malaria elimination: a case of adaptive management

Since the 1950s, China has transitioned from a malaria pandemic country with tens of millions of annual cases, through phases of local control and elimination, to sustained national malaria elimination efforts. This marks the first time a country in the World Health Organization (WHO) Western Pacifi...

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Bibliographic Details
Published in:Malaria journal 2022-02, Vol.21 (1), p.38-4, Article 38
Main Authors: Wang, Duo-Quan, Liang, Xiao-Hui, Lu, Shen-Ning, Ding, Wei, Huang, Jing, Wen, Xin, Lv, Shan, Xiao, Ning, Husain, Lewis, Zhou, Xiao-Nong
Format: Article
Language:English
Subjects:
Adaptation
Adaptive
Adaptive management
Adaptiveness
China
China - epidemiology
Cooperation
Coronaviruses
COVID-19
Disease control
Disease prevention
Global Health
Human diseases
Humans
Malaria
Malaria - epidemiology
Malaria - prevention & control
Malaria elimination
Pandemics
Parasitic diseases
Parasitoses
Public health
Success
Vector-borne diseases
World Health Organization
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Summary:Since the 1950s, China has transitioned from a malaria pandemic country with tens of millions of annual cases, through phases of local control and elimination, to sustained national malaria elimination efforts. This marks the first time a country in the World Health Organization (WHO) Western Pacific region has been certified malaria-free in more than 3 decades. This article provides an innovative approach to understanding China's malaria elimination journey. A number of articles and commentaries have analysed the effectiveness of specific technical approaches implemented in China. Our argument is that we need to look beyond these, and consider the ways in which policy development and implementation capacities have been fostered to support the dynamic change management. The article makes a number of arguments. First is the pragmatic adaptiveness of policies and strategies-and implementation capacities. Second, China has invested in building systems as well as capacities to support the elimination of parasitic diseases, including malaria. Third, the country has both benefited from, and contributed to, global health collaboration on malaria elimination. The ongoing work by the authors is identifying a number of key factors.
ISSN:1475-2875
1475-2875
DOI:10.1186/s12936-021-04038-w